{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T11:06:17Z","timestamp":1771844777718,"version":"3.50.1"},"reference-count":65,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T00:00:00Z","timestamp":1529625600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T00:00:00Z","timestamp":1529625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["asbmr.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,10,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2003<\/jats:title>\n                  <jats:p>It is not known how physical exercise affects the risk of different types of fractures, especially in highly active individuals. To investigate this association, we studied a cohort of 118,204 men and 71,757 women who from 1991 to 2009 participated in Vasaloppet, a long-distance cross-country skiing race in Sweden, and 505,194 nonparticipants frequency-matched on sex, age, and county of residence from the Swedish population. Participants ranged from recreational exercisers to world-class skiers. Race participation, distance of race run, number of races participated in, and finishing time were used as proxies for physical exercise. Incident fractures from 1991 to 2010 were obtained from national Swedish registers. Over a median follow-up of 8.9 years, 53,175 fractures of any type, 2929 hip, 3107 proximal humerus, 11,875 lower leg, 11,733 forearm, and 2391 vertebral fractures occurred. In a Cox proportional hazard regression analysis using time-updated exposure and covariate information, participation in the race was associated with an increased risk of any type of fracture (hazard ratio [HR], 1.02; 95% CI, 1.00 to 1.05); forearm fractures had an HR, 1.11 with a 95% CI, 1.06 to 1.15. There was a lower risk of hip (HR, 0.75; 95% CI, 0.67 to 0.83), proximal humerus (HR, 0.90; 95% CI, 0.82 to 0.98), and lower leg fractures (HR, 0.93; 95% CI, 0.89 to 0.97), whereas the HR of vertebral fracture was 0.97 with a 95% CI, 0.88 to 1.07. Among participants, the risk of fracture was similar irrespective of race distance and number of races run. Participants close to the median finishing time had a lower risk of fracture compared with faster and slower participants. In summary, high levels of physical exercise were associated with a slightly higher risk of fractures of any type, including forearm fractures, but a lower risk of hip, proximal humerus, and lower leg fractures. \u00a9 2018 American Society for Bone and Mineral Research.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/jbmr.3476","type":"journal-article","created":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T19:41:07Z","timestamp":1529696467000},"page":"1842-1850","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Decreased Hip, Lower Leg, and Humeral Fractures but Increased Forearm Fractures in Highly Active Individuals"],"prefix":"10.1093","volume":"33","author":[{"given":"Karl","family":"Stattin","sequence":"first","affiliation":[{"name":"Department of Surgical SciencesOrthopedicsUppsala UniversityUppsalaSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulf","family":"H\u00e5llmarker","sequence":"additional","affiliation":[{"name":"Department of Internal MedicineMora LasarettMoraSweden"},{"name":"Department of Medical SciencesUppsala UniversityUppsalaSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"\u00c4rnl\u00f6v","sequence":"additional","affiliation":[{"name":"School of Health and Social StudiesDalarna UniversityFalunDalarnaSweden"},{"name":"Department of NeurobiologyCare Sciences and SocietyDivision of Family Medicine and Primary CareKarolinska InstitutetStockholmSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"James","sequence":"additional","affiliation":[{"name":"Uppsala Clinical Research CenterUppsalaSweden"},{"name":"Department of Medical SciencesUppsala UniversityUppsalaSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Micha\u00eblsson","sequence":"additional","affiliation":[{"name":"Department of Surgical SciencesOrthopedicsUppsala UniversityUppsalaSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liisa","family":"Byberg","sequence":"additional","affiliation":[{"name":"Department of Surgical SciencesOrthopedicsUppsala UniversityUppsalaSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,6,22]]},"reference":[{"key":"2024021014294567700_jbmr3476-bib-0001","first-page":"f6234","article-title":"The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials","volume":"347","author":"El-Khoury","year":"2013","journal-title":"BMJ"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0002","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1007\/s00198-012-2248-7","article-title":"Effects of exercise on fracture reduction in older adults: a systematic review and meta-analysis","volume":"24","author":"Kemmler","year":"2013","journal-title":"Osteoporos Int"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0003","first-page":"CD000333","article-title":"Exercise for preventing and treating osteoporosis in postmenopausal women","author":"Howe","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"2024021014294567700_jbmr3476-bib-0004","first-page":"CD007146","article-title":"Interventions for preventing falls in older people living in the community","volume":"9","author":"Gillespie","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"2024021014294567700_jbmr3476-bib-0005","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1136\/ip.9.2.117","article-title":"Sports and recreation related injury episodes in the US population, 1997\u201399","volume":"9","author":"Conn","year":"2003","journal-title":"Inj Prev"},{"issue":"5","key":"2024021014294567700_jbmr3476-bib-0006","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1093\/oxfordjournals.aje.a116314","article-title":"Risk factors for fractures of the distal forearm and proximal humerus. The Study of Osteoporotic Fractures Research Group","volume":"135","author":"Kelsey","year":"1992","journal-title":"Am J Epidemiol"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0007","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/BF01629573","article-title":"Different risk profiles for hip fractures and distal forearm fractures: a prospective study","volume":"6","author":"Graafmans","year":"1996","journal-title":"Osteoporos Int"},{"issue":"1","key":"2024021014294567700_jbmr3476-bib-0008","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1046\/j.1532-5415.2002.50014.x","article-title":"Distal radius fractures in older women: a 10-year follow-up study of descriptive characteristics and risk factors. The study of osteoporotic fractures","volume":"50","author":"Vogt","year":"2002","journal-title":"J Am Geriatr Soc"},{"issue":"9","key":"2024021014294567700_jbmr3476-bib-0009","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1002\/jbmr.5650110920","article-title":"Predictors of ankle and foot fractures in older women. The Study of Osteoporotic Fractures Research Group","volume":"11","author":"Seeley","year":"1996","journal-title":"J Bone Miner Res"},{"issue":"5","key":"2024021014294567700_jbmr3476-bib-0010","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1359\/jbmr.2002.17.5.817","article-title":"Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study","volume":"17","author":"Lee","year":"2002","journal-title":"J Bone Miner Res"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0011","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1111\/jgs.12326","article-title":"Objective measures of physical activity, fractures and falls: the osteoporotic fractures in men study","volume":"61","author":"Cauley","year":"2013","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"2024021014294567700_jbmr3476-bib-0012","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00774-007-0806-4","article-title":"Physical activity and fracture risk: a prospective study of 1898 incident fractures among 34,696 British men and women","volume":"26","author":"Appleby","year":"2008","journal-title":"J Bone Miner Metab"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0013","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1359\/jbmr.1998.13.7.1149","article-title":"The Tromso Study: physical activity and the incidence of fractures in a middle-aged population","volume":"13","author":"Joakimsen","year":"1998","journal-title":"J Bone Miner Res"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0014","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1007\/s001980200063","article-title":"Risk factors for fractures of the wrist, shoulder and ankle: the Blue Mountains Eye Study","volume":"13","author":"Ivers","year":"2002","journal-title":"Osteoporos Int"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0015","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1016\/j.bone.2012.03.014","article-title":"Different effects of age, adiposity and physical activity on the risk of ankle, wrist and hip fractures in postmenopausal women","volume":"50","author":"Armstrong","year":"2012","journal-title":"Bone"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0016","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1093\/oxfordjournals.aje.a008920","article-title":"Risk factors for osteoporotic fractures in elderly men","volume":"144","author":"Nguyen","year":"1996","journal-title":"Am J Epidemiol"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0017","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1002\/jbmr.363","article-title":"Frequent walking, but not total physical activity, is associated with increased fracture incidence: a 5-year follow-up of an Australian population-based prospective study (AusDiab)","volume":"26","author":"Nikander","year":"2011","journal-title":"J Bone Miner Res"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0018","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s10654-012-9665-y","article-title":"Leisure time physical activity and risk of non-vertebral fracture in men and women aged 55 years and older: the Tromso Study","volume":"27","author":"Morseth","year":"2012","journal-title":"Eur J Epidemiol"},{"key":"2024021014294567700_jbmr3476-bib-0019","first-page":"726","author":"Wilmore","year":"2005"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0020","first-page":"293","article-title":"Associations of light, moderate, and vigorous intensity physical activity with longevity","volume":"151","author":"Lee","year":"2000","journal-title":"The Harvard Alumni Health Study. Am J Epidemiol"},{"key":"2024021014294567700_jbmr3476-bib-0021","author":"Bergh","year":"1992"},{"key":"2024021014294567700_jbmr3476-bib-0022","author":"Forsberg","year":"2002"},{"key":"2024021014294567700_jbmr3476-bib-0023","author":"Engstr\u00f6m","year":"1993"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0024","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1046\/j.1365-2796.2003.01122.x","article-title":"Mortality amongst participants in Vasaloppet: a classical long-distance ski race in Sweden","volume":"253","author":"Farahmand","year":"2003","journal-title":"J Intern Med"},{"key":"2024021014294567700_jbmr3476-bib-0025"},{"issue":"10)","key":"2024021014294567700_jbmr3476-bib-0026","doi-asserted-by":"crossref","first-page":"e002469","DOI":"10.1161\/JAHA.115.002469","article-title":"Risk of recurrent stroke and death after first stroke in long-distance ski race participants","volume":"4","author":"Hallmarker","year":"2015","journal-title":"J Am Heart Assoc"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0027","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1177\/2047487315578664","article-title":"Risk of recurrent ischaemic events after myocardial infarction in long-distance ski race participants","volume":"23","author":"Hallmarker","year":"2016","journal-title":"Eur J Prev Cardiol"},{"issue":"4","key":"2024021014294567700_jbmr3476-bib-0028","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.ejca.2014.12.009","article-title":"Cancer incidence in participants in a long-distance ski race (Vasaloppet, Sweden) compared to the background population","volume":"51","author":"Hallmarker","year":"2015","journal-title":"Eur J Cancer"},{"key":"2024021014294567700_jbmr3476-bib-0029","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1186\/1471-2458-11-450","article-title":"External review and validation of the Swedish National Inpatient Register","volume":"11","author":"Ludvigsson","year":"2011","journal-title":"BMC Public Health"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0030","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1097\/EDE.0b013e318181319e","article-title":"Identification of incident injuries in hospital discharge registers","volume":"19","author":"Gedeborg","year":"2008","journal-title":"Epidemiology"},{"key":"2024021014294567700_jbmr3476-bib-0031"},{"key":"2024021014294567700_jbmr3476-bib-0032"},{"key":"2024021014294567700_jbmr3476-bib-0033","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1359\/jbmr.2003.18.11.1947","article-title":"BMD at multiple sites and risk of fracture of multiple types: long-term results from the study of osteoporotic fractures","volume":"18","author":"Stone","year":"2003","journal-title":"J Bone Miner Res"},{"issue":"8","key":"2024021014294567700_jbmr3476-bib-0034","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1359\/jbmr.1998.13.8.1337","article-title":"The exclusion of high trauma fractures may underestimate the prevalence of bone fragility fractures in the community: the Geelong osteoporosis study","volume":"13","author":"Sanders","year":"1998","journal-title":"J Bone Miner Res"},{"issue":"2","key":"2024021014294567700_jbmr3476-bib-0035","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1093\/aje\/155.2.176","article-title":"Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology","volume":"155","author":"Hernan","year":"2002","journal-title":"Am J Epidemiol"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0036","first-page":"1887","article-title":"Robust causal inference using directed acyclic graphs: the R package \u2018dagitty\u2019","volume":"45","author":"Textor","year":"2016","journal-title":"Int J Epidemiol"},{"issue":"5","key":"2024021014294567700_jbmr3476-bib-0037","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A new method of classifying prognostic comorbidity in longitudinal studies: development and validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J Chronic Dis"},{"key":"2024021014294567700_jbmr3476-bib-0038","author":"Harrell","year":"2001"},{"key":"2024021014294567700_jbmr3476-bib-0039"},{"key":"2024021014294567700_jbmr3476-bib-0040"},{"issue":"3)","key":"2024021014294567700_jbmr3476-bib-0041","doi-asserted-by":"crossref","first-page":"e18339","DOI":"10.1371\/journal.pone.0018339","article-title":"Risk of severe knee and hip osteoarthritis in relation to level of physical exercise: a prospective cohort study of long-distance skiers in Sweden","volume":"6","author":"Michaelsson","year":"2011","journal-title":"PLoS One"},{"issue":"2","key":"2024021014294567700_jbmr3476-bib-0042","doi-asserted-by":"crossref","first-page":"16","DOI":"10.13172\/2053-079X-1-2-943","article-title":"The Swedish mammography cohort and the cohort of Swedish men: study design and characteristics of two population-based longitudinal cohorts","volume":"1","author":"Harris","year":"2013","journal-title":"OA Epidemiology"},{"issue":"5","key":"2024021014294567700_jbmr3476-bib-0043","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1038\/sj.ijo.0801955","article-title":"Total physical activity in relation to age, body mass, health and other factors in a cohort of Swedish men","volume":"26","author":"Norman","year":"2002","journal-title":"Int J Obes Relat Metab Disord"},{"key":"2024021014294567700_jbmr3476-bib-0044","first-page":"340","article-title":"Problem of immortal time bias in cohort studies: example using statins for preventing progression of diabetes","author":"Levesque","year":"2010","journal-title":"BMJ"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0045","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1249\/MSS.0b013e318274fdf3","article-title":"Former male elite athletes have lower incidence of fragility fractures than expected","volume":"45","author":"Tveit","year":"2013","journal-title":"Med Sci Sports Exerc"},{"key":"2024021014294567700_jbmr3476-bib-0046","author":"Bouchard","year":"1994"},{"issue":"2B","key":"2024021014294567700_jbmr3476-bib-0047","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1079\/PHN2001160","article-title":"Inequalities in diet and physical activity in Europe","volume":"4","author":"Dowler","year":"2001","journal-title":"Public Health Nutr"},{"issue":"8","key":"2024021014294567700_jbmr3476-bib-0048","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1002\/jbmr.3161","article-title":"Leisure-time physical activity and risk of fracture: a cohort study of 66,940 men and women","volume":"32","author":"Stattin","year":"2017","journal-title":"J Bone Miner Res"},{"issue":"9","key":"2024021014294567700_jbmr3476-bib-0049","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1007\/s00198-013-2333-6","article-title":"When and where do hip fractures occur? A population-based study","volume":"24","author":"Leavy","year":"2013","journal-title":"Osteoporos Int"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0050","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1093\/aje\/153.6.587","article-title":"Risk factors for proximal humerus, forearm, and wrist fractures in elderly men and women: the Dubbo Osteoporosis Epidemiology Study","volume":"153","author":"Nguyen","year":"2001","journal-title":"Am J Epidemiol"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0051","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1136\/jech.50.3.288","article-title":"Risk factors, falls, and fracture of the distal forearm in Manchester, UK","volume":"50","author":"O'Neill","year":"1996","journal-title":"J Epidemiol Community Health"},{"issue":"11","key":"2024021014294567700_jbmr3476-bib-0052","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.1002\/jbmr.143","article-title":"Physical activity slows femoral bone loss but promotes wrist fractures in postmenopausal women: a 15-year follow-up of the OSTPRE study","volume":"25","author":"Rikkonen","year":"2010","journal-title":"J Bone Miner Res"},{"issue":"6)","key":"2024021014294567700_jbmr3476-bib-0053","doi-asserted-by":"crossref","first-page":"e199","DOI":"10.1371\/journal.pmed.0040199","article-title":"Leisure physical activity and the risk of fracture in men","volume":"4","author":"Michaelsson","year":"2007","journal-title":"PLoS Med"},{"issue":"4)","key":"2024021014294567700_jbmr3476-bib-0054","doi-asserted-by":"crossref","first-page":"e75","DOI":"10.2105\/AJPH.2013.301667","article-title":"Physical activity and inactivity and risk of hip fractures in men","volume":"104","author":"Feskanich","year":"2014","journal-title":"Am J Public Health"},{"issue":"18","key":"2024021014294567700_jbmr3476-bib-0055","doi-asserted-by":"crossref","first-page":"2300","DOI":"10.1001\/jama.288.18.2300","article-title":"Walking and leisure-time activity and risk of hip fracture in postmenopausal women","volume":"288","author":"Feskanich","year":"2002","journal-title":"JAMA"},{"issue":"2","key":"2024021014294567700_jbmr3476-bib-0056","doi-asserted-by":"crossref","first-page":"81","DOI":"10.7326\/0003-4819-129-2-199807150-00002","article-title":"Physical activity and osteoporotic fracture risk in older women. Study of Osteoporotic Fractures Research Group","volume":"129","author":"Gregg","year":"1998","journal-title":"Ann Intern Med"},{"issue":"12","key":"2024021014294567700_jbmr3476-bib-0057","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1056\/NEJM199503233321202","article-title":"Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group","volume":"332","author":"Cummings","year":"1995","journal-title":"N Engl J Med"},{"issue":"11","key":"2024021014294567700_jbmr3476-bib-0058","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1111\/j.1532-5415.1993.tb07307.x","article-title":"Type of fall and risk of hip and wrist fractures: the study of osteoporotic fractures. The Study of Osteoporotic Fractures Research Group","volume":"41","author":"Nevitt","year":"1993","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"2024021014294567700_jbmr3476-bib-0059","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3109\/17453679809002355","article-title":"Adult ankle fractures\u2014an increasing problem","volume":"69","author":"Court-Brown","year":"2009","journal-title":"Acta Orthopaedica Scandinavica"},{"issue":"7","key":"2024021014294567700_jbmr3476-bib-0060","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1359\/JBMR.050314","article-title":"What proportion of incident radiographic vertebral deformities is clinically diagnosed and vice versa","volume":"20","author":"Fink","year":"2005","journal-title":"J Bone Miner Res"},{"issue":"4","key":"2024021014294567700_jbmr3476-bib-0061","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/00007632-199602150-00016","article-title":"Epidemiology of incident spinal fracture in a complete population","volume":"21","author":"Hu","year":"1996","journal-title":"Spine"},{"key":"2024021014294567700_jbmr3476-bib-0062","doi-asserted-by":"crossref","first-page":"e002495","DOI":"10.1161\/JAHA.115.002495","article-title":"Quantifying the association between physical activity and cardiovascular disease and diabetes: a systematic review and meta-analysis","volume":"5","author":"Wahid","year":"2016","journal-title":"J Am Heart Assoc"},{"issue":"6","key":"2024021014294567700_jbmr3476-bib-0063","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1001\/jamainternmed.2016.1548","article-title":"Association of leisure-time physical activity with risk of 26 types of cancer in 1.44 million adults","volume":"176","author":"Moore","year":"2016","journal-title":"JAMA Intern Med"},{"issue":"3","key":"2024021014294567700_jbmr3476-bib-0064","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/HJR.0b013e3282f55e09","article-title":"Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis","volume":"15","author":"Nocon","year":"2008","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"issue":"5","key":"2024021014294567700_jbmr3476-bib-0065","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1001\/jama.2009.50","article-title":"Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women","volume":"301","author":"Bliuc","year":"2009","journal-title":"JAMA"}],"container-title":["Journal of Bone and Mineral Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjbmr.3476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jbmr\/article-pdf\/33\/10\/1842\/56649571\/jbmr3476.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbmr\/article-pdf\/33\/10\/1842\/56649571\/jbmr3476.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T15:01:58Z","timestamp":1710342118000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbmr\/article\/33\/10\/1842-1850\/7605203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,22]]},"references-count":65,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2018,6,22]]},"published-print":{"date-parts":[[2018,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/jbmr.3476","relation":{},"ISSN":["0884-0431","1523-4681"],"issn-type":[{"value":"0884-0431","type":"print"},{"value":"1523-4681","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2018,10,1]]},"published":{"date-parts":[[2018,6,22]]},"assertion":[{"value":"2018-02-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}