{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T17:04:34Z","timestamp":1765040674121,"version":"3.46.0"},"reference-count":37,"publisher":"BMJ","issue":"1","funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH-10102043"],"award-info":[{"award-number":["NCKUH-10102043"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,12,9]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We investigated whether calcaneal quantitative ultrasound (QUS-C) is a feasible tool for predicting the incidence of falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective epidemiological cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community-dwelling people sampled in central western Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A cohort of community-dwelling people who were \u226540\u2005years old (men: 524; women: 676) in 2009\u20132010. Follow-up questionnaires were completed by 186 men and 257 women in 2012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Structured questionnaires and broadband ultrasound attenuation (BUA) data were obtained in 2009\u20132010 using QUS-C, and follow-up surveys were done in a telephone interview in 2012. Using a binary logistic regression model, the risk factors associated with a new fall during follow-up were analysed with all significant variables from the bivariate comparisons and theoretically important variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>The incidence of falls was determined when the first new fall occurred during the follow-up period. The mean follow-up time was 2.83\u2005years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total incidence of falls was 28.0 per 1000 person-years for the \u226540\u2005year old group (all participants), 23.3 per 1000 person-years for the 40\u201370\u2005year old group, and 45.6 per 1000 person-years for the \u226570\u2005year old group. Using multiple logistic regression models, the independent factors were current smoking, living alone, psychiatric drug usage and lower BUA (OR 0.93; 95% CI 0.88 to 0.99, p&lt;0.05) in the \u226570\u2005year old group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence of falls was highest in the \u226570\u2005year old group. Using QUS-C-derived BUA is feasible for predicting the incidence of falls in community-dwelling elderly people aged \u226570\u2005years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013420","type":"journal-article","created":{"date-parts":[[2017,1,9]],"date-time":"2017-01-09T20:50:21Z","timestamp":1483995021000},"page":"e013420","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly"],"prefix":"10.1136","volume":"7","author":[{"given":"Ling-Chun","family":"Ou","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Antai Medical Cooperation, Tien Sheng Memorial Hospital, Pingtung, Taiwan"},{"name":"Department of Nursing, Meiho University, Pingtung, Taiwan"},{"name":"College of Education, 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