{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T07:01:55Z","timestamp":1762671715892},"reference-count":63,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2002,8,1]],"date-time":"2002-08-01T00:00:00Z","timestamp":1028160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Low-trauma fractures of elderly people are a major public health burden worldwide, and as the number and mean age of older adults in the population continue to increase, the number of fractures is also likely to increase. Epidemiologically, however, an additional concern is that, for unknown reasons, the age-standardized incidence (average individual risk) of fracture has also risen in many populations during the recent decades. Possible reasons for this rise include a birth cohort effect, deterioration in the average bone strength by time, and increased average risk of (serious) falls. Literature provides evidence that the rise is not due to a birth cohort effect, whereas no study shows whether bone fragility has increased during this relatively short period of time. This osteoporosis hypothesis could, however, be tested if researchers would now repeat the population measurements of bone mass and density that were made in the late 1980s and the 1990s. If such studies proved that women's and men's age-standardized mean values of bone mass and density have declined over time, the osteoporosis hypothesis would receive scientific support. The third explanation is based on the hypothesis that the number and\/or severity of falls has risen in elderly populations during the recent decades. Although no study has directly tested this hypothesis, a great deal of indirect epidemiologic evidence supports this contention. For example, the age-standardized incidence of fall-induced severe head injuries, bruises and contusions, and joint distortions and dislocations has increased among elderly people similarly to the low-trauma fractures. The fall hypothesis could also be tested in the coming years because the 1990s saw many research teams reporting age- and sex-specific incidences of falling for elderly populations, and the same could be done now to provide data comparing the current incidence rates of falls with the earlier ones.<\/jats:p>","DOI":"10.1359\/jbmr.2002.17.8.1363","type":"journal-article","created":{"date-parts":[[2006,4,27]],"date-time":"2006-04-27T05:31:59Z","timestamp":1146115919000},"page":"1363-1367","source":"Crossref","is-referenced-by-count":59,"title":["Why Is the Age-Standardized Incidence of Low-Trauma Fractures Rising in Many Elderly Populations?"],"prefix":"10.1093","volume":"17","author":[{"given":"Pekka","family":"Kannus","sequence":"first","affiliation":[{"name":"Medical School and Institute of Medical Technology, University of Tampere and Department of Surgery, Tampere University Hospital, Tampere, Finland"},{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seppo","family":"Niemi","sequence":"additional","affiliation":[{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jari","family":"Parkkari","sequence":"additional","affiliation":[{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Palvanen","sequence":"additional","affiliation":[{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari","family":"Heinonen","sequence":"additional","affiliation":[{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harri","family":"Siev\u00e4nen","sequence":"additional","affiliation":[{"name":"The Bone Research Group, Accident & Trauma Research Centre and Research Centre of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teppo","family":"J\u00e4rvinen","sequence":"additional","affiliation":[{"name":"Medical School and Institute of Medical Technology, University of Tampere and Department of Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Family Practice and Osteoporosis Research Program, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markku","family":"J\u00e4rvinen","sequence":"additional","affiliation":[{"name":"Medical School and Institute of Medical Technology, University of Tampere and Department of Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2009,12,2]]},"reference":[{"key":"2024013019070995200_bib1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1093\/oxfordjournals.epirev.a036281","article-title":"Epidemiology of osteoporosis and osteoporotic fractures","volume":"7","author":"Cummings","year":"1985","journal-title":"Epidemiol Rev"},{"key":"2024013019070995200_bib2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/BF01623273","article-title":"Changing incidence and residual lifetime risk of common osteoporosis-related fractures","volume":"3","author":"Lauritzen","year":"1993","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib3","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/BF01623352","article-title":"Symptomatic fracture incidence in elderly men and women: The Dubbo Osteoporosis Epidemiologic Study (DOES)","volume":"4","author":"Jones","year":"1994","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib4","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/S0140-6736(98)04235-4","article-title":"Hip fractures in Finland between 1970 and 1997 and predictions for the future","volume":"353","author":"Kannus","year":"1999","journal-title":"Lancet"},{"key":"2024013019070995200_bib5","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1007\/s001980070112","article-title":"Epidemiology of osteoporotic pelvic fractures in elderly people in Finland: Sharp increase in 1970\u20131997 and alarming projections for the new millennium","volume":"11","author":"Kannus","year":"2000","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib6","doi-asserted-by":"crossref","first-page":"975","DOI":"10.7326\/0003-4819-125-12-199612150-00007","article-title":"Epidemiology of osteoporotic ankle fractures in elderly persons in Finland","volume":"125","author":"Kannus","year":"1996","journal-title":"Ann Intern Med"},{"key":"2024013019070995200_bib7","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1080\/000164700317381144","article-title":"Osteoporotic fractures of the proximal humerus in elderly Finnish persons","volume":"71","author":"Kannus","year":"2000","journal-title":"Acta Orthop Scand"},{"key":"2024013019070995200_bib8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s001980050113","article-title":"Fracture incidence in Olmsted County, Minnesota: Comparison of urban with rural rates and changes in urban rates over time","volume":"9","author":"Melton","year":"1999","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/BF02556558","article-title":"Increasing age- adjusted risk of fragility fractures: A sign of increasing osteoporosis in successive generations?","volume":"44","author":"Obrant","year":"1989","journal-title":"Calcif Tissue Int"},{"key":"2024013019070995200_bib10","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1136\/bmj.303.6800.453","article-title":"Strategies for prevention of osteoporosis and hip fractures","volume":"303","author":"Law","year":"1991","journal-title":"BMJ"},{"key":"2024013019070995200_bib11","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1056\/NEJM199208273270908","article-title":"The prevention and treatment of osteoporosis","volume":"327","author":"Riggs","year":"1992","journal-title":"N Engl J Med"},{"key":"2024013019070995200_bib12","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/0140-6736(93)90570-7","article-title":"Pathogenesis of osteoporosis","volume":"341","author":"Dempster","year":"1993","journal-title":"Lancet"},{"key":"2024013019070995200_bib13","doi-asserted-by":"crossref","first-page":"121S","DOI":"10.1016\/8756-3282(95)00492-0","article-title":"Epidemiology of hip fractures: Implications of the exponential increase with age","volume":"18","author":"Melton","year":"1996","journal-title":"Bone"},{"key":"2024013019070995200_bib14","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1001\/jama.1994.03510260060029","article-title":"Fall severity and bone mineral density as risk factors for hip fracture in ambulatory elderly","volume":"271","author":"Greenspan","year":"1994","journal-title":"JAMA"},{"key":"2024013019070995200_bib15","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1056\/NEJM199503233321202","article-title":"Risk factors for hip fracture in white women","volume":"332","author":"Cummings","year":"1995","journal-title":"N Engl J Med"},{"key":"2024013019070995200_bib16","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/S0002-9343(98)00115-6","article-title":"Fall direction, bone mineral density, and function: Risk factors for hip fracture in frail nursing home elderly","volume":"104","author":"Greenspan","year":"1998","journal-title":"Am J Med"},{"key":"2024013019070995200_bib17","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1093\/oxfordjournals.epirev.a017956","article-title":"Epidemiology of hip fractures","volume":"19","author":"Cumming","year":"1997","journal-title":"Epidemiol Rev"},{"key":"2024013019070995200_bib18","doi-asserted-by":"crossref","first-page":"3S","DOI":"10.1016\/S0002-9343(97)90021-8","article-title":"Epidemiology and predictors of fractures associated with osteoporosis","volume":"103","author":"Lips","year":"1997","journal-title":"Am J Med"},{"key":"2024013019070995200_bib19","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1007\/BF00298717","article-title":"Impact near the hip dominates the fracture risk in elderly nursing home residents who fall","volume":"52","author":"Hayes","year":"1993","journal-title":"Calcif Tissue Int"},{"key":"2024013019070995200_bib20","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1007\/s001980050060","article-title":"Characteristics of falls and risk of hip fracture in elderly men","volume":"8","author":"Schwartz","year":"1998","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib21","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1007\/s001980170028","article-title":"Long-term fracture risk following ischemic stroke: A population-based study","volume":"12","author":"Melton","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib22","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1001\/jama.285.6.785","article-title":"Osteoporosis prevention, diagnosis, and therapy","volume":"285","author":"NIH Consensus Development Panel","year":"2001","journal-title":"JAMA"},{"key":"2024013019070995200_bib23","volume-title":"Falls in Older People: Risk Factors and Strategies for Prevention","author":"Lord","year":"2001"},{"key":"2024013019070995200_bib24","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1046\/j.1532-5415.2001.49115.x","article-title":"Guideline for the prevention of falls in older persons","volume":"49","author":"American Geriatrics Society","year":"2001","journal-title":"J Am Geriatr Soc"},{"key":"2024013019070995200_bib25","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1136\/bmj.320.7231.341","article-title":"Quality of life related to fear of falling and hip fracture in older women: A time trade off study","volume":"320","author":"Salkeld","year":"2000","journal-title":"BMJ"},{"key":"2024013019070995200_bib26","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/BF01623184","article-title":"Hip fractures in the elderly: A world wide projection","volume":"2","author":"Cooper","year":"1992","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib27","first-page":"1357","article-title":"Current and projected rates of hip fracture in Canada","volume":"157","author":"Papadimitropoulos","year":"1997","journal-title":"Can Med Assoc J"},{"key":"2024013019070995200_bib28","doi-asserted-by":"crossref","first-page":"58S","DOI":"10.1159\/000063449","article-title":"Epidemiology of osteoporotic fractures","volume":"54","author":"Dennison","year":"2000","journal-title":"Horm Res"},{"key":"2024013019070995200_bib29","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1067\/mhc.2000.109232","article-title":"Reducing falls and resulting hip fractures among older women","volume":"5","author":"Stevens","year":"2000","journal-title":"Home Care Provid"},{"key":"2024013019070995200_bib30","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s001980170112","article-title":"The burden of osteoporotic fractures: A method for setting intervention thresholds","volume":"12","author":"Kanis","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib31","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1093\/oxfordjournals.pubmed.a024743","article-title":"Hip fracture incidence and mortality in an English region: A study using routine National Health Service data","volume":"20","author":"McColl","year":"1998","journal-title":"J Public Health Med"},{"key":"2024013019070995200_bib32","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1007\/s002239900476","article-title":"Hip fracture epidemiology in Greece during 1977\u20131992","volume":"62","author":"Paspati","year":"1998","journal-title":"Calcif Tissue Int"},{"key":"2024013019070995200_bib33","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S8756-3282(98)00175-6","article-title":"Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture, Japan","volume":"24","author":"Hagino","year":"1999","journal-title":"Bone"},{"key":"2024013019070995200_bib34","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s001980170121","article-title":"Hip fracture incidence rates in Singapore 1991\u20131998","volume":"12","author":"Koh","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib35","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s001980170146","article-title":"Hip fracture incidence in East and West Germany: Reassessment ten years after unification","volume":"12","author":"Wildner","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib36","first-page":"2","article-title":"Incidence of hip fracture in Alaska Inuit people: 1979\u201389 and 1996\u201399","volume":"43","author":"Pratt","year":"2001","journal-title":"Alaska Med J"},{"key":"2024013019070995200_bib37","first-page":"146","article-title":"Downturn in hip fracture incidence","volume":"111","author":"Melton","year":"1996","journal-title":"Publ Health Rep"},{"key":"2024013019070995200_bib38","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/S8756-3282(98)00182-3","article-title":"The changing picture of hip fractures: Dramatic change in age distribution and no change in age-adjusted incidence within 10 years in central Finland","volume":"24","author":"Huusko","year":"1999","journal-title":"Bone"},{"key":"2024013019070995200_bib39","doi-asserted-by":"crossref","first-page":"19","DOI":"10.3109\/17453679909000950","article-title":"Incidence of hip fracture in Malm\u00f6, Sweden, 1992\u20131995. A trend-break","volume":"70","author":"Rogmark","year":"1999","journal-title":"Acta Orthop Scand"},{"key":"2024013019070995200_bib40","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/S8756-3282(01)00603-2","article-title":"Epidemiology of hip fractures in Oslo, Norway","volume":"29","author":"Lofthus","year":"2001","journal-title":"Bone"},{"key":"2024013019070995200_bib41","first-page":"8","article-title":"Fractured neck of femur: Prevention and management","volume":"23","author":"Hoffenberg","year":"1989","journal-title":"J R Coll Physicians Lond"},{"key":"2024013019070995200_bib42","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s001980170116","article-title":"Economic implications of hip fracture: Health service use, institutional care and cost in Canada","volume":"12","author":"Wiktorowicz","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib43","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1136\/jech.51.4.424","article-title":"Secular trends in proximal femur fracture, Oxford record linkage study area and England 1968\u201386","volume":"51","author":"Evans","year":"1997","journal-title":"J Epidemiol Comm Health"},{"key":"2024013019070995200_bib44","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/0140-6736(93)90433-H","article-title":"Differences in proximal femur bone density over two centuries","volume":"341","author":"Lees","year":"1993","journal-title":"Lancet"},{"key":"2024013019070995200_bib45","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/BF00301601","article-title":"Bone density in medieval skeletons","volume":"56","author":"Ekenman","year":"1995","journal-title":"Calcif Tissue Int"},{"key":"2024013019070995200_bib46","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1002\/(SICI)1097-0185(199612)246:4<423::AID-AR1>3.0.CO;2-W","article-title":"Bone quantity and quality in past populations","volume":"246","author":"Agarwal","year":"1996","journal-title":"Anat Rec"},{"key":"2024013019070995200_bib47","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/S8756-3282(01)00407-0","article-title":"Low bone mineral density in the femoral neck of medieval women: A result of multiparity?","volume":"28","author":"Poulsen","year":"2001","journal-title":"Bone"},{"key":"2024013019070995200_bib48","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1136\/bmj.309.6953.508","article-title":"Relation between increase in length of hip axis in older women between 1950s and 1990s and increase in age specific rates of hip fracture","volume":"309","author":"Reid","year":"1994","journal-title":"BMJ"},{"key":"2024013019070995200_bib49","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1001\/jama.286.6.673","article-title":"Time trends in severe head injuries among elderly Finns","volume":"286","author":"Kannus","year":"2001","journal-title":"JAMA"},{"key":"2024013019070995200_bib50","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/BF03167722","article-title":"Predictors of first hip fracture and mortality post fracture in older women","volume":"170","author":"Fitzpatrick","year":"2001","journal-title":"Ir J Med Sci"},{"key":"2024013019070995200_bib51","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1007\/PL00004184","article-title":"Fall characteristics, functional mobility and bone mineral density as risk factors of hip fracture in the community-dwelling ambulatory elderly","volume":"12","author":"Wei","year":"2001","journal-title":"Osteoporos Int"},{"key":"2024013019070995200_bib52","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1056\/NEJM198904203201606","article-title":"Prevention of falls among the elderly","volume":"320","author":"Tinetti","year":"1989","journal-title":"N Engl J Med"},{"key":"2024013019070995200_bib53","doi-asserted-by":"crossref","first-page":"442","DOI":"10.7326\/0003-4819-121-6-199409150-00009","article-title":"Falls in the nursing home","volume":"121","author":"Rubenstein","year":"1994","journal-title":"Ann Intern Med"},{"key":"2024013019070995200_bib54","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1016\/S0140-6736(95)91091-3","article-title":"Falls: A community care perspective","volume":"345","author":"van Weel","year":"1995","journal-title":"Lancet"},{"key":"2024013019070995200_bib55","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1056\/NEJM199708213370807","article-title":"Injury prevention","volume":"337","author":"Rivara","year":"1997","journal-title":"N Engl J Med"},{"key":"2024013019070995200_bib56","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/0002-9343(93)90218-E","article-title":"Diagnosis, prophylaxis and treatment of osteoporosis","volume":"94","author":"Consensus Development Conference","year":"1993","journal-title":"Am J Med"},{"key":"2024013019070995200_bib57","first-page":"325","article-title":"Management of the patient after an osteoporotic fracture. Guidelines for orthopedic surgeons","volume":"72","author":"Johnell","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"2024013019070995200_bib58","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1056\/NEJM199409293311301","article-title":"A multifactorial intervention to reduce the risk of falling among elderly people living in the community","volume":"331","author":"Tinetti","year":"1994","journal-title":"N Engl J Med"},{"key":"2024013019070995200_bib59","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1001\/jama.1995.03520410035023","article-title":"The effects of exercise on falls in elderly patients: A preplanned meta-analysis of the FICSIT trials","volume":"273","author":"Province","year":"1995","journal-title":"JAMA"},{"key":"2024013019070995200_bib60","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/j.1532-5415.1999.tb03843.x","article-title":"Psychotropic medicine withdrawal and a home-based exercise program to prevent falls: A randomized controlled trial","volume":"47","author":"Campbell","year":"1999","journal-title":"J Am Geriatr Soc"},{"key":"2024013019070995200_bib61","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0140-6736(98)06119-4","article-title":"Prevention of falls in the elderly trial (PROFET): A randomised controlled trial","volume":"353","author":"Close","year":"1999","journal-title":"Lancet"},{"key":"2024013019070995200_bib62","author":"Gillespie","year":"2001"},{"key":"2024013019070995200_bib63","doi-asserted-by":"crossref","first-page":"427","DOI":"10.2165\/00007256-200131060-00003","article-title":"Exercise in the prevention of falls in older people. A systematic literature review examining the rationale and the evidence","volume":"31","author":"Carter","year":"2001","journal-title":"Sports Med"}],"container-title":["Journal of Bone and Mineral Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1359%2Fjbmr.2002.17.8.1363","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jbmr\/article-pdf\/17\/8\/1363\/56467643\/5650170803.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbmr\/article-pdf\/17\/8\/1363\/56467643\/5650170803.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T15:05:24Z","timestamp":1710342324000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbmr\/article\/17\/8\/1363-1367\/7592095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,8,1]]},"references-count":63,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2009,12,2]]},"published-print":{"date-parts":[[2002,8,1]]}},"URL":"https:\/\/doi.org\/10.1359\/jbmr.2002.17.8.1363","relation":{},"ISSN":["0884-0431","1523-4681"],"issn-type":[{"value":"0884-0431","type":"print"},{"value":"1523-4681","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2002,8,1]]},"published":{"date-parts":[[2002,8,1]]}}}