{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:17:32Z","timestamp":1769638652789,"version":"3.49.0"},"reference-count":74,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Canada"],"published-print":{"date-parts":[[2019,2,12]]},"abstract":"<jats:p> Purpose: This study determined the extent to which modifiable risk factors (balance, muscle strength, and physical activity [PA]) explained variability in bone mineral density (BMD) among people with a recent distal radius fracture (DRF). Method: This cross-sectional study included 190 patients, aged 50\u201380 years, with a DRF. Participants were assessed for balance, muscle strength, PA, fracture-specific pain, and disability. Areal BMD at the femoral neck (BMD-FN) and total hip (BMD-TH) was assessed. Correlation and multiple linear regression was used to determine the contribution of modifiable risk factors to BMD. Results: Balance, handgrip strength, knee extension strength, and plantar-flexion strength had significant bivariate associations with BMD-FN. There was a weak to moderate correlation ( r = 0.25\u20130.40; p &lt; 0.05) of balance and grip strength with BMD. Grip strength independently ( p &lt; 0.05) explained 17% and 12% of the variability in BMD-FN ( n = 81) and BMD-TH ( n = 82), respectively. Stratified by age, balance ( R<jats:sup>2<\/jats:sup> = 0.10; p = 0.04) and grip strength ( R<jats:sup>2<\/jats:sup> = 0.32; p = 0.003) were independent significant predictors of BMD-FN among women aged 50\u201364 years and 65\u201380 years, respectively. Conclusions: Grip strength of the unaffected hand is independently associated with BMD-FN and BMD-TH in people with recent DRF. It may act as a surrogate for general bone health, frailty, or overall muscle strength rather than as a direct target for intervention. <\/jats:p>","DOI":"10.3138\/ptc.2017-72","type":"journal-article","created":{"date-parts":[[2019,1,5]],"date-time":"2019-01-05T05:32:21Z","timestamp":1546666341000},"page":"58-68","source":"Crossref","is-referenced-by-count":3,"title":["Association of Modifiable Risk Factors with Bone Mineral Density among People with Distal Radius Fracture: A Cross-Sectional Study"],"prefix":"10.3138","volume":"71","author":[{"given":"Neha","family":"Dewan","sequence":"first","affiliation":[{"name":"School of Rehabilitation Science, Faculty of Health Sciences;"},{"name":"Roth | McFarlane Clinical Research Laboratory, Hand and Upper Limb Centre, St. Joseph\u2019s Health Care;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy C.","family":"MacDermid","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, Faculty of Health 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