Adherence
Current smoking is the primary modifiable risk factor for hip fracture burden, contributing to 7.5% of disability-adjusted life-years (DALYs) lost, followed by physical inactivity (5.5%) and type 2 diabetes (2.8%).
To reduce your risk of hip fracture and the associated loss of healthy life, prioritize quitting smoking and maintaining regular vigorous physical activity. These two behaviors account for the majority of preventable hip fracture burden in older adults. While maintaining a healthy weight is important, note that this study suggests higher BMI (up to obesity levels) may mechanically protect against hip fractures, though this comes with other health risks.
Current smoking was the risk factor responsible for the greatest hip fracture burden (7.5%, 95% CI 5.2–9.7) followed by physical inactivity (5.5%, 2.1–8.5), history of diabetes (2.8%, 2.1–4.0), and low to average BMI (2.0%, 1.4–2.7)
Why this rating
Large pooled analysis of prospective cohorts (n=223,880) with long follow-up (mean 13 years).
Source
Burden of hip fracture using disability-adjusted life-years: a pooled analysis of prospective cohorts in the CHANCES consortium
Nikos Papadimitriou et al. · The Lancet Public Health · 2017
DOI 10.1016/s2468-2667(17)30046-4
More from this paper
- Physical inactivity (abstaining from vigorous activity) is the second largest modifiable risk factor for hip fracture burden, accounting for 5.5% of DALYs lost.Good
- Higher body mass index (BMI > 25 kg/m²) is associated with a protective effect against hip fracture burden, reducing DALYs by up to 24.1% for BMI > 35 kg/m² compared to a BMI of 21.5–25 kg/m².Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →