Association of Thigh Circumference with Physical Fitness and Fall Efficacy in Elderly Women with Osteopenia/Osteoporosis

PURPOSE This study investigated the associations between physical fitness and fall efficacy with thigh circumference in elderly women with osteopenia/osteoporosis.METHODS A total of 166 female participants aged 76.3±5.0 years with –1.0≥T-score of femur neck bone mineral density were voluntarily recruited from local community centers. The participants were classified as low 25%, middle 50%, and high 25% groups based on their thigh circumference. Physical fitness measurements, including strength, flexibility, aerobic endurance, and balance were measured with a standardized protocol. The Korean version of the fall efficacy scale (K-FES) was used to assess fall efficacy. Logistic regression analysis was used to estimate odd ratio (OR) of poor physical fitness and low fall efficacy according to thigh circumference levels.RESULTS In terms of physical fitness, the middle 50% group (OR=0.430, 95% CI=0.194-0.953) and high 25% group (OR=0.129, 95% CI=0.049-0.343) had significantly higher linear trend for poor physical fitness compared to the low 25% group (reference), (p<0.001). In fall efficacy, the middle 50% group (OR=0.279, 95% CI=0.119-0.656) and high 25% group (OR=0.100, 95% CI=0.036-0.275) had significantly higher linear trend for low fall efficacy compared to the low 25% group (reference) (p<0.001).CONCLUSIONS The current findings suggest that maintaining high thigh circumference via regular physical activity and diet may contribute to attenuation of decreased risk for poor physical fitness and low fall efficacy in elderly women with osteopenia/osteoporosis.