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Sedentary Lifestyle and Estimated Fracture Risk in the Elderly: A Cross-Sectional Study
Tommy A Masal1, Erica Kholinne1,2
1Surgery, Faculty of Medicine, Universitas Trisakti, Jakarta, IDN.
Cureus
|March 30, 2026
Summary
A sedentary lifestyle was not significantly linked to fracture risk in elderly nursing home residents. This suggests that other factors beyond physical activity influence bone health in this population.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- Fractures pose a significant public health challenge for the elderly, leading to increased morbidity and disability.
- Sedentary behavior is a potential modifiable risk factor for fractures, but existing evidence is inconsistent.
- The relationship between sedentary lifestyles and fracture risk in older adults requires further investigation, particularly in institutionalized settings.
Purpose of the Study:
- To investigate the association between a sedentary lifestyle and fracture risk among elderly individuals residing in a nursing home.
- To assess physical activity levels and fracture risk using validated tools in a specific elderly population.
Main Methods:
- A cross-sectional study involving 93 participants aged 60 years and older in a Jakarta nursing home.
- Physical activity was measured using the International Physical Activity Questionnaire (IPAQ).
- Fracture risk was assessed using the Fracture Risk Assessment Tool (FRAX) without bone mineral density, categorizing risk as low or moderate-to-high.
Main Results:
- The majority of participants (66.7%) were classified as sedentary, and most (80.6%) had a low fracture risk.
- No statistically significant association was found between a sedentary lifestyle and fracture risk (p = 0.232).
- The study included 50 males and 43 females, with a mean age of 69.7 years.
Conclusions:
- A sedentary lifestyle did not show a significant association with fracture risk in this cohort of elderly nursing home residents.
- Fracture risk in the elderly is likely multifactorial, influenced by various interacting factors beyond physical activity alone.
- Future longitudinal research employing objective physical activity measurements is recommended to elucidate this complex relationship.
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