Global trends and hotspots in research on osteoporosis rehabilitation: A bibliometric study and visualization analysis

"Physical activity," "exercise," and "physical fitness" are terms that describe different concepts. However, they are often confused with one another, and the terms are sometimes used interchangeably. This paper proposes definitions to distinguish them. Physical activity is defined as any bodily movement produced by skeletal muscles that results in energy expenditure. The energy expenditure can be measured in kilocalories. Physical activity in daily life can be categorized into occupational, sports, conditioning, household, or other activities. Exercise is a subset of physical activity that is planned, structured, and repetitive and has as a final or an intermediate objective the improvement or maintenance of physical fitness. Physical fitness is a set of attributes that are either health- or skill-related. The degree to which people have these attributes can be measured with specific tests. These definitions are offered as an interpretational framework for comparing studies that relate physical activity, exercise, and physical fitness to health.

The goal of our study was to estimate the prevalence of osteoporosis and low bone mass based on bone mineral density (BMD) at the femoral neck and the lumbar spine in adults 50 years and older in the United States (US). We applied prevalence estimates of osteoporosis or low bone mass at the femoral neck or lumbar spine (adjusted by age, sex, and race/ethnicity to the 2010 Census) for the noninstitutionalized population aged 50 years and older from the National Health and Nutrition Examination Survey 2005-2010 to 2010 US Census population counts to determine the total number of older US residents with osteoporosis and low bone mass. There were more than 99 million adults aged 50 years and older in the US in 2010. Based on an overall 10.3% prevalence of osteoporosis, we estimated that in 2010, 10.2 million older adults had osteoporosis. The overall low bone mass prevalence was 43.9%, from which we estimated that 43.4 million older adults had low bone mass. We estimated that 7.7 million non-Hispanic white, 0.5 million non-Hispanic black, and 0.6 million Mexican American adults had osteoporosis, and another 33.8, 2.9, and 2.0 million had low bone mass, respectively. When combined, osteoporosis and low bone mass at the femoral neck or lumbar spine affected an estimated 53.6 million older US adults in 2010. Although most of the individuals with osteoporosis or low bone mass were non-Hispanic white women, a substantial number of men and women from other racial/ethnic groups also had osteoporotic BMD or low bone mass. © 2014 American Society for Bone and Mineral Research.

Bibliometric methods or “analysis” are now firmly established as scientific specialties and are an integral part of research evaluation methodology especially within the scientific and applied fields. The methods are used increasingly when studying various aspects of science and also in the way institutions and universities are ranked worldwide. A sufficient number of studies have been completed, and with the resulting literature, it is now possible to analyse the bibliometric method by using its own methodology. The bibliometric literature in this study, which was extracted from Web of Science, is divided into two parts using a method comparable to the method of Jonkers et al. (Characteristics of bibliometrics articles in library and information sciences (LIS) and other journals, pp. 449–551, 2012: The publications either lie within the Information and Library Science (ILS) category or within the non-ILS category which includes more applied, “subject” based studies. The impact in the different groupings is judged by means of citation analysis using normalized data and an almost linear increase can be observed from 1994 onwards in the non-ILS category. The implication for the dissemination and use of the bibliometric methods in the different contexts is discussed. A keyword analysis identifies the most popular subjects covered by bibliometric analysis, and multidisciplinary articles are shown to have the highest impact. A noticeable shift is observed in those countries which contribute to the pool of bibliometric analysis, as well as a self-perpetuating effect in giving and taking references.