Vertebral deformities and functional impairment in men and women

Vertebral deformities and functional impairment in men and women
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DOI:
10.1359/jbmr.1997.12.1.152
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发表时间:
1997-01-01
影响因子:
6.2
通讯作者:
Pols, HAP
Pols, HAP
中科院分区:
医学1区
文献类型:
--
作者:
Burger, H;vanDaele, PLA;Pols, HAP

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本研究的目的是评估男性和女性椎体畸形的患病率及其对健康的影响。这项研究的一部分进行横断面鹿特丹的基线阶段研究,未来的以人群为基础的队列研究的居民55岁或以上的鹿特丹,荷兰,修改显示椎畸形的患病率禁食方法和伴随的功能性障碍评估随机抽取的750名男性和750名女性,温和的患病率(一级)椎畸形8 7%,男人和女人,分别。对于严重畸形(II级),这些百分比分别为4%和8%。在男性中,中度和重度畸形的患病率随着年龄的增长而增加。然而,在女性中,中度椎体畸形的患病率保持不变,与严重畸形的显著增加相反,仅在男性中,中度椎体畸形与受损程度上升显著相关,严重椎体畸形与一般残疾和使用助行器的风险显著增加相关,在男性和女性中,弯曲能力受损和受损程度上升。结论是:(1)男性椎体畸形的发生率仅略低于普通人群中的女性;(2)随着年龄的增长,严重的椎体畸形只发生在女性身上;(3)严重的椎体畸形,尤其是男性,与功能障碍有关。
The objective of this study was to assess the prevalence and health effects of vertebral deformities in men and women. The study was carried out as part of the cross-sectional baseline phase of The Rotterdam Study, a prospective population-based cohort study of residents aged 55 years or over of a district of Rotterdam, The Netherlands, The prevalence of vertebral deformities according to a modification of the Fasted method and concomitant functional impairment were assessed in a random sample of 750 men and 750 women, The prevalence of moderate (grade I) vertebral deformities was 8 and 7% in men and women, respectively. For severe deformities (grade II), these percentages were 4 and 8%, In men, the prevalence of both moderate and severe deformities increased with age. In women however, the prevalence of moderate vertebral deformities remained constant, opposite to a marked increase in severe deformities, Moderate vertebral deformity was significantly associated with impaired rising in men only, Severe vertebral deformity was associated with a significantly increased risk of general disability and the use of a walking aid in both men and women, impaired bending in men, and impaired rising in women, It is concluded that (1) vertebral deformities are only slightly less common in men than in women from the general population and (2) severe progression with age occurs in women only and (3) severe vertebral deformity is, particularly in men, related to functional impairment.