Impact of spinal sagittal malalignment on locomotive syndrome and physical function in community-dwelling middle aged and older women.
Impact of spinal sagittal malalignment on locomotive syndrome and physical function in community-dwelling middle aged and older women.
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DOI：
10.1186/s12891-023-06686-2
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发表时间：
2023-07-31
影响因子：
2.3
通讯作者：
Kawashima, Hiroyuki
中科院分区：
文献类型：
--
作者：
Yahata, Mio;Watanabe, Kei;Tashi, Hideki;Ohashi, Masayuki;Yoda, Takuya;Nawata, Atsushi;Nakamura, Kazutoshi;Kawashima, Hiroyuki
成人脊柱畸形对老年人的身体和精神健康有很大的削弱作用。然而，矢状面对线不良对社区老年妇女的运动综合征（LS）、肌肉减少症和身体功能的影响尚未明确。本研究旨在探讨社区中老年妇女的这些因素之间的关联。在日本农村地区进行水上运动的参与者中，共招募了361名妇女。测量了体重指数、骨骼肌质量指数、躯干肌质量、脊柱倾斜角（SIA）、握力、定时起立行走试验（TUG）、参与者的最大步幅和单腿站立时间。使用奥斯韦斯特里功能障碍指数（ODI）和简明8问卷评价腰痛（LBP）和健康相关生活质量（HRQOL）。分析使用SIA的整体矢状面对准与研究参数之间的关系。肌肉减少症的患病率为3.6%。LS（1、2和3期）的患病率为43.8%（361例中的158例），每个LS阶段的参与者人数分别为203例（0期）、95例（1期）、28例（2期）和35例（3期）。校正年龄后，SIA与25题老年运动功能量表（r ′ = 0.292，p <0.001）、ODI（r ′ = 0.267，p <0.001）和TUG（r ′ = 0.453，p <0.001）显著相关。在受试者工作特征曲线分析中，LS ≥ 2期和ODI ≥ 20%的SIA临界值为5 °。LBP相关的生活质量和身体表现与整体矢状面对齐显著相关。整体矢状面排列与LS的三阶段分类相关。脊柱倾斜度5 °是预测运动功能恶化和HRQOL状态的临界值。
Adult spinal deformity has a substantially debilitating effect on older people’s physical and mental health. However, the impact of sagittal malalignment on locomotive syndrome (LS), sarcopenia, and physical function in community-dwelling older women has not yet been clarified. This study aimed to investigate the association between these factors in community-dwelling middle aged and older women. A total of 361 women were recruited from participants performing aquatic exercises in a rural area of Japan. The body mass index, skeletal muscle mass index, trunk muscle mass, spinal inclination angle (SIA), grip strength, timed up-and-go test (TUG), maximum stride of the participants, and one-leg standing time were measured. Low back pain (LBP)- and health-related quality of life (HRQOL) were evaluated using the Oswestry Disability Index (ODI) and the Short-Form 8 questionnaire. Associations between the global sagittal alignment using SIA and investigating parameters were analyzed. The prevalence of sarcopenia was 3.6%. The prevalence of LS (stages 1, 2, and 3) was 43.8% (158 of 361), and the number of participants in each LS stage was 203 (stage 0), 95 (stage 1), 28 (stage 2), and 35 (stage 3). The SIA was significantly correlated with the 25-question geriatric locomotive function scale (r′ = 0.292, p < 0.001), ODI (r′ = 0.267, p < 0.001), and TUG (r′ = 0.453, p < 0.001) after adjusting for age. In the receiver-operating characteristic curve analysis, the cutoff values of SIA for LS ≥ stage 2 and ODI ≥ 20% were 5°. LBP-related QOL and physical performance were significantly associated with global sagittal alignment. Global sagittal alignment was correlated with the three-stage category of LS. The spinal inclination of 5° was a cutoff value to predict exacerbation of mobility function and HRQOL status.
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DOI：
10.1007/s00776-015-0737-1
发表时间：
2015-09
期刊：
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
影响因子：
--
作者：
Ogata T;Muranaga S;Ishibashi H;Ohe T;Izumida R;Yoshimura N;Iwaya T;Nakamura K
通讯作者：
Nakamura K
影响因子：
2.8
作者：
Pellise, Ferran;Vila-Casademunt, Alba;Acaroglu, Emre
通讯作者：
Acaroglu, Emre
影响因子：
8.9
作者：
Cesari, Matteo;Fielding, Roger A.;Vellas, Bruno
通讯作者：
Vellas, Bruno
影响因子：
2.2
作者：
Miyakoshi, Naohisa;Kasukawa, Yuji;Shimada, Yoichi
通讯作者：
Shimada, Yoichi
影响因子：
3
作者：
TAKEMITSU, Y;HARADA, Y;MIYATAKE, Y
通讯作者：
MIYATAKE, Y