Relationship of Spinal Fracture to Bone Density, Textural, and Anthropometric Parameters

Relationship of Spinal Fracture to Bone Density, Textural, and Anthropometric Parameters
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脊柱骨折与骨密度、结构和人体测量参数的关系

DOI:
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发表时间:
1997
影响因子:
4.2
通讯作者:
T. Nakamura
T. Nakamura
中科院分区:
医学3区
文献类型:
--
作者:
M. Ito;M. Ohki;K. Hayashi;M. Yamada;M. Uetani;T. Nakamura

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为了研究脊柱骨折的危险因素,我们研究了无症状脊柱骨折的患病率与各种形态学指标(包括女性脊柱骨矿物质密度(BMD))之间的关系。共有122名妇女,年龄从55岁到79岁不等。该组包括46名55-59岁的女性(18名骨折),51名60-69岁的女性(26名骨折)和26名70-79岁的女性(14名骨折)。使用定量计算机断层扫描(QCT)测量L1至L3的皮质骨和松质骨BMD。运用游程分析法评价CT图像的脊柱骨小梁纹理特征;获得代表骨小梁平均宽度(T纹理)和骨小梁间隙平均宽度(I纹理)的纹理指数。使用CT图像测量人体测量因素,包括体重和身高、腰大肌面积和椎骨体积。在各种因素中,年龄在55-69岁的女性的骨小梁BMD显示出骨折的存在的最高比值比,每标准差(SD)的骨密度下降。然而,在70-79岁的女性中,观察到骨小梁纹理指数的比值比最高,但骨小梁BMD的比值比不高。55-59岁女性的I-纹理、60-69岁女性的肌肉面积以及70-79岁女性的皮质BMD和肌肉面积也被认为与骨折风险显著相关。
To investigate risk factors for spinal fracture, we studied the relationship between the prevalence of asymptomatic spinal fracture and various morphological measures including spinal bone mineral density (BMD) in women. A total of 122 women ranging in age from 55 to 79 years were studied. The group consisted of 46 women aged 55–59 years (18 with fracture), 51 women aged 60–69 years (26 with fracture), and 26 women aged 70–79 years (14 with fracture). BMD of cortical and trabecular bone from L1 to L3 was measured using quantitative computed tomography (QCT). Run-length analysis was applied to evaluate the spinal trabecular textural features using CT images; the texture indices which represent the mean width of trabeculae (the T-texture) and that of intertrabecular spaces (the I-texture) were obtained. Anthropometric factors including body weight and height, psoas muscle area, and vertebral bone volume were measured using CT images. Among the various factors, trabecular BMD in women aged 55–69 years showed the highest odds ratio for the presence of fracture per standard deviation (SD) decrease in bone density. However, in women aged 70–79 years, the highest odds ratio was observed for trabecular texture index but not for trabecular BMD. The I-texture in women aged 55–59 years, the muscle area in women aged 60–69 years, and cortical BMD and muscle area in women aged 70–79 years were also considered significantly related to the risk of fracture.
从事负重和非负重活动的运动员骨密度的决定因素。
DOI: 10.1152/jappl.1989.67.3.1100
发表时间: 1989
期刊: Journal of applied physiology (Bethesda, Md. : 1985)
影响因子: --
作者:
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DOI: 10.1016/8756-3282(94)00021-q
发表时间: 1995
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DOI: 10.1093/oxfordjournals.aje.a115204
发表时间: 1989-05-01
影响因子: 5
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发表时间: 1994-03-01
期刊: RADIOLOGY
影响因子: 19.7
作者:
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