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Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study

Potential risk factors associated with future osteoporotic vertebral fracture (OVF) were prospectively investigated in middle-aged and older adult women. We enrolled 197 female patients aged ≥50 years who were scheduled to undergo surgery for lower-extremity degenerative diseases. Patient anthropome...

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Autores principales: Kato, Satoshi, Demura, Satoru, Shinmura, Kazuya, Yokogawa, Noriaki, Kurokawa, Yuki, Annen, Ryohei, Kobayashi, Motoya, Yamada, Yohei, Nagatani, Satoshi, Matsubara, Hidenori, Kabata, Tamon, Tsuchiya, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410457/
https://www.ncbi.nlm.nih.gov/pubmed/36013104
http://dx.doi.org/10.3390/jcm11164868
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author Kato, Satoshi
Demura, Satoru
Shinmura, Kazuya
Yokogawa, Noriaki
Kurokawa, Yuki
Annen, Ryohei
Kobayashi, Motoya
Yamada, Yohei
Nagatani, Satoshi
Matsubara, Hidenori
Kabata, Tamon
Tsuchiya, Hiroyuki
author_facet Kato, Satoshi
Demura, Satoru
Shinmura, Kazuya
Yokogawa, Noriaki
Kurokawa, Yuki
Annen, Ryohei
Kobayashi, Motoya
Yamada, Yohei
Nagatani, Satoshi
Matsubara, Hidenori
Kabata, Tamon
Tsuchiya, Hiroyuki
author_sort Kato, Satoshi
collection PubMed
description Potential risk factors associated with future osteoporotic vertebral fracture (OVF) were prospectively investigated in middle-aged and older adult women. We enrolled 197 female patients aged ≥50 years who were scheduled to undergo surgery for lower-extremity degenerative diseases. Patient anthropometric and muscle strength measurements, a bone mineral density measurement of the lumbar spine (L-BMD), and full-spine standing radiographs to examine the presence of old OVFs and spinopelvic sagittal parameters were obtained preoperatively. We evaluated 141 patients who underwent full-spine standing radiographs three years postoperatively to identify new OVFs. We excluded 54 patients who did not undergo a second radiographic examination and 2 with new traumatic OVFs. Univariate and multivariate analyses were performed to identify risk factors associated with new non-traumatic OVF occurrence. Ten (7.1%) patients developed new non-traumatic OVFs during the study period (fracture group). The fracture group had less abdominal trunk muscle strength, lower L-BMD, smaller sacral slopes, and larger pelvic tilt than the non-fracture group. The fracture group showed a higher prevalence of old OVFs preoperatively than the non-fracture group. Abdominal trunk muscle weakness, low L-BMD, and the presence of old OVFs were identified as significant risk factors for OVF occurrence. In middle-aged or older adult women, abdominal trunk muscle weakness, low L-BMD, and old OVFs were associated with future OVF.
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spelling pubmed-94104572022-08-26 Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study Kato, Satoshi Demura, Satoru Shinmura, Kazuya Yokogawa, Noriaki Kurokawa, Yuki Annen, Ryohei Kobayashi, Motoya Yamada, Yohei Nagatani, Satoshi Matsubara, Hidenori Kabata, Tamon Tsuchiya, Hiroyuki J Clin Med Article Potential risk factors associated with future osteoporotic vertebral fracture (OVF) were prospectively investigated in middle-aged and older adult women. We enrolled 197 female patients aged ≥50 years who were scheduled to undergo surgery for lower-extremity degenerative diseases. Patient anthropometric and muscle strength measurements, a bone mineral density measurement of the lumbar spine (L-BMD), and full-spine standing radiographs to examine the presence of old OVFs and spinopelvic sagittal parameters were obtained preoperatively. We evaluated 141 patients who underwent full-spine standing radiographs three years postoperatively to identify new OVFs. We excluded 54 patients who did not undergo a second radiographic examination and 2 with new traumatic OVFs. Univariate and multivariate analyses were performed to identify risk factors associated with new non-traumatic OVF occurrence. Ten (7.1%) patients developed new non-traumatic OVFs during the study period (fracture group). The fracture group had less abdominal trunk muscle strength, lower L-BMD, smaller sacral slopes, and larger pelvic tilt than the non-fracture group. The fracture group showed a higher prevalence of old OVFs preoperatively than the non-fracture group. Abdominal trunk muscle weakness, low L-BMD, and the presence of old OVFs were identified as significant risk factors for OVF occurrence. In middle-aged or older adult women, abdominal trunk muscle weakness, low L-BMD, and old OVFs were associated with future OVF. MDPI 2022-08-19 /pmc/articles/PMC9410457/ /pubmed/36013104 http://dx.doi.org/10.3390/jcm11164868 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kato, Satoshi
Demura, Satoru
Shinmura, Kazuya
Yokogawa, Noriaki
Kurokawa, Yuki
Annen, Ryohei
Kobayashi, Motoya
Yamada, Yohei
Nagatani, Satoshi
Matsubara, Hidenori
Kabata, Tamon
Tsuchiya, Hiroyuki
Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title_full Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title_fullStr Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title_full_unstemmed Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title_short Associations between Abdominal Trunk Muscle Weakness and Future Osteoporotic Vertebral Fracture in Middle-Aged and Older Adult Women: A Three-Year Prospective Longitudinal Cohort Study
title_sort associations between abdominal trunk muscle weakness and future osteoporotic vertebral fracture in middle-aged and older adult women: a three-year prospective longitudinal cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410457/
https://www.ncbi.nlm.nih.gov/pubmed/36013104
http://dx.doi.org/10.3390/jcm11164868
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