Cargando…

Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women

OBJECTIVE: To investigate the correlation of psoas muscle index (PMI) with fragility vertebral fracture. METHODS: A total of 184 middle-aged and elderly women were included in the study. We measured the bilateral psoas muscle area on the picture archiving and communication system (PACS) from compute...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Yihui, Dilixiati, Yilihamu, Jiang, Wei, Cao, Xiufeng, Chen, Yuanyuan, Guo, Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9646299/
https://www.ncbi.nlm.nih.gov/pubmed/36389125
http://dx.doi.org/10.1155/2022/4149468
_version_ 1784827133539909632
author Zhang, Yihui
Dilixiati, Yilihamu
Jiang, Wei
Cao, Xiufeng
Chen, Yuanyuan
Guo, Hui
author_facet Zhang, Yihui
Dilixiati, Yilihamu
Jiang, Wei
Cao, Xiufeng
Chen, Yuanyuan
Guo, Hui
author_sort Zhang, Yihui
collection PubMed
description OBJECTIVE: To investigate the correlation of psoas muscle index (PMI) with fragility vertebral fracture. METHODS: A total of 184 middle-aged and elderly women were included in the study. We measured the bilateral psoas muscle area on the picture archiving and communication system (PACS) from computed tomography images and calculated PMI. We observed lateral radiographs of the thoracolumbar spine and assessed vertebral fractures using the Genant semiquantitative method. The T-score, bone mineral density (BMD) of the lumbar (L)1-4, femoral neck, and trochanter were measured by dual-energyX-ray absorptiometry (DXA). The data was collected and then statistically analyzed. RESULTS: The PMI of the nonosteoporosis group was higher than that of the osteoporosis group (P value = 0.006). Height in the nonosteoporosis group was higher than that in the osteoporosis group (P value = 0.013). Weight, body mass index (BMI), left psoas muscle area, BMD of the L1-4, femoral neck, femoral trochanter, and T-score in the nonosteoporosis group were higher than those in the osteoporosis group (P value <0.001). The right psoas muscle area in the nonosteoporosis group was higher than that in the osteoporosis group (P value = 0.008). The incidence of combined thoracolumbar fracture was significantly higher in the osteoporosis group than that in the nonosteoporosis group (P value <0.001). For nonosteoporosis subjects, the PMI of the vertebral fracture group was lower than that of the nonvertebral fracture group (P value = 0.034). CONCLUSIONS: A decrease in height, weight, BMI, bilateral psoas muscle area, and PMI is associated with osteoporosis. Combined thoracolumbar fractures are more common in osteoporosis. Sarcopenia may be an independent risk factor for nonosteoporotic vertebral fractures.
format Online
Article
Text
id pubmed-9646299
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-96462992022-11-15 Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women Zhang, Yihui Dilixiati, Yilihamu Jiang, Wei Cao, Xiufeng Chen, Yuanyuan Guo, Hui Int J Endocrinol Research Article OBJECTIVE: To investigate the correlation of psoas muscle index (PMI) with fragility vertebral fracture. METHODS: A total of 184 middle-aged and elderly women were included in the study. We measured the bilateral psoas muscle area on the picture archiving and communication system (PACS) from computed tomography images and calculated PMI. We observed lateral radiographs of the thoracolumbar spine and assessed vertebral fractures using the Genant semiquantitative method. The T-score, bone mineral density (BMD) of the lumbar (L)1-4, femoral neck, and trochanter were measured by dual-energyX-ray absorptiometry (DXA). The data was collected and then statistically analyzed. RESULTS: The PMI of the nonosteoporosis group was higher than that of the osteoporosis group (P value = 0.006). Height in the nonosteoporosis group was higher than that in the osteoporosis group (P value = 0.013). Weight, body mass index (BMI), left psoas muscle area, BMD of the L1-4, femoral neck, femoral trochanter, and T-score in the nonosteoporosis group were higher than those in the osteoporosis group (P value <0.001). The right psoas muscle area in the nonosteoporosis group was higher than that in the osteoporosis group (P value = 0.008). The incidence of combined thoracolumbar fracture was significantly higher in the osteoporosis group than that in the nonosteoporosis group (P value <0.001). For nonosteoporosis subjects, the PMI of the vertebral fracture group was lower than that of the nonvertebral fracture group (P value = 0.034). CONCLUSIONS: A decrease in height, weight, BMI, bilateral psoas muscle area, and PMI is associated with osteoporosis. Combined thoracolumbar fractures are more common in osteoporosis. Sarcopenia may be an independent risk factor for nonosteoporotic vertebral fractures. Hindawi 2022-11-02 /pmc/articles/PMC9646299/ /pubmed/36389125 http://dx.doi.org/10.1155/2022/4149468 Text en Copyright © 2022 Yihui Zhang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zhang, Yihui
Dilixiati, Yilihamu
Jiang, Wei
Cao, Xiufeng
Chen, Yuanyuan
Guo, Hui
Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title_full Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title_fullStr Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title_full_unstemmed Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title_short Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women
title_sort correlation of psoas muscle index with fragility vertebral fracture: a retrospective cross-sectional study of middle-aged and elderly women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9646299/
https://www.ncbi.nlm.nih.gov/pubmed/36389125
http://dx.doi.org/10.1155/2022/4149468
work_keys_str_mv AT zhangyihui correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen
AT dilixiatiyilihamu correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen
AT jiangwei correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen
AT caoxiufeng correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen
AT chenyuanyuan correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen
AT guohui correlationofpsoasmuscleindexwithfragilityvertebralfracturearetrospectivecrosssectionalstudyofmiddleagedandelderlywomen