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Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie

BACKGROUND: Osteoporosis (OP) in the elderly is accompanied by reduced muscle mass and reduced muscle strength, also known as sarcopenia. This results in functional limitations and a high risk of falls and injuries. The determination of physical performance parameters such as grip strength and trunk...

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Autores principales: Schröder, Guido, Flachsmeyer, Dirk, Bende, Anne, Andresen, Julian Ramin, Andresen, Reimer, Schober, Hans-Christof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9842570/
https://www.ncbi.nlm.nih.gov/pubmed/36445463
http://dx.doi.org/10.1007/s00132-022-04329-3
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author Schröder, Guido
Flachsmeyer, Dirk
Bende, Anne
Andresen, Julian Ramin
Andresen, Reimer
Schober, Hans-Christof
author_facet Schröder, Guido
Flachsmeyer, Dirk
Bende, Anne
Andresen, Julian Ramin
Andresen, Reimer
Schober, Hans-Christof
author_sort Schröder, Guido
collection PubMed
description BACKGROUND: Osteoporosis (OP) in the elderly is accompanied by reduced muscle mass and reduced muscle strength, also known as sarcopenia. This results in functional limitations and a high risk of falls and injuries. The determination of physical performance parameters such as grip strength and trunk strength on the one hand, and balance abilities on the other, provide information about the individual’s general neuromuscular condition and serve as an indicator of physical performance in the elderly. The extent to which previous osteoporotic vertebral fractures (VFs) restrict an individual’s physical performance has not been adequately investigated yet. MATERIAL AND METHODS: In total, 118 persons, with a mean age of 71.5 ± 9 years, participated in the clinical trial (ethics committee approval number A2020-0041). Patients were divided into an OP group (58 patients) and a control group (CG; 60 patients). OP patients with (VFs) and without vertebral fractures (0VFs) were viewed separately in the subgroup analysis. Data concerning physical status, including hand grip strength (HGS), the chair-rising test (CRT), tandem stance (TS), tandem gait (TG), and single-leg stance (SLS) were available for all patients. All data were analyzed using SPSS, Version 23.0. RESULTS: No significant difference (p > 0.05) was registered between the OP and CG groups with regard of HGS, CRT, TG, TS, and SLS. In the subgroup analysis, OP patients with VFs had a lower HGS than OP patients without 0 VFx (VFs 24.3 ± 10.2 kg vs. 0 VFs 29.7 ± 9.5 kg, p = 0.026). TS was maintained longer by OP patients 0 VFs (VFs 7.8 ± 3.2 s vs. 0 VFs 9.5 ± 1.8 s, p = 0.008). The latter were also able to maintain their balance in TG over more numerous steps (VFs 4.8 ± 3.0 vs. 0 VFs 6.7 ± 2.4, p = 0.011). In a regression analysis, body size, gender, and age were shown to be independent factors influencing HGS (p < 0.001). CONCLUSION: Patient age, constitution, and gender have a relevant influence on HGS, with baseline conditions after diagnosed OP at comparable levels in this age group. In a subgroup of OP patients with VFs, there is a close relationship between bone and muscle with an increasing deterioration of the musculoskeletal system. For prophylaxis of osteosarcopenia, early training seems reasonable.
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spelling pubmed-98425702023-01-18 Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie Schröder, Guido Flachsmeyer, Dirk Bende, Anne Andresen, Julian Ramin Andresen, Reimer Schober, Hans-Christof Orthopadie (Heidelb) Originalien BACKGROUND: Osteoporosis (OP) in the elderly is accompanied by reduced muscle mass and reduced muscle strength, also known as sarcopenia. This results in functional limitations and a high risk of falls and injuries. The determination of physical performance parameters such as grip strength and trunk strength on the one hand, and balance abilities on the other, provide information about the individual’s general neuromuscular condition and serve as an indicator of physical performance in the elderly. The extent to which previous osteoporotic vertebral fractures (VFs) restrict an individual’s physical performance has not been adequately investigated yet. MATERIAL AND METHODS: In total, 118 persons, with a mean age of 71.5 ± 9 years, participated in the clinical trial (ethics committee approval number A2020-0041). Patients were divided into an OP group (58 patients) and a control group (CG; 60 patients). OP patients with (VFs) and without vertebral fractures (0VFs) were viewed separately in the subgroup analysis. Data concerning physical status, including hand grip strength (HGS), the chair-rising test (CRT), tandem stance (TS), tandem gait (TG), and single-leg stance (SLS) were available for all patients. All data were analyzed using SPSS, Version 23.0. RESULTS: No significant difference (p > 0.05) was registered between the OP and CG groups with regard of HGS, CRT, TG, TS, and SLS. In the subgroup analysis, OP patients with VFs had a lower HGS than OP patients without 0 VFx (VFs 24.3 ± 10.2 kg vs. 0 VFs 29.7 ± 9.5 kg, p = 0.026). TS was maintained longer by OP patients 0 VFs (VFs 7.8 ± 3.2 s vs. 0 VFs 9.5 ± 1.8 s, p = 0.008). The latter were also able to maintain their balance in TG over more numerous steps (VFs 4.8 ± 3.0 vs. 0 VFs 6.7 ± 2.4, p = 0.011). In a regression analysis, body size, gender, and age were shown to be independent factors influencing HGS (p < 0.001). CONCLUSION: Patient age, constitution, and gender have a relevant influence on HGS, with baseline conditions after diagnosed OP at comparable levels in this age group. In a subgroup of OP patients with VFs, there is a close relationship between bone and muscle with an increasing deterioration of the musculoskeletal system. For prophylaxis of osteosarcopenia, early training seems reasonable. Springer Medizin 2022-11-29 2023 /pmc/articles/PMC9842570/ /pubmed/36445463 http://dx.doi.org/10.1007/s00132-022-04329-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Originalien
Schröder, Guido
Flachsmeyer, Dirk
Bende, Anne
Andresen, Julian Ramin
Andresen, Reimer
Schober, Hans-Christof
Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title_full Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title_fullStr Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title_full_unstemmed Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title_short Einfluss von Osteoporose auf physische Leistungsparameter von Personen im mittleren und höheren Lebensalter – eine Querschnittstudie
title_sort einfluss von osteoporose auf physische leistungsparameter von personen im mittleren und höheren lebensalter – eine querschnittstudie
topic Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9842570/
https://www.ncbi.nlm.nih.gov/pubmed/36445463
http://dx.doi.org/10.1007/s00132-022-04329-3
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