Relationship between body mass index and spinal pathology in community-dwelling older adults

Autor: Yuichi, Takeuchi, Shinji, Takahashi, Shoichiro, Ohyama, Yusuke, Hori, Tadao, Tsujio, Shiro, Kotake, Akito, Yabu, Masatoshi, Hoshino, Hidetomi, Terai, Akio, Kobayashi, Hiroaki, Nakamura
Rok vydání: 2022
Předmět:
Zdroj: European Spine Journal. 32:428-435
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-022-07495-2
Popis: To clarify the relationship between body mass index (BMI) and spinal pathologies including spinal sagittal balance, back extensor strength (BES), paraspinal muscle mass, prevalent vertebral fracture, disc degeneration, Modic changes, low back pain, and quality of life (QOL) in community-dwelling older adults.This study included 380 participants (age: ≥ 65 years, male/female: 152/228) from the Shiraniwa Study. Multivariate nonlinear regression analysis was used to investigate the relationship between BMI and sagittal vertical axis (SVA), BES, paraspinal muscle mass, visual analog scale (VAS) for low back pain, Oswestry Disability Index (ODI), and EuroQoL-5 Dimension (EQ5D) score after adjusting for sex, age, Hospital Anxiety and Depression Scale score, and Charlson Comorbidity Index. In addition, multiple logistic regression analysis was used to investigate the association between BMI and prevalent vertebral fracture, disc degeneration, and Modic changes.BMI was significantly correlated with SVA, BES, paraspinal muscle mass, VAS, ODI, and EQ5D score. The increase in BMI was associated with the deterioration of all outcomes, which accelerated when the BMI increased from approximately 22-23 kg/mIncreased BMI is significantly associated with spinal pathologies such as SVA, BES, paraspinal muscle mass, VAS, QOL, disc degeneration, and Modic changes. The findings suggest that measures for controlling overweight and obesity among older adults can play an important role in the prevention and treatment of spinal pathologies.
Databáze: OpenAIRE
Externí odkaz: