Correlation between osteoporotic vertebral fracture and abdominal trunk muscle strength in middle-aged and older women

Kato, Satoshi; Demura, Satoru; Kurokawa, Yuki; Shinmura, Kazuya; Yokogawa, Noriaki; Yonezawa, Noritaka; Shimizu, Takaki; Oku, Norihiro; Kitagawa, Ryo; Matsubara, Hidenori; Kabata, Tamon; Tsuchiya, Hiroyuki

doi:10.1007/s11657-019-0654-6

Cited by 4 publications

(6 citation statements)

References 23 publications

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“…Moreover, it also represents a substantial cause of mortality and morbidity, particularly for postmenopausal women [ 10 , 11 ]. Due to several physiological factors, postmenopausal older women are prone to develop osteoporosis [ 1 , 12 , 13 ]. Among adults aged 65 years and over in Taiwan, the prevalence of hip fracture is 5.2% for women, well above the 2.4% for men, furthermore, as high as 8.5% of women aged 75 years and over had suffered hip fractures, which was also higher than the 3.5% in men of the same age [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Empowerment Education on Daily Dairy Intake in Community-Dwelling of Older Asian Women

Hsu

Chen

2021

IJERPH

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A scarcity in the intake of dairy products in older women begets a wide range of musculoskeletal problems, especially osteoporosis. However, dairy products are often not consumed in sufficient quantities in Eastern societies. This study used empowerment education to improve daily dairy intake in 68 older Asian women in the community through a quasi-experimental study design. The 34 participants in the experimental group took part in empowerment education programs that included lectures, sharing sessions, situation dramas, and cooking activities, for two hours per week for 6 weeks. The 34 participants in the control group had no interventions. The generalized estimating equation was used to evaluate the intervention’s effectiveness. The test was conducted for the two groups at 1 and 12 weeks after the completion of the lessons. We used daily dairy intake self-efficacy, intention, and behavior scale to measure the outcome. The change in the experimental group’s daily dairy intake self-efficacy and intention score at post-1 week and post-12 weeks was higher compared to the control group, but the dairy intake behavior was only changed at post-12 weeks. The empowerment education was effective in encouraging older women to change their dairy intake behavior and improved their dairy intake self-efficacy and intentions.

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Section: Introductionmentioning

confidence: 99%

The Effects of Empowerment Education on Daily Dairy Intake in Community-Dwelling of Older Asian Women

Hsu

Chen

2021

IJERPH

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“…Moreover, a previous study had shown that OVCFs were related to frailty, and conversely, frailty was further worsened after OVCFs due to the deficit accumulation being greater 18 . Importantly, as previous studies reported, approximately 47% of the OVCF events occurred spontaneously or in otherwise unclear circumstances 19,20 …”

Section: Introductionmentioning

confidence: 87%

“…18 Importantly, as previous studies reported, approximately 47% of the OVCF events occurred spontaneously or in otherwise unclear circumstances. 19,20 Taken together, the clinical onset of non-traumatic OVCF in the elderly is hidden and the identification of significant risk factors is crucial because they are robust predictors of future fractures. The predictive value of clinical factors for NTOVCF has not been extensively studied.…”

Section: Introductionmentioning

confidence: 99%

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Study on Risk Factors of Primary Non‐traumatic OVCF in Chinese Elderly and a Novel Prediction Model

Wen

Zhao

et al. 2022

Orthopaedic Surgery

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Objective Prevention of fragility fractures is one of the public health priorities worldwide, whilst the incidence of osteoporotic vertebral compression fractures (OVCF) continues to rise and lacks the corresponding accurate prediction model. This study aimed to screen potential causes and risk factors for primary non‐traumatic osteoporotic vertebral compression fractures (NTOVCF) in the elderly by characterizing a patient population with NTOVCF and comparing it with a population of osteoporotic patients. Methods Between January 2013 and January 2022, 208 elderly patients with unequivocal evidence of bone fragility manifested as painful NTOVCF were enrolled, and compared with 220 patients with osteoporosis and no fractures. The demographic data, bone turnover markers, blood routine, serum biochemical values, and radiological findings were investigated. Differences between the fracture and non‐fracture groups were analyzed, and variables significant in univariate analysis and correlation analysis were included in the logistic analysis to build the risk prediction model for osteoporotic vertebral fractures. Univariate analysis using student's t‐tests for continuous variables or a chi‐squared test for categorical variables was conducted to identify risk factors. Results No significant differences were revealed regarding age, gender, BMI, smoking, alcohol consumption, blood glucose, propeptide of type I procollagen (P1NP), and N‐terminal middle segment osteocalcin (N‐MID) (P > 0.05). Parathyroid Hormone (PTH), 25(OH)D, serum albumin (ALB), hemoglobin (HB), bone mineral density (BMD), and cross‐sectional area (CSA) of the paraspinal muscle in the fracture group were significantly lower than those in the control group; however, b‐C‐terminal telopeptide of type I collagen (β‐CTX), total cholesterol (TC), high‐density lipoprotein cholesterol (HDL‐C), non‐prostatic acid phosphatase (NACP), and fatty degeneration ratio (FDR) were significantly higher than those in the control group (P < 0.05). Logistic regression analysis showed that ALB, HB, CSA, and BMD were negatively correlated with NTOVCF, while β‐CTX, HDL‐C, NACP, and FDR were positively correlated with NTOVCF. Conclusion Decreased physical activity, anemia, hypoproteinemia, imbalances in bone metabolism, abnormal lipid metabolism, and degenerative and decreased muscle mass, were all risk factors for OVCF in the elderly, spontaneous fractures may be the consequence of cumulative declines in multiple physiological systems over the lifespan. Based on this risk model, timely detection of patients with high OVCF risk and implementation of targeted preventive measures is expected to improve the effect of fracture prevention.

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“…In a previous study, we reported that abdominal trunk muscle weakness, older age, and low lumbar bone mineral density (L-BMD) were significant risk factors associated with the presence of OVFs in the lower thoracic and lumbar spine of middle-aged and older adult women [ 19 ]. However, a causal relationship could not be determined owing to the study’s cross-sectional design.…”

Section: Introductionmentioning

confidence: 99%

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

Kato¹,

Demura²,

Shinmura³

et al. 2022

JCM

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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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Correlation between osteoporotic vertebral fracture and abdominal trunk muscle strength in middle-aged and older women

Cited by 4 publications

References 23 publications

The Effects of Empowerment Education on Daily Dairy Intake in Community-Dwelling of Older Asian Women

The Effects of Empowerment Education on Daily Dairy Intake in Community-Dwelling of Older Asian Women

Study on Risk Factors of Primary Non‐traumatic OVCF in Chinese Elderly and a Novel Prediction Model

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

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