The prevalence and impact of sarcopenia on degenerative lumbar spinal stenosis

Park, S.; Kim, H. J.; Ko, Byounggoo; Chung, Jun‐Won; Kim, S. H.; Park, S. H.; Lee, Mihyun; Yeom, Jin S.

doi:10.1302/0301-620x.98b8.37623

Cited by 78 publications

(40 citation statements)

References 21 publications

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“…A retrospective study demonstrated that the prevalence of sarcopenia, as defined by hand grip strength, in populations with degenerative spinal canal stenosis, was 24%, while it was 12% in control populations in Korea [ 20 ]. While a previous study of sarcopenia prevalence in lumbar spinal stenosis defined sarcopenia based on hand grip strength and skeletal muscle mass measured by bioelectric impedance (BIA) [ 20 ], DXA was applied in this study instead. Though the results of BIA have been shown to correlate with DXA, BIA results were confounded by fluid retention [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of sarcopenia on the results of lumbar spinal surgery

Inose

Yamada

Hirai

et al. 2018

Osteoporosis and Sarcopenia

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ObjectivesAs the population ages, the number of lumbar spinal surgeries performed on sarcopenic patients will increase. The purpose of this study was to investigate the prevalence of sarcopenia and evaluated its impact on the results of lumbar spinal surgery.MethodsThis study included 2 groups: One group consisted of patients who underwent whole-body dual-energy X-ray absorptiometry (DXA) scanning before the option of undergoing surgery for lumbar spinal disease (LSD group) and a second group consisted of patients underwent DXA scanning for osteoporosis screening under hospital watch at the geriatric medicine department (control group). In order to evaluate the impact of sarcopenia on the clinical outcome of lumbar spinal surgery, the Japanese Orthopedic Association (JOA) score, the recovery rate based on the JOA score, and visual analogue scale (VAS) scores for lower back pain, lower extremity pain, and lower extremity numbness were compared within the LSD group.ResultsThe prevalence of sarcopenia showed no statistical difference between groups (control group, 50.7%; LSD group, 46.5%). In the LSD group, while the changes in VAS scores showed no statistical difference between the nonsarcopenia subgroup and sarcopenia subgroup, the sarcopenia subgroup demonstrated inferior JOA scores and recovery rates at the final follow-up when compared with the nonsarcopenia subgroup (P < 0.05).ConclusionsThis study demonstrated a high prevalence of sarcopenia among the elderly populations in Japan and a negative impact of sarcopenia on clinical outcomes after lumbar spinal surgery.

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Section: Discussionmentioning

confidence: 99%

The impact of sarcopenia on the results of lumbar spinal surgery

Inose

Yamada

Hirai

et al. 2018

Osteoporosis and Sarcopenia

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“…LBP is one of the most common symptoms treated in daily medical practice. Park et al investigated the prevalence of sarcopenia and lumbar spinal stenosis in Korea [ 16 ]. The prevalence of sarcopenia was higher in people with lumbar spinal stenosis than in normal people.…”

Section: Discussionmentioning

confidence: 99%

Association between sarcopenia and low back pain in local residents prospective cohort study from the GAINA study

Tanishima

Hagino

Matsumoto

et al. 2017

BMC Musculoskelet Disord

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BackgroundLow back pain (LBP) is one of the most common ailments that people experience in their lifetime. On the other hands, Sarcopenia also leads to several physical symptoms and contributes to reducing the quality of life of elderly people.The purpose of this study is to investigate the association between sarcopenia and low back pain among the general population.MethodsThe subjects included 216 adults (79 men and 137 women; mean age, 73.5 years) undergoing a general medical examination in Hino, Japan. Skeletal muscle index (SMI), The percentage of young adults’ mean (%YAM) of the calcaneal bone mass using with quantitative ultrasound (QUS) method and walking speed were measured, and subjects who met the criteria of the Asian Working Group for Sarcopenia were assigned to the sarcopenia group. Subjects with decreased muscle mass only were assigned to the pre-sarcopenia group, and all other subjects were assigned to the normal group. Then, we compared the correlations with low back pain physical finding. The Oswestry Disability Index (ODI) and the low back pain visual analogue scale (VAS) were used as indices of low back pain. Statistical analysis was performed among three groups with respect their characteristic, demographics, data of sarcopenia determining factor, VAS and ODI. We also analysed prevalence of LBP and sarcopenia. We investigated the correlations between ODI and the sarcopenia-determining factors of walking speed, muscle mass and grip strength.ResultsSarcopenia was noted in 12 subjects (5.5%). The pre-sarcopenia group included 38 subjects (17.6%), and the normal group included 166 subjects (76.9%). The mean ODI score was significantly higher in the sarcopenia group (25.2% ± 12.3%; P < 0.05) than in the pre-sarcopenia group (11.2% ± 10.0%) and the normal group (11.9% ± 12.3%). %YAM and BMI were significantly lower in the sarcopenia group than in other groups (P < 0.05). A negative correlation existed between walking speed and ODI (r = −0.32, P < 0.001).ConclusionsThe results of this study suggested that decreased physical ability due to quality of life in residents with LBP may be related to sarcopenia.

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“…This propensity score-matched case-control study was performed within the framework of a prospective study designed to develop criterion-referenced health-related fitness standards for the National Fitness Award. 7 This study was approved by the Institutional Review Boards of Seoul National University Bundang Hospital and Korea Institute of Sport Science, and was conducted in accordance with the approved study protocol (IRB No. B-1612-373-301).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Frailty in Patients with Osteoporotic Vertebral Compression Fracture and Its Association with Numbers of Fractures

Kim

Park

et al. 2018

Yonsei Med J

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PurposeTo assess the association between frailty and osteoporotic vertebral compression fracture (OVCF) and to evaluate the relationship between numbers of OVCFs and frailty.Materials and MethodsWe enrolled 760 subjects, including 59 patients (with OVCF) and 701 controls (without OVCF). Successful matching provided 56 patient-control pairs. We analyzed principal clinical and demographic information, which included sex, age, height, weight, body mass index (BMI), variable frailty phenotypes, and Oswestry Disability Index (ODI) and EuroQol 5-dimension questionnaire (EQ-5D) scores. The association between frailty and OVCF was ascertained. In addition, the degrees of disability and quality of life attributable to frailty were determined.ResultsThe prevalence of frailty was significantly higher in the OVCF group than in the control group (p<0.001). Most of the frailty phenotypes, such as exhaustion, physical inactivity, slowness, and handgrip strength, were also significantly observed in the OVCF group. Within the OVCF group, the participants with frailty had significantly higher disability and lower quality of life than those in a robust state (p<0.001 for ODI and EQ-5D). In addition, the multivariate logistic regression analysis demonstrated that the patients with low BMI [odds ratio (OR)=0.704; 95% confidence interval (CI), 0.543–0.913] and ≥3 fractures (OR=9.213; 95% CI, 1.529–55.501) within the OVCF group were associated with higher odds of frailty.ConclusionThe present study showed significant relationships between frailty and OVCF, severity of symptoms, and disability induced by OVCF. Furthermore, frailty could be a causal and/or resulting factor of OVCFs.

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The prevalence and impact of sarcopenia on degenerative lumbar spinal stenosis

Abstract: This study demonstrated a higher prevalence of sarcopenia in patients with DLSS and highlighted its negative effect on clinical outcomes. Cite this article: Bone Joint J 2016;98-B:1093-8.

Cited by 78 publications

References 21 publications

The impact of sarcopenia on the results of lumbar spinal surgery

The impact of sarcopenia on the results of lumbar spinal surgery

Association between sarcopenia and low back pain in local residents prospective cohort study from the GAINA study

Prevalence of Frailty in Patients with Osteoporotic Vertebral Compression Fracture and Its Association with Numbers of Fractures

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