Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people

被引：90

作者：

Imagama S. ^{[1
]}

Hasegawa Y. ^{[1
]}

Matsuyama Y. ^{[2
]}

Sakai Y. ^{[3
]}

Ito Z. ^{[4
]}

Hamajima N. ^{[5
]}

Ishiguro N. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery, Graduate School of Medicine, Nagoya University, Showa-ku, Nagoya 466-8550 Aichi

[2] Department of Orthopaedic Surgery, School of Medicine, Hamamatsu University, Higashi-ku, Hamamatsu 431-3192 Shizuoka, 1-20-1, Handayama

[3] Department of Orthopaedic Surgery, National Center for Geriatrics and Gerontology, Obu 474-8511 Aichi, Gengo 35, Morioka-cho

[4] Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi 441-8570 Aichi, 50, Hachikennishi, Aotake-cho

[5] Preventive Medicine/Biostatics and Medical Decision Making, Graduate School of Medicine, Nagoya University, Nagoya

来源：

Archives of Osteoporosis | 2011年 / 6卷 / 1-2期

基金：

日本学术振兴会;

关键词：

Back muscle strength; Daily exercise; Keywords Quality of life; Middle-aged and elderly people; Physical ability; Sagittal balance;

D O I：

10.1007/s11657-011-0052-1

中图分类号：

学科分类号：

摘要：

Summary We examined 304 persons (135 males and 169 females) who underwent a basic health checkup to evaluate the relationship of quality of life (QOL) with osteoporosis, spinal sagittal balance, spinal mobility, muscle strength, and physical ability, including daily exercise. QOL of middle-aged and elderly subjects was strongly related to sagittal balance and physical ability. Introduction Spinal kyphosis with compression fracture and osteoporosis decrease QOL and increase mortality. However, it is unclear if kyphosis, spinal sagittal balance, muscle strength, and physical ability influence QOL. Purpose The goal of the study was to evaluate the relationship of QOL with osteoporosis, spinal sagittal balance, spinal mobility, back muscle strength, and physical ability, including daily exercise, in middle-aged and elderly people. Methods The subjects were 304 persons (135 males and 169 females) who underwent a basic health checkup. Lumbar lateral radiograph findings, sagittal balance and spinal mobility determined with SpinalMouse®, grip, back muscle strength, and 10-m gait time were evaluated. Results SF-36 physical component summary (PCS) scores showed a significant negative correlation with age (r=-0.375), spinal inclination angle (r=-0.322), and 10-m gait time (r= -0.470), and a significant positive correlation with percent of the young adult mean of bone mineral density (r=0.223), lumbar lordosis angle (r=0.184), thoracic spinal range of motion (ROM; r=0.136), lumbar spinal ROM (r=0.130), grip strength (r=0.211), and back muscle strength (r=0.301). In multiple regression analysis, age (r=-0.372, p<0.0005), spinal inclination angle (r=-0.336, p<0.05) and 10-m gait time (r=-2.898, p<0.0001) were significantly associated with SF-36 PCS (R2=0.288). In the exercise group, SF-36 PCS scores were significantly better (p<0.05) due to good spinal balance, thoracic spinal ROM, back muscle strength, and gait speed. Conclusions QOL of middle-aged and elderly subjects was related to sagittal balance and physical ability. Thus, exercises for spine, muscle, and physical ability may improve QOL in middle-aged and elderly people. © International Osteoporosis Foundation and National Osteoporosis Foundation 2011.

引用

页码：13 / 20

页数：7

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