Associations of vertebral deformities and osteoarthritis with back pain among Japanese women: the Hizen-Oshima study

We examined the spinal distribution of the types of vertebral deformities and the associations of vertebral deformities and osteoarthritis with back pain in Japanese women. Midthoracic and upper lumbar vertebrae were more susceptible to deformity. Vertebral deformity and osteoarthritis were frequent and were associated with back pain. Introduction: Vertebral fractures due to osteoporosis and osteoarthritis are both common and significant health problems in aged people. However, little is known about the descriptive epidemiology of the individual deformity types and the relative clinical impact in women in Japan. Methods: Lateral radiographs were obtained from 584 Japanese women ages 40 to 89 years old. Deformities were defined as vertebral heights of more than 3 standard deviations (SDs) below the normal mean. Osteoarthritis was defined as Kellgren-Lawrence (KL) grade 2 or higher. Information on upper or low back pain during the previous month was collected by questionnaire. We compared the spinal distribution of the three types of vertebral deformities (wedge, endplate, and crush) typical of fractures and examined the associations of number and type of vertebral deformities and osteoarthritis with back pain. Results: Fifteen percent of women had at least one vertebral deformity and 74% had vertebral osteoarthritis. The prevalence of upper or low back pain was 30.1%. Deformities were most common in the midthoracic and upper lumbar regions and wedge was the frequent type, followed by endplate and crush. Multiple logistic regression analysis showed that the odds of back pain was 3.0 (95% CI 1.5-6.3) times higher for women with a single wedge deformity and 3.2 (95% CI 1.0 - 0.6) times higher for women with two or more wedge deformities, compared to women with no wedge deformity. Vertebral osteoarthritis was associated with back pain (OR 1.8, 95% CI 1.1-2.9), independent of other covariates including age and deformities. Conclusion: Our results in this group of Japanese women are similar to and consistent with results reported previously in other populations of Japanese and Caucasians.;開始ページ : 907;終了ページ : 915;元資料の権利情報 : © The Author(s) 2012. This article is published with open access at Springerlink.com

「国立国会図書館デジタルコレクション(雑誌)」より

この本の情報

書名 Associations of vertebral deformities and osteoarthritis with back pain among Japanese women: the Hizen-Oshima study
著作者等 European Foundation for Osteoporosis
National Osteoporosis Foundation
北原 博之
書名別名 日本人女性における椎体変形および変形性脊椎症と背部痛・腰痛との関連:肥前大島研究
出版元 Springer London
刊行年月 c1990-
ページ数 v.
大きさ 28 cm
ISSN 0937941X
NCID AA1084775X
※クリックでCiNii Booksを表示
言語 英語
出版国 イギリス
この本を: 
このエントリーをはてなブックマークに追加

Yahoo!ブックマークに登録
この記事をクリップ!
Clip to Evernote
このページを印刷

外部サイトで検索

この本と繋がる本を検索

ウィキペディアから連想