The effects of new vertebral fracture to activities of daily living among community-dwelling middle aged and elderly women

新发椎体骨折对社区中老年妇女日常生活活动的影响

• 批准号: 13670371
• 负责人: AOYAGI Kiyoshi
• 金额: $ 2.3万
• 依托单位: NAGASAKI UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13670371/
• 关键词: osteoporosis; vertebral fracture; back pain; activity of daily living; longitudinal study; 縦断研究

We studied new vertebral fractures and its associations with activities of daily living and back pain longitudinally among community-dwelling Japanese women. The subjects were 330 women aged 42 years old, and the mean duration of follow up was 3.3 (range ; 2.0-4.4) years. Lateral thoracic and lumbar radiographs were obtained. The anterior, medial, and posterior heights were measured. A new vertebral fracture was defined as a decrease of at least 20% in 1 dimension on subsequent films. A self-administered questionnaire was used to survey participants about activities of daily living (ADL), back pain and back-related disability. New vertebral fractures occurred in 33.2% (annual risk, 10.1%). After adjusting for age, borderline association of two or more fractures compared with no fracture was found in 'bending over or picking up a lightweight object' and 'reaching an object above your head'. The 29.7% of women with new fractures and 22.3% of women without fracture increased back pain. Multiple new vertebral fractures associated with increased back pain (p=0.08). Among women with increased back pain, 69% of women with fractures and 80% of women without fracture visited physician.

我们纵向研究了居住在社区的日本女性的新发椎骨骨折及其与日常生活活动和背痛的关系。受试者为 330 名 42 岁女性，平均随访时间为 3.3 年（范围：2.0-4.4）。获得横向胸椎和腰椎X光片。测量前、中、后高度。新的椎骨骨折被定义为后续胶片上一维减少至少 20%。使用自填问卷调查参与者的日常生活活动（ADL）、背痛和背部相关残疾。 33.2% 发生新的椎体骨折（年风险为 10.1%）。调整年龄后，在“弯腰或捡起一个轻的物体”和“将物体伸到头顶上方”时，发现与没有骨折相比，两次或更多骨折的边缘关联。 29.7% 的新发骨折女性和 22.3% 的未骨折女性背痛加剧。多发新椎体骨折与背痛加剧相关（p=0.08）。在背痛加剧的女性中，69% 的骨折女性和 80% 的未骨折女性去看医生。

项目成果

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