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.

我们研究了新的椎骨骨折及其与日本妇女纵向的日常生活和背痛活动的关联。受试者是42岁的330名女性，平均随访时间为3.3（范围； 2.0-4.4）年。获得了侧胸腔和腰部X光片。测量前，内侧和后高度。新的椎骨骨折被定义为在后续膜上至少降低了至少20％的降低。一份自我管理的问卷被用来调查参与者有关日常生活活动（ADL），背痛和与背部有关的残疾的活动。新的椎骨骨折发生在33.2％（年风险，10.1％）。调整了年龄后，在“弯曲或拾起轻量级物体”和“到达头顶上方的物体”中的两个或多个断裂的边界关联与未骨折相比。有29.7％的新骨折女性和22.3％的没有骨折的妇女增加了背痛。多个与背痛增加有关的新椎骨骨折（p = 0.08）。在腰痛增加的妇女中，有69％的骨折女性和80％的无骨折妇女来了。

项目成果

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