Dataset Information

The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.

ABSTRACT:

Background

We investigated prospectively among community-dwelling older adults aged 65 years and older whether a larger kyphosis angle is associated with poorer physical performance (balance, muscle strength, or both), and whether this association is unidirectional.

Methods

Male and female participants performed a multicomponent physical performance test with subscores for gait, muscle strength, and balance at baseline and after 2 years. Hand grip strength was also measured at baseline and at follow-up. The Cobb angle was measured on DXA-based Vertebral Fracture Assessments, made at the baseline and follow-up visit. Through linear and logistic regression analysis, we investigated the association between the kyphosis angle and physical performance and vice versa. We stratified for sex, and tested for effect modification by age and study center.

Results

The mean kyphosis angle was 37° and 15% of the participants (n = 1 220, mean age 72.9 ± 5.7 years) had hyperkyphosis (Cobb angle ≥50°). A larger kyphosis angle at baseline was independently associated with a poorer total physical performance score in women of the oldest quartile (≥77 years) in both the cross-sectional and longitudinal analyses (baseline B -0.32, 95% confidence interval [CI] -0.56-0.08; follow-up B 0.32, 95% CI -0.55-0.10). There was no association between physical performance at baseline and kyphosis progression.

Conclusion

A larger kyphosis angle is independently associated with a poorer physical performance at baseline and over time, and the direction of this association is unidirectional. These results emphasize the importance of early detection and treatment of hyperkyphosis to prevent further worsening of the kyphosis angle, thereby potentially preserving physical performance.

SUBMITTER: Koele MC

PROVIDER: S-EPMC9678197 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.

Koelé Marije C MC Willems Hanna C HC Harmsen Iris M IM Swart Karin M A KMA van Dijk Suzanne C SC Lips Paul P de Groot Lisette C P G M LCPGM van der Cammen Tischa J M TJM Zillikens M Carola MC van Schoor Natasja M NM van der Velde Nathalie N

The journals of gerontology. Series A, Biological sciences and medical sciences 20221101 11

<h4>Background</h4>We investigated prospectively among community-dwelling older adults aged 65 years and older whether a larger kyphosis angle is associated with poorer physical performance (balance, muscle strength, or both), and whether this association is unidirectional.<h4>Methods</h4>Male and female participants performed a multicomponent physical performance test with subscores for gait, muscle strength, and balance at baseline and after 2 years. Hand grip strength was also measured at bas ...[more]

PMID: 35648137

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Dataset Information

The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.

Background

Methods

Results

Conclusion

Publications

The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.

Similar Datasets

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