bmcmd18_452.pdf 519 KB
Tanishima, Shinji Department of Orthopedic Surgery,Faculty of Medicine, Tottori University Researchers DB
Hagino, Hiroshi Department of Orthopedic Surgery,Faculty of Medicine, Tottori University / Rehabilitation Division, Tottori University Hospital Researchers DB KAKEN
Matsumoto, Hiromi Rehabilitation Division, Tottori University Hospital
Tanimura, Chika Department of Orthopedic Surgery,Faculty of Medicine, Tottori University Researchers DB KAKEN
Low back pain
[Background] Low back pain (LBP) is one of the most common ailments that people experience in their lifetime. On the other hands, Sarcopenia also leads to several physical symptoms and contributes to reducing the quality of life of elderly people.The purpose of this study is to investigate the association between sarcopenia and low back pain among the general population. [Methods] The subjects included 216 adults (79 men and 137 women; mean age, 73.5 years) undergoing a general medical examination in Hino, Japan. Skeletal muscle index (SMI), The percentage of young adults’ mean (%YAM) of the calcaneal bone mass using with quantitative ultrasound (QUS) method and walking speed were measured, and subjects who met the criteria of the Asian Working Group for Sarcopenia were assigned to the sarcopenia group. Subjects with decreased muscle mass only were assigned to the pre-sarcopenia group, and all other subjects were assigned to the normal group. Then, we compared the correlations with low back pain physical finding. The Oswestry Disability Index (ODI) and the low back pain visual analogue scale (VAS) were used as indices of low back pain. Statistical analysis was performed among three groups with respect their characteristic, demographics, data of sarcopenia determining factor, VAS and ODI. We also analysed prevalence of LBP and sarcopenia. We investigated the correlations between ODI and the sarcopenia-determining factors of walking speed, muscle mass and grip strength. [Results] Sarcopenia was noted in 12 subjects (5.5%). The pre-sarcopenia group included 38 subjects (17.6%), and the normal group included 166 subjects (76.9%). The mean ODI score was significantly higher in the sarcopenia group (25.2% ± 12.3%; P < 0.05) than in the pre-sarcopenia group (11.2% ± 10.0%) and the normal group (11.9% ± 12.3%). %YAM and BMI were significantly lower in the sarcopenia group than in other groups (P < 0.05). A negative correlation existed between walking speed and ODI (r = −0.32, P < 0.001). [Conclusions] The results of this study suggested that decreased physical ability due to quality of life in residents with LBP may be related to sarcopenia.
BMC MUSCULOSKELETAL DISORDERS
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BMC MUSCULOSKELETAL DISORDERS
(C)The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Tanishima Shinji, Hagino Hiroshi, Matsumoto Hiromi, et al. Association between sarcopenia and low back pain in local residents prospective cohort study from the GAINA study. BMC MUSCULOSKELETAL DISORDERS. 2017. 18. doi:10.1186/s12891-017-1807-7
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
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