The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China
Background Globally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elder...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2021, Vol.25 (1), p.57-63 |
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| description | Background
Globally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elderly.
Design
A cross-sectional study.
Setting
The communities in Wuhan, China.
Participants
Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis.
Measures
Chinese community-dwelling older adults aged 60 or above lived in Wuhan, China from August to December 2018 were recruited for spine and physical performance assessments. The primary outcome was the prevalence of thoracic hyperkyphosis estimated according to the angle of kyphosis which was measured by manual inclinometers. The secondary outcomes were the effects of thoracic hyperkyphosis on physical performance measured by One-leg Standing Test (OLS), Timed Up & Go Test (TUG), Chest Expansion Test (CE), Six Minutes Walking Test (6MWT), and Farsi Version of Functional Gait Assessment (FGA). The socio-demographic and health-related information were collected by a questionnaire.
Results
Among 395 participants, the mean angle of kyphosis was 49.0° ± 10.5°, 75.2% of participants had the angle of kyphosis >40° (i.e., having thoracic kyperkyphosis). Compared with older adults having no thoracic hyperkyphosis, older adults with thoracic hyperkyphosis had increased risks performing impaired in OLS (OR=4.55, 95% CI 2.18–9.53, p |
| doi_str_mv | 10.1007/s12603-020-1441-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2473402006</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2477822141</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-a08750181eee1316218a94b392a0e402c01dcf66cf3d2e16a4b0ceb261fedbc13</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhiMEoqXwAFyQJS4cGpixvXb2WC2FRapaDos4Ro4z2bgkzmIni_YNeGwcti0SUk-2NN98_0h_lr1GeI8A-kNErkDkwCFHKTHHJ9kpagW51EXxNP25XuZagz7JXsR4CyAXy0I9z06EEEpLJU6z35uW2NdAe9ORt8SMr9k1bc3o9sQum4bsGNnQsE07BGOdZevDjsKPw64doksTz1at8xSJrYa-n7wbD_nHX9R1zm_ZTVdTYBf11CWJ8-z71Bp_ztZTRS6FDnuXIs__GszL7Fljukiv7t6z7Nuny81qnV_dfP6yurjKrcTFmBso9AKwQCJCgYpjYZayEktugCRwC1jbRinbiJoTKiMrsFRxhQ3VlUVxlr07endh-DlRHMveRZsONp6GKZZcapE8ACqhb_9Db4cp-HTdTOmCc5SzEI-UDUOMgZpyF1xvwqFEKOeaymNNZZKWc03lvPPmzjxVPdUPG_e9JIAfgZhGfkvhX_Tj1j8ZZZ03</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2477822141</pqid></control><display><type>article</type><title>The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Li, W.-Y. ; Chau, Pui Hing ; Dai, Y. ; Tiwari, A. F.</creator><creatorcontrib>Li, W.-Y. ; Chau, Pui Hing ; Dai, Y. ; Tiwari, A. F.</creatorcontrib><description>Background
Globally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elderly.
Design
A cross-sectional study.
Setting
The communities in Wuhan, China.
Participants
Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis.
Measures
Chinese community-dwelling older adults aged 60 or above lived in Wuhan, China from August to December 2018 were recruited for spine and physical performance assessments. The primary outcome was the prevalence of thoracic hyperkyphosis estimated according to the angle of kyphosis which was measured by manual inclinometers. The secondary outcomes were the effects of thoracic hyperkyphosis on physical performance measured by One-leg Standing Test (OLS), Timed Up & Go Test (TUG), Chest Expansion Test (CE), Six Minutes Walking Test (6MWT), and Farsi Version of Functional Gait Assessment (FGA). The socio-demographic and health-related information were collected by a questionnaire.
Results
Among 395 participants, the mean angle of kyphosis was 49.0° ± 10.5°, 75.2% of participants had the angle of kyphosis >40° (i.e., having thoracic kyperkyphosis). Compared with older adults having no thoracic hyperkyphosis, older adults with thoracic hyperkyphosis had increased risks performing impaired in OLS (OR=4.55, 95% CI 2.18–9.53, p<0.001), TUG (OR=6.08, 95% CI 2.57–14.40, p<0.001), CE (OR=3.23, 95% CI 1.63–6.38, p=0.001), 6MWT (OR=4.64, 95% CI 1.98–10.86, p<0.001), and FGA (OR=5.18, 95% CI 2.25–11.89, p<0.001) after controlling socio-demographic and health-related factors.
Conclusion
The thoracic hyperkyphosis had high prevalence and associated with impaired performance in balance, gait, and cardiopulmonary function tests among Chinese community-dwelling older adults, which calls for the future intervention.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-020-1441-1</identifier><identifier>PMID: 33367463</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Age Factors ; Aged ; Aging ; China ; Cross-Sectional Studies ; Epidemiology ; Female ; Geriatrics/Gerontology ; Humans ; Independent Living - standards ; Kyphosis - complications ; Kyphosis - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosciences ; Nutrition ; Older people ; Prevalence ; Primary Care Medicine ; Quality of Life Research ; Scoliosis ; Sociodemographics ; Spine</subject><ispartof>The Journal of nutrition, health & aging, 2021, Vol.25 (1), p.57-63</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2020</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-a08750181eee1316218a94b392a0e402c01dcf66cf3d2e16a4b0ceb261fedbc13</citedby><cites>FETCH-LOGICAL-c415t-a08750181eee1316218a94b392a0e402c01dcf66cf3d2e16a4b0ceb261fedbc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-020-1441-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-020-1441-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33367463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, W.-Y.</creatorcontrib><creatorcontrib>Chau, Pui Hing</creatorcontrib><creatorcontrib>Dai, Y.</creatorcontrib><creatorcontrib>Tiwari, A. F.</creatorcontrib><title>The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Background
Globally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elderly.
Design
A cross-sectional study.
Setting
The communities in Wuhan, China.
Participants
Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis.
Measures
Chinese community-dwelling older adults aged 60 or above lived in Wuhan, China from August to December 2018 were recruited for spine and physical performance assessments. The primary outcome was the prevalence of thoracic hyperkyphosis estimated according to the angle of kyphosis which was measured by manual inclinometers. The secondary outcomes were the effects of thoracic hyperkyphosis on physical performance measured by One-leg Standing Test (OLS), Timed Up & Go Test (TUG), Chest Expansion Test (CE), Six Minutes Walking Test (6MWT), and Farsi Version of Functional Gait Assessment (FGA). The socio-demographic and health-related information were collected by a questionnaire.
Results
Among 395 participants, the mean angle of kyphosis was 49.0° ± 10.5°, 75.2% of participants had the angle of kyphosis >40° (i.e., having thoracic kyperkyphosis). Compared with older adults having no thoracic hyperkyphosis, older adults with thoracic hyperkyphosis had increased risks performing impaired in OLS (OR=4.55, 95% CI 2.18–9.53, p<0.001), TUG (OR=6.08, 95% CI 2.57–14.40, p<0.001), CE (OR=3.23, 95% CI 1.63–6.38, p=0.001), 6MWT (OR=4.64, 95% CI 1.98–10.86, p<0.001), and FGA (OR=5.18, 95% CI 2.25–11.89, p<0.001) after controlling socio-demographic and health-related factors.
Conclusion
The thoracic hyperkyphosis had high prevalence and associated with impaired performance in balance, gait, and cardiopulmonary function tests among Chinese community-dwelling older adults, which calls for the future intervention.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>China</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living - standards</subject><subject>Kyphosis - complications</subject><subject>Kyphosis - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Prevalence</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>Scoliosis</subject><subject>Sociodemographics</subject><subject>Spine</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kcFu1DAQhiMEoqXwAFyQJS4cGpixvXb2WC2FRapaDos4Ro4z2bgkzmIni_YNeGwcti0SUk-2NN98_0h_lr1GeI8A-kNErkDkwCFHKTHHJ9kpagW51EXxNP25XuZagz7JXsR4CyAXy0I9z06EEEpLJU6z35uW2NdAe9ORt8SMr9k1bc3o9sQum4bsGNnQsE07BGOdZevDjsKPw64doksTz1at8xSJrYa-n7wbD_nHX9R1zm_ZTVdTYBf11CWJ8-z71Bp_ztZTRS6FDnuXIs__GszL7Fljukiv7t6z7Nuny81qnV_dfP6yurjKrcTFmBso9AKwQCJCgYpjYZayEktugCRwC1jbRinbiJoTKiMrsFRxhQ3VlUVxlr07endh-DlRHMveRZsONp6GKZZcapE8ACqhb_9Db4cp-HTdTOmCc5SzEI-UDUOMgZpyF1xvwqFEKOeaymNNZZKWc03lvPPmzjxVPdUPG_e9JIAfgZhGfkvhX_Tj1j8ZZZ03</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Li, W.-Y.</creator><creator>Chau, Pui Hing</creator><creator>Dai, Y.</creator><creator>Tiwari, A. F.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2021</creationdate><title>The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China</title><author>Li, W.-Y. ; Chau, Pui Hing ; Dai, Y. ; Tiwari, A. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-a08750181eee1316218a94b392a0e402c01dcf66cf3d2e16a4b0ceb261fedbc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>China</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Independent Living - standards</topic><topic>Kyphosis - complications</topic><topic>Kyphosis - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Prevalence</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><topic>Scoliosis</topic><topic>Sociodemographics</topic><topic>Spine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, W.-Y.</creatorcontrib><creatorcontrib>Chau, Pui Hing</creatorcontrib><creatorcontrib>Dai, Y.</creatorcontrib><creatorcontrib>Tiwari, A. F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, W.-Y.</au><au>Chau, Pui Hing</au><au>Dai, Y.</au><au>Tiwari, A. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2021</date><risdate>2021</risdate><volume>25</volume><issue>1</issue><spage>57</spage><epage>63</epage><pages>57-63</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Background
Globally, 20% to 50% older adults have been found to have thoracic hyperkyphosis. Negative effects on physical performance have been reported. However, there has been a lack of research on the prevalence and negative effects of thoracic hyperkyphosis among Chinese community-dwelling elderly.
Design
A cross-sectional study.
Setting
The communities in Wuhan, China.
Participants
Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis.
Measures
Chinese community-dwelling older adults aged 60 or above lived in Wuhan, China from August to December 2018 were recruited for spine and physical performance assessments. The primary outcome was the prevalence of thoracic hyperkyphosis estimated according to the angle of kyphosis which was measured by manual inclinometers. The secondary outcomes were the effects of thoracic hyperkyphosis on physical performance measured by One-leg Standing Test (OLS), Timed Up & Go Test (TUG), Chest Expansion Test (CE), Six Minutes Walking Test (6MWT), and Farsi Version of Functional Gait Assessment (FGA). The socio-demographic and health-related information were collected by a questionnaire.
Results
Among 395 participants, the mean angle of kyphosis was 49.0° ± 10.5°, 75.2% of participants had the angle of kyphosis >40° (i.e., having thoracic kyperkyphosis). Compared with older adults having no thoracic hyperkyphosis, older adults with thoracic hyperkyphosis had increased risks performing impaired in OLS (OR=4.55, 95% CI 2.18–9.53, p<0.001), TUG (OR=6.08, 95% CI 2.57–14.40, p<0.001), CE (OR=3.23, 95% CI 1.63–6.38, p=0.001), 6MWT (OR=4.64, 95% CI 1.98–10.86, p<0.001), and FGA (OR=5.18, 95% CI 2.25–11.89, p<0.001) after controlling socio-demographic and health-related factors.
Conclusion
The thoracic hyperkyphosis had high prevalence and associated with impaired performance in balance, gait, and cardiopulmonary function tests among Chinese community-dwelling older adults, which calls for the future intervention.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>33367463</pmid><doi>10.1007/s12603-020-1441-1</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1279-7707 1760-4788 |
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| source | MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings |
| subjects | Age Factors Aged Aging China Cross-Sectional Studies Epidemiology Female Geriatrics/Gerontology Humans Independent Living - standards Kyphosis - complications Kyphosis - epidemiology Male Medicine Medicine & Public Health Middle Aged Neurosciences Nutrition Older people Prevalence Primary Care Medicine Quality of Life Research Scoliosis Sociodemographics Spine |
| title | The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China |
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