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Multicenter Study
. 2011 Jan;59(1):96-100.
doi: 10.1111/j.1532-5415.2010.03214.x. Epub 2011 Jan 3.

Increasing kyphosis predicts worsening mobility in older community-dwelling women: a prospective cohort study

Wendy B Katzman  1 , Eric Vittinghoff, Kris Ensrud, Dennis M Black, Deborah M Kado
Affiliations
Multicenter Study

Increasing kyphosis predicts worsening mobility in older community-dwelling women: a prospective cohort study

Wendy B Katzman et al. J Am Geriatr Soc. 2011 Jan.

Abstract

Objectives: To determine whether increasing kyphosis angle was independently associated with poorer mobility as measured according to the Timed Up and Go Test (TUG), after controlling for other established risk factors.

Design: Prospective cohort study.

Setting: Eleven clinical centers in the United States.

Participants: Two thousand seven hundred seventy-seven women aged 55 to 80 randomized to the placebo arms of the Fracture Intervention Trial, a randomized controlled trial of the effect of alendronate on risk for osteoporotic fractures.

Measurements: The primary predictor was change in kyphosis angle, measured using the Debrunner Kyphometer; the outcome was change in mobility, measured as performance time on the TUG. Covariates were baseline age, kyphosis angle, body mass index (BMI), self-reported health status, grip strength, change in total hip bond mineral density (BMD), and number of vertebral fractures over a mean of 4.4 years.

Results: Greater kyphosis angle predicted longer mobility performance times (P<.001), independent of other significant predictors of worsening mobility including age, baseline kyphosis, health status, grip strength, BMI, change in hip BMD, and new vertebral fractures. TUG performance times increased by 0.02 seconds (95% confidence interval (CI)=0.01-0.03) for every 5° increase in kyphosis angle, more than the increase in mobility time of 0.01 seconds (95% CI=0.005-0.03) over 1 year observed in this cohort.

Conclusion: Increasing kyphosis angle is independently associated with worsening mobility. Interventions are needed to prevent or reduce increasing kyphosis and mobility decline.

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Conflict of interest statement

Conflict of Interest: Kado is a consultant for Medtronic/ Kyphon. Black has research contracts at the University of California at San Francisco (UCSF) with Merck, Roche, and Novartis. None of the other authors have a conflict of interest.

Figures

Figure 1
Figure 1
Kyphometer measurement of Cobb’s angle of kyphosis.
See this image and copyright information in PMC

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