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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Authors: Kazuhiko Arima, Yasuyo Abe, Takayuki Nishimura, Takuhiro Okabe, Yoshihito Tomita, Satoshi Mizukami, Mitsuo Kanagae, Kiyoshi Aoyagi

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

Numerous reported studies have shown that vertebral compression fractures are associated with impaired function or disability; however, few examined their association with objective measures of physical performance or functioning.

Methods

We examined the association of vertebral compression fractures with physical performance measures in 556 Japanese women aged 40–89 years. Lateral spine radiographs were obtained and radiographic vertebral compression fractures were assessed by quantitative morphometry, defined as vertebral heights more than 3 SD below the normal mean. Measures of physical performance included walking speed, chair stand time and functional reach. Adjusted means of performance-based measures according to the number and severity of vertebral compression fractures were calculated using general linear modeling methods.

Results

After adjusting for age, body mass index, back pain, number of painful joints, number of comorbidities and regular physical activities, the walking speed of women with two or more compression fractures (1.17 m/s) was significantly slower than that of women without compression fracture (1.24 m/s) (p = 0.03). Compared with women without compression fracture, chair stand time was longer in women with two or more compression fractures (p = 0.01), and functional reach was shorter (p = 0.01). No significant differences were observed in walking speed, chair stand time, or functional reach between women with one compression fracture and those without compression fracture.

Conclusions

Having multiple vertebral compression fractures affects physical performance in community-dwelling Japanese women. Poor physical functioning may lead to functional dependence, accelerated bone loss, and increased risk for falls, injuries, and fractures. Preventing vertebral compression fracture is considered important for preserving the independence of older adults.
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Metadata
Title
Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older
Authors
Kazuhiko Arima
Yasuyo Abe
Takayuki Nishimura
Takuhiro Okabe
Yoshihito Tomita
Satoshi Mizukami
Mitsuo Kanagae
Kiyoshi Aoyagi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1531-3

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