Ando Kei, Kobayashi Kazuyoshi, Nakashima Hiroaki, Machino Masaaki, Ito Sadayuki, Kanbara Shunsuke, Inoue Taro, Hasegawa Yoshiharu, Imagama Shiro
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65,Tsurumai,Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Department of Orthopaedic Surgery, Kansai University of Welfare Sciences, 3-11-1, Asahigaoka, Kashihara, Osaka, 5820026, Japan.
J Orthop. 2020 Sep 16;21:512-516. doi: 10.1016/j.jor.2020.09.006. eCollection 2020 Sep-Oct.
The goal of this prospective study was prospectively to investigate the relationship between obesity and spinal sagittal alignment.
286 were referred for orthopedic evaluation. Differences in spinal parameters among these groups and between males and females were evaluated.
Obese subjects had significantly higher C2S, CPA, CTPA, PI-LL, and lower cervical lordosis, L4S1, lumbar lordosis, and sacral slope. In multivariate logistic regression analysis adjusted for age in females, CTPA was identified as the only independent and significant factor associated with obesity.
Obesity in females has significant relationships with spinal sagittal alignment and results in poorer physical QOL.
本前瞻性研究的目的是前瞻性地调查肥胖与脊柱矢状面排列之间的关系。
286例患者接受了骨科评估。评估了这些组之间以及男性和女性之间脊柱参数的差异。
肥胖受试者的C2S、CPA、CTPA、PI-LL显著更高,而下颈椎前凸、L4S1、腰椎前凸和骶骨倾斜度更低。在对女性年龄进行校正的多因素逻辑回归分析中,CTPA被确定为与肥胖相关的唯一独立且显著的因素。
女性肥胖与脊柱矢状面排列有显著关系,并导致身体生活质量较差。