Pui Hing Chau, School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 4/F, William M.W. Mong Block, 21 Sassoon Road, Hong Kong, Email:
J Nutr Health Aging. 2021;25(1):57-63. doi: 10.1007/s12603-020-1441-1.
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.
A cross-sectional study.
The communities in Wuhan, China.
Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis.
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 AND 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.
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.
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.
全球有 20%至 50%的老年人被发现存在胸椎后凸过度。有报道称其对身体表现有负面影响。然而，目前还缺乏关于中国社区居住的老年人中胸椎后凸过度的患病率和负面影响的研究。
一项横断面研究。
中国武汉的社区。
395 名患有胸椎后凸过度的中国社区居住的老年人。
2018 年 8 月至 12 月，在中国武汉居住的 60 岁及以上的中国社区居住的老年人接受了脊柱和身体表现评估。主要结局是根据手动测斜仪测量的后凸角估计的胸椎后凸过度的患病率。次要结局是胸椎后凸过度对单腿站立测试（OLS）、计时起立行走测试（TUG）、胸廓扩张测试（CE）、6 分钟步行测试（6MWT）和 Farsi 版功能性步态评估（FGA）等身体表现的影响。通过问卷收集社会人口统计学和与健康相关的信息。
在 395 名参与者中，平均后凸角为 49.0°±10.5°，75.2%的参与者后凸角>40°（即存在胸椎后凸过度）。与没有胸椎后凸过度的老年人相比，有胸椎后凸过度的老年人在 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）和 FGA（OR=5.18，95%CI 2.25-11.89，p<0.001）等方面的表现受损风险增加，在控制社会人口统计学和与健康相关的因素后。
在中国社区居住的老年人中，胸椎后凸过度的患病率较高，并与平衡、步态和心肺功能测试表现受损有关，这需要未来进行干预。
