Metabolic syndrome reduces spinal range of motion: The Yakumo study |
| |
| Institution: | 1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-855, Japan;2. Department of Rehabilitation, Kansai University of Welfare Science, Osaka, 582-0026, Japan;3. Department of Orthopaedic Surgery, Chubu Rosai Hospital, Nagoya, 455-8530, Japan;1. Department of Orthopaedic Surgery, Nakagami Hospital, Japan;2. Upper Extremity Center of Joint Replacement and Endoscopic Surgery, Hokushin Hospital, Japan;3. Rehabilitation Clinic Yamaguchi, Japan;4. Department of Orthopaedic Surgery, University of the Ryukyus School of Medicine, Japan;1. Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahatanishi, Kitakyushu, 807-8555, Japan;2. Information Management Centre, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahatanishi, Kitakyushu, 807-8555, Japan;3. Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahatanishi, Kitakyushu, 807-8555, Japan;1. Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami, Hiroshima, Hiroshima, 734-8551, Japan;2. Department of Orthopaedic Surgery, National Hospital Organization Higashihiroshima Medical Center, 513 Jike, Saijo, Higashi-Hiroshima, Hiroshima, 739-0041, Japan;1. Department of Orthopedic Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo, 160-0016, Japan;2. Department of Orthopedic Surgery, Fujita Health University School of Medicine, Dengakukekubo1-98, Kutsukakecho, Toyoake Shi, Aichi Ken, 470-1101, Japan;1. Nara Prefecture General Medical Center, Narshi, Nara, 6308581 Japan;2. Kokuho Chuo Hospital, Shiki-gun, Nara, 6360302 Japan;3. Imperial Gift Saiseikai Nara Hospital, Nara-shi Nara, 6308145 Japan;4. Nara Medical University, School of Medicine, Kashihara-shi, Nara, 6348522 Japan;1. Department of Orthopaedic, Orthopaedic Hospital of Xingtai, Xingtai, Hebei, 054000, China;2. Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China |
| |
| Abstract: | BackgroundExcess visceral fat can accumulate owing to lack of exercise. The relationship between metabolic syndrome (MetS) and spinal range of motion (ROM) is not clear. The purpose of this study was to investigate the relationship between MetS and spinal alignment and ROM.MethodsOrthopedic evaluation was prospectively performed in 544 participants. The participants were classified into two groups on the basis of the Japanese-specific MetS criteria proposed by the Japanese Committee of the Criteria for MetS (JCCMS). Lower back pain (LBP), knee joint pain with the visual analog scale (VAS), Kellgren–Lawrence (K–L) grade for knee osteoarthritis, body mass index (BMI), and spinal alignment and ROM were evaluated.ResultsForty-four (8.1%) were diagnosed as having MetS. The prevalence rate of K–L grade 4 in the MetS group was significantly higher than that in the non-MetS group (p < 0.05). When sex, age, and BMI were evaluated as covariates, there were significant differences in the VAS score for knee pain (non-MetS group vs MetS group: 13.7 vs 23.3, p < 0.05), L1–S1 flexion spinal ROM (44.1° vs 38.1°, p < 0.001), flexion spinal inclination angle (SIA) ROM (107.6° vs 99.3°, p < 0.01), and SIA ROM (135.4° vs 124.0°, p < 0.05).ConclusionsKnee pain increased and flexion spinal ROM decreased significantly in the MetS group as compared with non-MetS group. Systemic factors associated with MetS may have a specific impact on spinal ROM while promoting knee osteoarthrosis and increased knee pain. |
| |
| Keywords: | Metabolic syndrome (MetS) Spinal alignment Flexion range of motion Yakumo study Healthy volunteer |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
