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Relationship of thoracic kyphosis and lumbar lordosis to bone mineral density in women

Summary The relationship between spinal curvature and bone mineral density (BMD) in women was examined. Significant relationships were observed between spinal curvature and BMD in both pre- and postmenopausal women. Excessive spinal curvature may be associated with low bone mass in premenopausal wom...

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Published in:Osteoporosis international 2013-08, Vol.24 (8), p.2269-2273
Main Authors: Pavlovic, A., Nichols, D. L., Sanborn, C. F., DiMarco, N. M.
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description Summary The relationship between spinal curvature and bone mineral density (BMD) in women was examined. Significant relationships were observed between spinal curvature and BMD in both pre- and postmenopausal women. Excessive spinal curvature may be associated with low bone mass in premenopausal women. Introduction The purpose of this study was to examine the associations between spinal measurements of thoracic and lumbar curvatures and bone mineral density in pre- and postmenopausal women. Methods The data for this study were obtained from the Texas Woman’s University Pioneer Project. Female participants ( n  = 242; premenopausal n  = 104, postmenopausal n  = 138) between the ages of 18 and 60 years were evaluated on multiple health measures. Thoracic and lumbar curvatures were measured with a 24-in. (60 cm) flexicurve. Bone mineral density was assessed via dual-energy X-ray absorptiometry (Lunar DPX IQ, version 4.6e). Pearson correlations and logistic regression analysis were used to examine the associations between the obtained spinal curvature measurements and bone mineral density. Significance was set at p  
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L. ; Sanborn, C. F. ; DiMarco, N. M.</creator><creatorcontrib>Pavlovic, A. ; Nichols, D. L. ; Sanborn, C. F. ; DiMarco, N. M.</creatorcontrib><description>Summary The relationship between spinal curvature and bone mineral density (BMD) in women was examined. Significant relationships were observed between spinal curvature and BMD in both pre- and postmenopausal women. Excessive spinal curvature may be associated with low bone mass in premenopausal women. Introduction The purpose of this study was to examine the associations between spinal measurements of thoracic and lumbar curvatures and bone mineral density in pre- and postmenopausal women. Methods The data for this study were obtained from the Texas Woman’s University Pioneer Project. Female participants ( n  = 242; premenopausal n  = 104, postmenopausal n  = 138) between the ages of 18 and 60 years were evaluated on multiple health measures. Thoracic and lumbar curvatures were measured with a 24-in. (60 cm) flexicurve. Bone mineral density was assessed via dual-energy X-ray absorptiometry (Lunar DPX IQ, version 4.6e). Pearson correlations and logistic regression analysis were used to examine the associations between the obtained spinal curvature measurements and bone mineral density. Significance was set at p  &lt; .05. Results Significant correlations were observed for the femoral neck and lumbar spine bone mineral density with thoracic and lumbar curve in premenopausal women ( r  = −.344 to − .525; p  &lt; .001). Slightly weaker, but significant, correlations were observed for femoral neck and lumbar spine in relation to thoracic and lumbar curve in postmenopausal women ( r  = −.288 to −.397; p  &lt; .01). Premenopausal women with thoracic curvature greater than 4 cm had a greater risk of having low bone mass compared to premenopausal women with less than 4 cm of curvature (odds ratio = 3.982, 95 % CI = 1.206, 13.144). Conclusions The observed negative relationship suggests that as either thoracic or lumbar curvature increases, the regional bone mineral density decreases in both pre- and postmenopausal women.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-013-2296-7</identifier><identifier>PMID: 23400251</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Absorptiometry, Photon - methods ; Adolescent ; Adult ; Bone density ; Bone Density - physiology ; Endocrinology ; Female ; Femur Neck - physiopathology ; Humans ; Kyphosis - complications ; Kyphosis - pathology ; Kyphosis - physiopathology ; Longitudinal Studies ; Lordosis - complications ; Lordosis - pathology ; Lordosis - physiopathology ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - physiopathology ; Medicine ; Medicine &amp; Public Health ; Menopause ; Middle Aged ; Minerals ; Original Article ; Orthopedics ; Osteoporosis - etiology ; Osteoporosis - physiopathology ; Osteoporosis, Postmenopausal - etiology ; Osteoporosis, Postmenopausal - physiopathology ; Postmenopause - physiology ; Premenopause - physiology ; Rheumatology ; Scoliosis ; Thoracic Vertebrae - pathology ; Womens health ; Young Adult</subject><ispartof>Osteoporosis international, 2013-08, Vol.24 (8), p.2269-2273</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-ec3f1d4ff58ae89cea173b949ce9c56e588a51bb73b0470bdcb553e23098a2583</citedby><cites>FETCH-LOGICAL-c504t-ec3f1d4ff58ae89cea173b949ce9c56e588a51bb73b0470bdcb553e23098a2583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23400251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pavlovic, A.</creatorcontrib><creatorcontrib>Nichols, D. L.</creatorcontrib><creatorcontrib>Sanborn, C. F.</creatorcontrib><creatorcontrib>DiMarco, N. M.</creatorcontrib><title>Relationship of thoracic kyphosis and lumbar lordosis to bone mineral density in women</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary The relationship between spinal curvature and bone mineral density (BMD) in women was examined. Significant relationships were observed between spinal curvature and BMD in both pre- and postmenopausal women. Excessive spinal curvature may be associated with low bone mass in premenopausal women. Introduction The purpose of this study was to examine the associations between spinal measurements of thoracic and lumbar curvatures and bone mineral density in pre- and postmenopausal women. Methods The data for this study were obtained from the Texas Woman’s University Pioneer Project. Female participants ( n  = 242; premenopausal n  = 104, postmenopausal n  = 138) between the ages of 18 and 60 years were evaluated on multiple health measures. Thoracic and lumbar curvatures were measured with a 24-in. (60 cm) flexicurve. Bone mineral density was assessed via dual-energy X-ray absorptiometry (Lunar DPX IQ, version 4.6e). Pearson correlations and logistic regression analysis were used to examine the associations between the obtained spinal curvature measurements and bone mineral density. Significance was set at p  &lt; .05. Results Significant correlations were observed for the femoral neck and lumbar spine bone mineral density with thoracic and lumbar curve in premenopausal women ( r  = −.344 to − .525; p  &lt; .001). Slightly weaker, but significant, correlations were observed for femoral neck and lumbar spine in relation to thoracic and lumbar curve in postmenopausal women ( r  = −.288 to −.397; p  &lt; .01). Premenopausal women with thoracic curvature greater than 4 cm had a greater risk of having low bone mass compared to premenopausal women with less than 4 cm of curvature (odds ratio = 3.982, 95 % CI = 1.206, 13.144). Conclusions The observed negative relationship suggests that as either thoracic or lumbar curvature increases, the regional bone mineral density decreases in both pre- and postmenopausal women.</description><subject>Absorptiometry, Photon - methods</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Bone density</subject><subject>Bone Density - physiology</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Femur Neck - physiopathology</subject><subject>Humans</subject><subject>Kyphosis - complications</subject><subject>Kyphosis - pathology</subject><subject>Kyphosis - physiopathology</subject><subject>Longitudinal Studies</subject><subject>Lordosis - complications</subject><subject>Lordosis - pathology</subject><subject>Lordosis - physiopathology</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Menopause</subject><subject>Middle Aged</subject><subject>Minerals</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoporosis - etiology</subject><subject>Osteoporosis - physiopathology</subject><subject>Osteoporosis, Postmenopausal - etiology</subject><subject>Osteoporosis, Postmenopausal - physiopathology</subject><subject>Postmenopause - physiology</subject><subject>Premenopause - physiology</subject><subject>Rheumatology</subject><subject>Scoliosis</subject><subject>Thoracic Vertebrae - pathology</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFkV1r2zAUhsVoWdJuP6A3Q9Cb3bjVhxVLlyV0bSEwKO3YnZDl40WpLWWSTcm_r9xkZQzKriQdPec9Eg9CZ5RcUEKqy0QIVbIglBeMqUVRfUBzWvJ8UgtxhOZE8apQJf05QycpbUjuUar6iGaMl4QwQefoxz10ZnDBp7Xb4tDiYR2isc7ip912HZJL2PgGd2Nfm4i7EJvX2hBwHTzg3nmIpsMN-OSGHXYeP4ce_Cd03JouwefDeooev10_LG-L1febu-XVqrCClEMBlre0KdtWSANSWTC04rUq805ZsQAhpRG0rnORlBWpG1sLwYFxoqRhQvJT9HWfu43h9whp0L1LFrrOeAhj0rSkTCw4F9X_Ua5UflTFJvT8H3QTxujzRyZKKpkplim6p2wMKUVo9Ta63sSdpkRPfvTej85-9ORHT8lfDslj3UPz1vFHSAbYHkj5yv-C-Nfod1NfAGv9mpM</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Pavlovic, A.</creator><creator>Nichols, D. 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L.</au><au>Sanborn, C. F.</au><au>DiMarco, N. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of thoracic kyphosis and lumbar lordosis to bone mineral density in women</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>24</volume><issue>8</issue><spage>2269</spage><epage>2273</epage><pages>2269-2273</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary The relationship between spinal curvature and bone mineral density (BMD) in women was examined. Significant relationships were observed between spinal curvature and BMD in both pre- and postmenopausal women. Excessive spinal curvature may be associated with low bone mass in premenopausal women. Introduction The purpose of this study was to examine the associations between spinal measurements of thoracic and lumbar curvatures and bone mineral density in pre- and postmenopausal women. Methods The data for this study were obtained from the Texas Woman’s University Pioneer Project. Female participants ( n  = 242; premenopausal n  = 104, postmenopausal n  = 138) between the ages of 18 and 60 years were evaluated on multiple health measures. Thoracic and lumbar curvatures were measured with a 24-in. (60 cm) flexicurve. Bone mineral density was assessed via dual-energy X-ray absorptiometry (Lunar DPX IQ, version 4.6e). Pearson correlations and logistic regression analysis were used to examine the associations between the obtained spinal curvature measurements and bone mineral density. Significance was set at p  &lt; .05. Results Significant correlations were observed for the femoral neck and lumbar spine bone mineral density with thoracic and lumbar curve in premenopausal women ( r  = −.344 to − .525; p  &lt; .001). Slightly weaker, but significant, correlations were observed for femoral neck and lumbar spine in relation to thoracic and lumbar curve in postmenopausal women ( r  = −.288 to −.397; p  &lt; .01). Premenopausal women with thoracic curvature greater than 4 cm had a greater risk of having low bone mass compared to premenopausal women with less than 4 cm of curvature (odds ratio = 3.982, 95 % CI = 1.206, 13.144). Conclusions The observed negative relationship suggests that as either thoracic or lumbar curvature increases, the regional bone mineral density decreases in both pre- and postmenopausal women.</abstract><cop>London</cop><pub>Springer London</pub><pmid>23400251</pmid><doi>10.1007/s00198-013-2296-7</doi><tpages>5</tpages></addata></record>
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subjects Absorptiometry, Photon - methods
Adolescent
Adult
Bone density
Bone Density - physiology
Endocrinology
Female
Femur Neck - physiopathology
Humans
Kyphosis - complications
Kyphosis - pathology
Kyphosis - physiopathology
Longitudinal Studies
Lordosis - complications
Lordosis - pathology
Lordosis - physiopathology
Lumbar Vertebrae - pathology
Lumbar Vertebrae - physiopathology
Medicine
Medicine & Public Health
Menopause
Middle Aged
Minerals
Original Article
Orthopedics
Osteoporosis - etiology
Osteoporosis - physiopathology
Osteoporosis, Postmenopausal - etiology
Osteoporosis, Postmenopausal - physiopathology
Postmenopause - physiology
Premenopause - physiology
Rheumatology
Scoliosis
Thoracic Vertebrae - pathology
Womens health
Young Adult
title Relationship of thoracic kyphosis and lumbar lordosis to bone mineral density in women
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