The Prevalence and Negative Effects of Thoracic Hyperkyphosis on Chinese Community-Dwelling Older Adults in Wuhan, Hubei Province, China

Background 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 elder...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2021, Vol.25 (1), p.57-63
Main Authors: Li, W.-Y., Chau, Pui Hing, Dai, Y., Tiwari, A. F.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aging
China
Cross-Sectional Studies
Epidemiology
Female
Geriatrics/Gerontology
Humans
Independent Living - standards
Kyphosis - complications
Kyphosis - epidemiology
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosciences
Nutrition
Older people
Prevalence
Primary Care Medicine
Quality of Life Research
Scoliosis
Sociodemographics
Spine
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Summary:Background 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. Design A cross-sectional study. Setting The communities in Wuhan, China. Participants Three hundred and ninety-five Chinese community-dwelling older adults with thoracic hyperkyphosis. Measures 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 & 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. Results 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
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-020-1441-1