Relationship between postural changes, osteoarthritis and bone mineral density in postmenopausal women

Abstract

Objectives

To assess the relationship between postural changes, osteoarthritis (OA) and bone mineral density (BMD) in postmenopausal women.

Methods

A total of 127 Brazilian women, aged 45 years or older, were included in this retrospective study. Subjects were divided in two groups: study group with postural changes (SG) and control group without postural changes (CG). Possible postural changes considered were scoliosis, kyphosis and lordosis. All women underwent BMD assessment and OA was identified at the region of the hip and lumbar spine by dual energy X-ray absorptiometry (DXA) analysis.

Results

SG was older (66.0 ± 7.3 years) than the CG (61.0 ± 8.6 years). In the entire sample we found thirteen women with OA and low BMD. Overall, the lumbar spine area was more affected by OA than the hip. The value of BMD T-score accounted for up to 77% of the changes observed in the SG group.

Conclusion

Postural changes identified in women are directly related to aging and associated with bone loss and joint degeneration. Postural changes may be the primary sign of frailty as a result of body adaptation to pain related to musculoskeletal diseases.

摘要

目的

评估绝经后女性体型变化、骨关节炎(OA)和骨密度(BMD)之间的关系。

方法

本回顾性研究共纳入127名45岁及以上的巴西女性。将受试者分为两组:有体型改变的研究组(SG)和无体型改变的对照组(CG)。可能的体型改变包括脊柱侧凸、脊柱后凸和脊柱前凸。所有女性都进行了骨密度评估, 通过双能X线吸收仪(DXA)分析, 在髋关节和腰椎区域发现了OA。

结果

SG组年龄(66.0±7.3岁)大于CG组(61.0±8.6岁)。在整个样本中, 我们发现了13名骨密度低的OA女性。总的来说, 腰椎区域受OA的影响比髋关节更大。在SG组中观察到77% MD的t值改变。

结论

女性体型变化与衰老直接相关, 并与骨量丢失和关节退行性变有关。由于身体适应与肌肉骨骼疾病相关的疼痛, 体型变化可能是衰弱的主要迹象。

Keywords:

• Postural changes
• osteoarthritis
• osteoporosis
• bone mass content
• bone mineral density

关键词:

• 体型变化
• 骨关节炎
• 骨质疏松症
• 骨量
• 骨密度

Disclosure statement

The authors declare that they have no conflicts of interest. Additionally, the authors alone are responsible for the content and writing of the paper

Funding

The author(s) reported there is no funding associated with the work featured in this article.