Scientific Reports (Apr 2021)
Gender-specific analysis for the association between trunk muscle mass and spinal pathologies
- Yusuke Hori,
- Masatoshi Hoshino,
- Kazuhide Inage,
- Masayuki Miyagi,
- Shinji Takahashi,
- Shoichiro Ohyama,
- Akinobu Suzuki,
- Tadao Tsujio,
- Hidetomi Terai,
- Sho Dohzono,
- Ryuichi Sasaoka,
- Hiromitsu Toyoda,
- Minori Kato,
- Akira Matsumura,
- Takashi Namikawa,
- Masahiko Seki,
- Kentaro Yamada,
- Hasibullah Habibi,
- Hamidullah Salimi,
- Masaomi Yamashita,
- Tomonori Yamauchi,
- Takeo Furuya,
- Sumihisa Orita,
- Satoshi Maki,
- Yasuhiro Shiga,
- Masahiro Inoue,
- Gen Inoue,
- Hisako Fujimaki,
- Kosuke Murata,
- Ayumu Kawakubo,
- Daijiro Kabata,
- Ayumi Shintani,
- Seiji Ohtori,
- Masashi Takaso,
- Hiroaki Nakamura
Affiliations
- Yusuke Hori
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Masatoshi Hoshino
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Kazuhide Inage
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Masayuki Miyagi
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Shinji Takahashi
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Shoichiro Ohyama
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Akinobu Suzuki
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Tadao Tsujio
- Department of Orthopaedic Surgery, Shiraniwa Hospital
- Hidetomi Terai
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Sho Dohzono
- Department of Orthopaedic Surgery, Yodogawa Christian Hospital
- Ryuichi Sasaoka
- Department of Orthopaedic Surgery, Yodogawa Christian Hospital
- Hiromitsu Toyoda
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Minori Kato
- Department of Orthopaedic Surgery, Osaka City General Hospital
- Akira Matsumura
- Department of Orthopaedic Surgery, Osaka City General Hospital
- Takashi Namikawa
- Department of Orthopaedic Surgery, Osaka City General Hospital
- Masahiko Seki
- Department of Orthopaedic Surgery, Shiraniwa Hospital
- Kentaro Yamada
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Hasibullah Habibi
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Hamidullah Salimi
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Masaomi Yamashita
- Department of Orthopedic Surgery, JCHO Funabashi Central Hospital
- Tomonori Yamauchi
- Department of Orthopedic Surgery, Asahi General Hospital
- Takeo Furuya
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Sumihisa Orita
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Satoshi Maki
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Yasuhiro Shiga
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Masahiro Inoue
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Gen Inoue
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Hisako Fujimaki
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Kosuke Murata
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Ayumu Kawakubo
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Daijiro Kabata
- Department of Medical Statistics, Osaka City University Graduate School of Medicine
- Ayumi Shintani
- Department of Medical Statistics, Osaka City University Graduate School of Medicine
- Seiji Ohtori
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Masashi Takaso
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University
- Hiroaki Nakamura
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- DOI
- https://doi.org/10.1038/s41598-021-87334-4
- Journal volume & issue
-
Vol. 11,
no. 1
pp. 1 – 9
Abstract
Abstract We investigated the relationship between trunk muscle mass and spinal pathologies by gender. This multicenter cross-sectional study included patients aged ≥ 30 years who visited a spinal outpatient clinic. Trunk and appendicular muscle mass were measured using bioelectrical impedance analysis. The Oswestry Disability Index (ODI), visual analog scale (VAS) score for low back pain, sagittal vertical axis (SVA), and EuroQol 5 Dimension (EQ5D) score were investigated to evaluate spinal pathology. The association between trunk muscle mass and these parameters was analyzed by gender using a non-linear regression model adjusted for patients’ demographics. We investigated the association between age and trunk muscle mass. We included 781 men and 957 women. Trunk muscle mass differed significantly between men and women, although it decreased with age after age 70 in both genders. Lower trunk muscle mass was significantly associated with ODI, SVA, and EQ5D score deterioration in both genders; its association with VAS was significant only in men. Most parameters deteriorated when trunk muscle mass was < 26 kg in men and < 19 kg in women. Lower trunk muscle mass was associated with lumbar disability, spinal imbalance, and poor quality of life in both genders, with significant difference in muscle mass.
