Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Geriatr Soc. 2004 Oct;52(10):1662-7.

Hyperkyphotic posture predicts mortality in older community-dwelling men and women: a prospective study.

Author information

  • 1Division of Geriatrics, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California 90095, USA. dkado@mednet.ucla.edu

Abstract

OBJECTIVES:

To determine the association between hyperkyphotic posture and rate of mortality and cause-specific mortality in older persons.

DESIGN:

Prospective cohort study.

SETTING:

Rancho Bernardo, California.

PARTICIPANTS:

Subjects were 1,353 participants from the Rancho Bernardo Study who had measurements of kyphotic posture made at an osteoporosis visit between 1988 and 1991.

MEASURES:

Kyphotic posture was measured as the number of 1.7-cm blocks that needed to be placed under the participant's head to achieve a neutral head position when lying supine on a radiology table. Demographic and clinical characteristics and health behaviors were assessed at a clinic visit using standard questionnaires. Participants were followed for an average of 4.2 years, with mortality and cause of death confirmed using review of death certificates.

RESULTS:

Hyperkyphotic posture, defined as requiring one or more blocks under the occiput to achieve a neutral head position while lying supine, was more common in men than women (44% in men, 22% of women, P<.0001). In age- and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44 greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005). In multiply adjusted models, the increased rate of death associated with hyperkyphotic posture remained significant (relative hazard=1.40, 95% CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic posture was specifically associated with an increased rate of death due to atherosclerosis.

CONCLUSION:

Older men and women with hyperkyphotic posture have higher mortality rates.

PMID:
15450042
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Write to the Help Desk