Prevalence of Osteoporosis and Sarcopenia in Middle-Aged Subjects with Low Back Pain.
Objective The genesis of both osteoporosis and sarcopenia is multifactorial, complicated, and interrelated. The present study has been undertaken to analyze the prevalence of low bone mineral density (BMD) and the pattern of imaging markers of sarcopenia (paraspinal skeletal muscle area [SMA] and sk...
| Publicado en: | Indian Journal of Radiology & Imaging Vol. 35; no. 1; pp. 2 - 10 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Thieme Medical & Scientific Publishers Private Limited
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181701177&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181701177 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09713026 1CQM jtl: Indian Journal of Radiology & Imaging issn: 09713026 maglogo: N pubinfo: dt: 2025 vid: 35 iid: 1 pid: 65383 pub: Thieme Medical & Scientific Publishers Private Limited artinfo: ui: 181701177 181701177 181701177 10.1055/s-0044-1787683 181701177 ppf: 2 ppct: 8 formats: tig: atl: Prevalence of Osteoporosis and Sarcopenia in Middle-Aged Subjects with Low Back Pain. aug: au: Narayan, Shamrendra Pratap, Rishabh Raj, Gaurav Chauhan, Abhishek Kumar, Tushant Singh, Neha Singh, Ajai Kumar Gupta, Nikhil affil: Department of Radiodiagnosis, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India sug: subj: Low Back Pain Complications Osteoporosis Epidemiology Sarcopenia Epidemiology Osteoporosis Risk Factors Sarcopenia Risk Factors Sarcopenia Radiography Bone Density Muscle, Skeletal Physiology Risk Assessment Human Male Female Adult Middle Age Prospective Studies Nonexperimental Studies Lumbar Vertebrae Radiography Sacroiliac Joint Radiography Magnetic Resonance Imaging Methods Tomography, X-Ray Computed Methods Chi Square Test T-Tests Analysis of Variance Bivariate Statistics Statistical Significance Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objective The genesis of both osteoporosis and sarcopenia is multifactorial, complicated, and interrelated. The present study has been undertaken to analyze the prevalence of low bone mineral density (BMD) and the pattern of imaging markers of sarcopenia (paraspinal skeletal muscle area [SMA] and skeletal muscle index [SMI] with respect to clinicodemographic profile in middle-aged patients (30–45 years) undergoing evaluation for low back pain (LBP). Materials and Methods Magnetic resonance imaging (MRI) of the lumbosacral spine and/or sacroiliac joints was done on 3T MRI. BMD of the lumbar spine (L1 to L4) was assessed using a dual-energy X-ray absorptiometry scan. SMA was calculated by measuring the cross-sectional area of paraspinal muscles (bilateral psoas, erector spinae, and multifidus), and SMI was calculated by dividing SMA by height 2. Results The prevalence of osteoporosis was 12.1% in patients of age 30 to 45 years presenting with LBP. Both osteoporosis and paraspinal muscle mass were statistically associated with the duration of symptoms (p -value <0.05). No statistically significant difference was observed in different MRI findings, that is, normal, inflammatory, infective, and degenerative etiology. Conclusion Low BMD and loss of muscle mass in cases with LBP are more related to duration of disease rather than etiology or gender in middle-aged subjects. Early intervention to manage LBP may prevent progression to osteoporosis and sarcopenia in young adults. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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