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Erschienen in: Journal of Bone and Mineral Metabolism 3/2022

03.03.2022 | Original Article

Relationship between oseteoporosis with fatty infiltration of paraspinal muscles based on QCT examination

verfasst von: Xiangwen Li, Yuxue Xie, Rong Lu, Yuyang Zhang, Hongyue Tao, Shuang Chen

Erschienen in: Journal of Bone and Mineral Metabolism | Ausgabe 3/2022

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Abstract

Introduction

To investigate the correlation between paraspinal muscles features and osteoporosis in lumbar spine.

Materials and methods

A total of 367 subjects who underwent quantitative computed tomography (QCT) examination were enrolled in this study. QCT pro workstation was used to obtain the mean bone mineral density (BMD) of the lower lumbar spine. Fat fraction (FF) and cross-section area (CSA) of the paraspinal muscles at the corresponding levels were measured. All participants were divided into normal, osteopenia, and osteoporosis groups. One-way ANOVA and independent samples t tests were performed to compare differences between groups. Pearson and Spearman correlation coefficients and partial correlation analysis after controlling for confounding factors were used to analyze the correlation between BMD and paraspinal muscles measurements.

Results

Among the 367 participants included, 116 were in the normal group, 130 in the osteopenia group and 121 in the osteoporosis group. There were significant differences among the three groups for the mean and multifidus FF. BMD showed negative correlations with the FF of the paraspinal muscles. Multifidus and mean FF showed the best correlation (r = − 0.654, − 0.777). There were also significant differences in the mean and multifidus FF between different age groups, while after controlling for confounding factors, there was no correlation between age and FF of the paraspinal muscles.

Conclusion

This preliminary study demonstrated the association of BMD with fatty infiltration of paraspinal muscles. Different muscles might have specific effects in different sex and age groups.
Literatur
6.
Zurück zum Zitat Salimi H, Ohyama S, Terai H, Hori Y, Takahashi S, Hoshino M, Yabu A, Habibi H, Kobayashi A, Tsujio T, Kotake S, Nakamura H (2021) Trunk muscle mass measured by bioelectrical impedance analysis reflecting the cross-sectional area of the paravertebral muscles and back muscle strength: a cross-sectional analysis of a prospective cohort study of elderly population. J Clin Med. https://doi.org/10.3390/jcm10061187CrossRefPubMedPubMedCentral Salimi H, Ohyama S, Terai H, Hori Y, Takahashi S, Hoshino M, Yabu A, Habibi H, Kobayashi A, Tsujio T, Kotake S, Nakamura H (2021) Trunk muscle mass measured by bioelectrical impedance analysis reflecting the cross-sectional area of the paravertebral muscles and back muscle strength: a cross-sectional analysis of a prospective cohort study of elderly population. J Clin Med. https://​doi.​org/​10.​3390/​jcm10061187CrossRefPubMedPubMedCentral
11.
14.
Zurück zum Zitat Beasley LE, Koster A, Newman AB, Javaid MK, Ferrucci L, Kritchevsky SB, Kuller LH, Pahor M, Schaap LA, Visser M, Rubin SM, Goodpaster BH, Harris TB, Health ABCs (2009) Inflammation and race and gender differences in computerized tomography-measured adipose depots. Obesity 17:1062–1069. https://doi.org/10.1038/oby.2008.627CrossRefPubMed Beasley LE, Koster A, Newman AB, Javaid MK, Ferrucci L, Kritchevsky SB, Kuller LH, Pahor M, Schaap LA, Visser M, Rubin SM, Goodpaster BH, Harris TB, Health ABCs (2009) Inflammation and race and gender differences in computerized tomography-measured adipose depots. Obesity 17:1062–1069. https://​doi.​org/​10.​1038/​oby.​2008.​627CrossRefPubMed
22.
Zurück zum Zitat Mao SS, Li D, Syed YS, Gao Y, Luo Y, Flores F, Child J, Cervantes M, Kalantar-Zadeh K, Budoff MJ (2017) Thoracic Quantitative Computed Tomography (QCT) can sensitively monitor bone mineral metabolism: comparison of thoracic QCT vs lumbar QCT and dual-energy X-ray absorptiometry in detection of age-relative change in bone mineral density. Acad Radiol 24:1582–1587. https://doi.org/10.1016/j.acra.2017.06.013CrossRefPubMed Mao SS, Li D, Syed YS, Gao Y, Luo Y, Flores F, Child J, Cervantes M, Kalantar-Zadeh K, Budoff MJ (2017) Thoracic Quantitative Computed Tomography (QCT) can sensitively monitor bone mineral metabolism: comparison of thoracic QCT vs lumbar QCT and dual-energy X-ray absorptiometry in detection of age-relative change in bone mineral density. Acad Radiol 24:1582–1587. https://​doi.​org/​10.​1016/​j.​acra.​2017.​06.​013CrossRefPubMed
30.
Zurück zum Zitat Takashima H, Takebayashi T, Ogon I, Yoshimoto M, Morita T, Imamura R, Nakanishi M, Nagahama H, Terashima Y, Yamashita T (2018) Analysis of intra and extramyocellular lipids in the multifidus muscle in patients with chronic low back pain using MR spectroscopy. Br J Radiol 91:20170536. https://doi.org/10.1259/bjr.20170536CrossRefPubMed Takashima H, Takebayashi T, Ogon I, Yoshimoto M, Morita T, Imamura R, Nakanishi M, Nagahama H, Terashima Y, Yamashita T (2018) Analysis of intra and extramyocellular lipids in the multifidus muscle in patients with chronic low back pain using MR spectroscopy. Br J Radiol 91:20170536. https://​doi.​org/​10.​1259/​bjr.​20170536CrossRefPubMed
31.
Zurück zum Zitat Habibi H, Takahashi S, Hoshino M, Takayama K, Sasaoka R, Tsujio T, Yasuda H, Kanematsu F, Kono H, Toyoda H, Ohyama S, Hori Y, Nakamura H (2021) Impact of paravertebral muscle in thoracolumbar and lower lumbar regions on outcomes following osteoporotic vertebral fracture: a multicenter cohort study. Arch Osteoporos 16:2. https://doi.org/10.1007/s11657-020-00866-6CrossRefPubMed Habibi H, Takahashi S, Hoshino M, Takayama K, Sasaoka R, Tsujio T, Yasuda H, Kanematsu F, Kono H, Toyoda H, Ohyama S, Hori Y, Nakamura H (2021) Impact of paravertebral muscle in thoracolumbar and lower lumbar regions on outcomes following osteoporotic vertebral fracture: a multicenter cohort study. Arch Osteoporos 16:2. https://​doi.​org/​10.​1007/​s11657-020-00866-6CrossRefPubMed
34.
Zurück zum Zitat Sollmann N, Franz D, Burian E, Loffler MT, Probst M, Gersing A, Schwaiger B, Pfeiffer D, Kirschke JS, Baum T, Riederer I (2020) Assessment of paraspinal muscle characteristics, lumbar BMD, and their associations in routine multi-detector CT of patients with and without osteoporotic vertebral fractures. Eur J Radiol 125:108867. https://doi.org/10.1016/j.ejrad.2020.108867CrossRefPubMed Sollmann N, Franz D, Burian E, Loffler MT, Probst M, Gersing A, Schwaiger B, Pfeiffer D, Kirschke JS, Baum T, Riederer I (2020) Assessment of paraspinal muscle characteristics, lumbar BMD, and their associations in routine multi-detector CT of patients with and without osteoporotic vertebral fractures. Eur J Radiol 125:108867. https://​doi.​org/​10.​1016/​j.​ejrad.​2020.​108867CrossRefPubMed
Metadaten
Titel
Relationship between oseteoporosis with fatty infiltration of paraspinal muscles based on QCT examination
verfasst von
Xiangwen Li
Yuxue Xie
Rong Lu
Yuyang Zhang
Hongyue Tao
Shuang Chen
Publikationsdatum
03.03.2022
Verlag
Springer Nature Singapore
Erschienen in
Journal of Bone and Mineral Metabolism / Ausgabe 3/2022
Print ISSN: 0914-8779
Elektronische ISSN: 1435-5604
DOI
https://doi.org/10.1007/s00774-022-01311-z

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