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The association between incident vertebral deformities, health-related quality of life and functional impairment: a 10.7-year cohort study

Version 2 2024-09-18, 23:31
Version 1 2023-05-20, 23:28
journal contribution
posted on 2024-09-18, 23:31 authored by A Shah, Feitong WuFeitong Wu, Graeme JonesGraeme Jones, F Cicuttini, Li Shean TohLi Shean Toh, Laura LaslettLaura Laslett

We aimed to describe longitudinal changes in health-related quality of life (HRQoL) measures associated with incident vertebral deformities (VDs) over 10.7 years. Incident VDs are associated with clinically significant functional impairment in men, and reduction in overall HRQoL in older women. Increasing severity and number of incident VDs are associated with clinically meaningful functional impairment in men, but not women.

Introduction: To describe associations between incident VD and changes in HRQoL and functional ability in older adults over 10.7 years.

Methods: Participants (n = 780) underwent whole-body dual-energy X-ray absorptiometry (DXA) scans at baseline, 2.5, 5.1 and 10.7 years later. VD was defined as ≥ 25% reduction in anterior height relative to posterior height of vertebrae from T4 to L4. An incident VD was defined as a new VD at any follow-up visit. Assessment of Quality of Life (AQoL-4D) questionnaire and Health Assessment Questionnaire-Disability Index (HAQ-DI) were used to assess HRQoL and functional impairment. Changes in AQoL and HAQ-DI associated with incident VD were analysed using multilevel mixed-effects linear regression. Log binomial regression was used to examine clinically relevant changes and effects of severity and number of VD.

Results: The incidence of VD was 37% over 10.7 years. In women, incident VDs were associated with annual reduction in AQoL utility score (β = -0.005, 95% CI -0.008 to -0.002). Men had increased risk of clinically significant reduction in HAQ-DI (IRR = 1.76, 95% CI 1.07-2.89). Men had increased risk of clinically important functional impairment with increasing severity (IRR 1.76, 95% CI 1.04-2.95 for mild vs IRR 1.98, 95% CI 1.13-3.47 for moderate to severe VD) as well as number of incident VD (IRR 1.85, 95% CI 1.17-2.93 for one vs IRR 1.88, 95% CI 0.94-3.78 for ≥ 2 VDs). Such associations were not observed in women.

Conclusions: Incident VDs are associated with clinically significant functional impairment in men, and reduction in overall HRQoL in older women. Increasing severity and number of incident VDs are associated with clinically meaningful functional impairment in men, but not women.

Funding

National Health & Medical Research Council

History

Publication title

Osteoporosis International

Volume

32

Issue

11

Pagination

2247-2255:9

ISSN

0937-941X

Department/School

Menzies Institute for Medical Research, Pharmacy

Publisher

Springer-Verlag London Ltd

Publication status

  • Published

Place of publication

Sweetapple House Catteshall Road, Godalming, England, Surrey, Gu7 3Dj

Rights statement

Copyright International Osteoporosis Foundation and National Osteoporosis Foundation 2021

Socio-economic Objectives

200101 Diagnosis of human diseases and conditions

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