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Poor spinal alignment in females with obesity: The Yakumo study
Kei Ando1, Kazuyoshi Kobayashi1, Hiroaki Nakashima1
1Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65,Tsurumai,Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Objective:
The goal of this prospective study was prospectively to investigate the relationship between obesity and spinal sagittal alignment.
Methods:
286 were referred for orthopedic evaluation. Differences in spinal parameters among these groups and between males and females were evaluated.
Results:
Obese subjects had significantly higher C2S, CPA, CTPA, PI-LL, and lower cervical lordosis, L4S1, lumbar lordosis, and sacral slope. In multivariate logistic regression analysis adjusted for age in females, CTPA was identified as the only independent and significant factor associated with obesity.
Conclusions:
Obesity in females has significant relationships with spinal sagittal alignment and results in poorer physical QOL.
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