ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022
The association between hyperkyphosis and fall incidence among community-dwelling older adults.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 19 citations in OpenAlex.
- The Effects of Breast Cancer Surgery on Thoracic Kyphosis and the Correlation Between Supine CT and Standing X-Rays: A Single-Center Retrospective Study.Journal of clinical medicine · 2026Article
- The relationship between thoracic kyphosis and Q angle with balance and falls in patients with osteoporosis.BMC musculoskeletal disorders · 2026Article
- Postural abnormalities and functional impairment in hemodialysis and peritoneal dialysis patients: a cross-sectional study.BMC nephrology · 2026Observational
- Associations between postural kyphosis and tactile sensation, proprioception, and body image in young individuals: an analytical cross-sectional study.BMC musculoskeletal disorders · 2026Observational
- Characterizing aging-related genetic and physiological determinants of spinal curvature.Communications medicine · 2025Article
- The Effects of Hyperkyphosis on Gait Parameters in Older Adults: A Systematic Review.Health science reports · 2025Review
- The association of FRAX with predictors of falls in the assessment of postmenopausal osteoporosis in Turkey: the fracture study of Turkey (FRACT study).Archives of osteoporosis · 2024Observational
- Incidence Rate and Factors Associated With Fractures Among Medicare Beneficiaries With Ankylosing Spondylitis in the United States.Arthritis care & research · 2024Article
- Article
- Fall risk in older adults hospitalized with tumours: Contributing factors and prediction model.Nursing open · 2023Article
- The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Osteoporosis increases the risk of rotator cuff tears: a population-based cohort study.Journal of bone and mineral metabolism · 2022Article
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Abstract
Hyperkyphosis, an increased kyphosis angle of the thoracic spine, was associated with a higher fall incidence in the oldest quartile of a large prospective cohort of community-dwelling older adults. Hyperkyphosis could serve as an indicator of an increased fall risk as well as a treatable condition.
introductionHyperkyphosis is frequently found in adults aged 65 years and older and may be associated with falls. We aimed to investigate prospectively in community-dwelling older adults whether hyperkyphosis or change in the kyphosis angle is associated with fall incidence.
methodsCommunity-dwelling older adults (n = 1220, mean age 72.9 ± 5.7 years) reported falls weekly over 2 years. We measured thoracic kyphosis through the Cobb angle between the fourth and 12th thoracic vertebra on DXA-based vertebral fracture assessments and defined hyperkyphosis as a Cobb angle ≥ 50°. The change in the Cobb angle during follow-up was dichotomized (< 5 or ≥ 5°). Through multifactorial regression analysis, we investigated the association between the kyphosis angle and falls.
resultsHyperkyphosis was present in 15% of the participants. During follow-up, 48% of the participants fell at least once. In the total study population, hyperkyphosis was not associated with the number of falls (adjusted IRR 1.12, 95% CI 0.91-1.39). We observed effect modification by age (p = 0.002). In the oldest quartile, aged 77 years and older, hyperkyphosis was prospectively associated with a higher number of falls (adjusted IRR 1.67, 95% CI 1.14-2.45). Change in the kyphosis angle was not associated with fall incidence.
conclusionsHyperkyphosis was associated with a higher fall incidence in the oldest quartile of a large prospective cohort of community-dwelling older adults. Because hyperkyphosis is a partially reversible condition, we recommend investigating whether hyperkyphosis is one of the causes of falls and whether a decrease in the kyphosis angle may contribute to fall prevention.
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