Evidence map›Paper›PMID 38982114›Full record

ArticleScientific reports2024

Osteoporosis, spinal degenerative disorders, and their association with low back pain, activities of daily living, and physical performance in a general population.

Shoei Iwata, Hiroshi Hashizume, Noriko Yoshimura, Hiroyuki Oka, Hiroki Iwahashi, Yuyu Ishimoto, Keiji Nagata, Masatoshi Teraguchi, Ryohei Kagotani, Takahide Sasaki and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Detecting scoliosis at scale using automated Cobb angle analysis in the UK Biobank.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  5. Mapping the genetically predicted associations between lower-extremity muscle traits and spinal diseases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  6. A genomic structural equation modelling analysis of the shared genetic architecture of the aging spine.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  18. Age-threshold for increased risk of developing back disorders: prospective cohort with 74 000 individuals from the UK Biobank.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Shoei IwataDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Hiroshi HashizumeDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan. hashizum@wakayama-med.ac.jp.ORCID 0009-0005-5822-7165
Noriko YoshimuraDepartment of Preventive Medicine for Locomotive Organ Disorders, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo, Bunkyo-Ku, Tokyo, Japan.
Hiroyuki OkaDivision of Musculoskeletal AI System Development, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, Tokyo, Japan.
Hiroki IwahashiDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Yuyu IshimotoDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Keiji NagataDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Masatoshi TeraguchiDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Ryohei KagotaniDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Takahide SasakiDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Sakae TanakaDepartment of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-Ku, Tokyo, Japan.
Munehito YoshidaDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Hiroshi YamadaDepartment of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.

Funding

a Grant-in-Aid for Scientific Research 21K0936a Grant-in-Aid for Scientific Research B23390172a Grant-in-Aid for Scientific Research B26293139a Grant-in-Aid for Scientific Research B2629333a Grant-in-Aid for Scientific Research C25462305a Grant-in-Aid for Scientific Research C26462249the Ministry of Health, Labour and Welfare 201417014Athe Ministry of Health, Labour and Welfare 202209022Athe Ministry of Health, Labour and Welfare H-25-Choujyu-007the Ministry of Health, Labour and Welfare H25-Nanchitou (Men)-005
6 · The paper itself

Abstract

Osteoporosis, vertebral fractures, and spinal degenerative diseases are common conditions that often coexist in older adults. This study aimed to determine the factors influencing low back pain and its impact on activities of daily living (ADL) and physical performance in older individuals with multiple comorbidities. This cross-sectional study was part of a large-scale population-based cohort study in Japan, involving 1009 participants who underwent spinal magnetic resonance imaging (MRI) to assess cervical cord compression, radiographic lumbar spinal stenosis, and lumbar disc degeneration. Vertebral fractures in the thoracolumbar spine were evaluated using sagittal MRI with a semi-quantitative method. Bone mineral density was measured using dual-energy X-ray absorptiometry. Low back pain, Oswestry Disability Index (ODI), and physical performance tests, such as one-leg standing time, five times chair-stand time, maximum walking speed, and maximum step length, were assessed. Using clinical conditions as objective variables and image evaluation parameters as explanatory variables, multiple regression analysis showed that vertebral fractures were significantly associated with low back pain and ODI. Vertebral fractures and osteoporosis significantly impacted physical performance, whereas osteoporosis alone did not affect low back pain or ODI. Our findings contribute to new insights into low back pain and its impact on ADL and physical performance.

Indexed as

Activities of Daily LivingLow Back PainOsteoporosisPhysical Functional PerformanceAgedAged, 80 and overBone DensityCross-Sectional StudiesFemaleHumansIntervertebral Disc DegenerationJapanLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedAgingLow back painMusculoskeletal disordersOsteoporosisPhysical performanceVertebral fractures

Identifiers

PMID38982114
PMCPMC11233640

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.