Posture may Predict Future Disability-J Gerontol A Biol Sci Med Sci. 2013

Posted by:  Kevin G. Parker, D.C.

Pub   J Gerontol A Biol Sci Med Sci. 2013 Jan 28. [Epub ahead of print]

Spinal Posture in the Sagittal Plane Is Associated With Future Dependence in Activities of Daily Living: A Community-Based Cohort Study of Older Adults in Japan.-Kamitani K, Michikawa T, Iwasawa S, Eto N, Tanaka T, Takebayashi T, Nishiwaki Y.

Yuji Nishiwaki, Department of Environmental and Occupational Health, School of Medicine, Toho University, 5-21-16 Omori-nishi, Otaku, Tokyo 143-8540, Japan. E-mail:

Before we get into this article…. similar article in 2004:  Posture Predicts Mortality-Journal of the American Geriatrics Society-October 2004-Hyperkyphotic Posture Predicts Mortality in Older Community-Dwelling Men and Women: A Prospective Study

Key points from this 2013 study:

1. Other published studies ( see link above) suggest that healthy spinal posture is important in aging men and women who wish to independence in ADL. (Activities of Daily Living)

2.  Spinal Posture measurement was tied to whether seniors in study would need help with routine activities

3.  The  researchers found that those subjects with the greatest angle of spinal inclination –  were about 3 1/2 times more likely to become dependent on help for basic daily activities–as compared to those with the least spinal inclination.

4.   This could predict their future need for home assistance or admission to a nursing home– according to this  new Japanese study.

This study indicates that spinal inclination is associated with future dependence in ADL among older adults.
Accumulated evidence shows how important spinal posture is for aged populations in maintaining independence in everyday life. However, the cross-sectional designs of most previous studies prevent elucidation of the relationship between spinal posture and future dependence in activities of daily living (ADL). We tried to clarify the association by measuring spinal posture noninvasively in a community-based prospective cohort study of older adults, paying particular attention to thoracic curvature, lumbar curvature, sacral hip angle, and inclination to determine which parameter is most strongly associated with dependence in ADL.
Spinal posture was evaluated in 804 participants (338 men, 466 women, age range: 65-94 years) who were independent in ADL at baseline. We defined dependence in ADL as admission to a nursing home or need of home assistance. During the 4.5-year follow-up period, 126 (15.7%) participants became dependent in ADL. The relationship between the spinal posture parameters and outcome was assessed by dividing the participants into sex-specific quartiles of the parameters.
Only inclination (angle subtended between the vertical and a line joining C7 to the sacrum) was associated with outcome, although lumbar curvature also showed a marginal association. The age- and sex-adjusted odds ratio for a 1 unit increase in the quartiles of inclination was 1.79 (confidence interval: 1.44, 2.23). After mutual adjustment for the 4 parameters, statistical significance for inclination still remained, with no substantial changes in the association estimates.

Related articles:

Posture and Biomechanics-Journal of Radiology 1996

Why Does Back Pain Recur?

Pain Persisting after stressful events may have a Neurobiological Basis-N.C.School of Med

Low Speed impacts-Low velocity collisions causing injuries

Foundation Training

No Sit-ups Stuart McGill PhD

Inflamed gut equals inflamed Joints-Cordain-Br J Nutr. 2000

Healing Time of Soft Tissue

Back Pain-Insider Secrets revealed-San Fran Gate 2012

A New Gatekeeper for Back Pain

Fish oil-Neurosurgeon for the Pittsburgh Steelers

Foam Roller for Back Pain

Exercise Makes Us Feel Good-NY Times 2011

Gluten Free Diet helped Nerve Pain-Neurology 2010

Inflammation-13 Tips To Fight Inflammation

Laser Therapy in Rehabilitation-Irvine California

Low Back Pain Studies 2010

Magnesium Deficiency

Muscle Trigger points vs Acupuncture points

Neck pain-Journal of the American Board of Family Practice 2004

Nerve ingrowth into chronic painful disc-Lancet 1997

Nerve Supply of the lumbar disc-JBJS 2007

Omega 3’s-Molecular Neurobiology-January 2011

Omega 3′s and Nerve pain-Clinical Journal of Pain 2010

Self Movement Screen

Sitting-Can sitting too much kill you? Scientific American Jan 2011

If you are suffering from: Sports Injuries, Sprains, Strains, Car accident,  Herniated Disc, Disc Bulge, Degenerative Disc Disease, Neck pain, Headaches, Low back pain, of just want to feel better and have better life performance– please call our office in Irvine, California- at 949.857.1888or visit our website at ADJUST2IT to learn more about Functional Fitness ChiropracticSports massage,Myofascial ReleaseCorrective ExerciseNon Surgical Spinal DecompressionClass IV laser,  and Functional Nutrition.

2 Responses to “Posture may Predict Future Disability-J Gerontol A Biol Sci Med Sci. 2013”

  1. Galen Cranz Says:

    this is good to have evidence others than we somatically trained observers can recognize. Galen Cranz, PhD, AmSAT

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: