Height loss predicts subsequent hip fracture in men and women of the Framingham Study

Hannan, Marian T.; Broe, Kerry E; Cupples, L. Adrienne; Dufour, Alyssa B.; Rockwell, Margo; Kiel, Douglas P.

doi:10.1002/jbmr.557

Cited by 32 publications

(39 citation statements)

References 40 publications

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“…The findings of our investigation are in line with previous studies (Susanne and Orbach 1977;Noppa et al 1980;Herndon 1986;van Leer et al 1992;Center et al 1998;Kantor et al 2004;Siminoski et al 2006;Wannamethee et al 2006;Moayyeri et al 2008;Hannan et al 2012;Hillier et al 2012;Bagga 2013). In both sexes, height loss with advancing age was a common process and an inevitable effect of aging.…”

Section: Discussionsupporting

confidence: 93%

Height loss with advancing age in a hospitalized population of Polish men and women: magnitude, pattern and associations with mortality

Chmielewski

Borysławski

Chmielowiec³

et al. 2015

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The connection between the rate of height loss in older people and their general health status has been well documented in the medical literature. Our study was aimed at furthering the characterization of this interrelationship in the context of health indices and mortality in a hospitalized population of Polish adults. Data were collated from a literature review and from a longitudinal study of aging carried out in the Polish population which followed 142 physically healthy inmates, including 68 men and 74 women, for at least 25 years from the age of 45 onwards. Moreover, cross-sectional data were available from 225 inmates, including 113 men and 112 women. These subjects were confined at the same hospital. ANOVA, t-test, and regression analysis were employed. The results indicate that the onset of height loss emerges in the fourth and five decade of life and there is a gradual acceleration of reduction of height at later stages of ontogeny in both sexes. Postmenopausal women experience a more rapid loss of height compared with men. The individuals who had higher rate of loss of height (≥3 cm/decade) tend to be at greater risk of cardiovascular events and all-cause mortality. In conclusion, our findings suggest that a systematic assessment of the rate of loss of height can be useful for clinicians caring for elderly people because of its prognostic value in terms of morbidity and mortality.

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Section: Discussionsupporting

confidence: 93%

Height loss with advancing age in a hospitalized population of Polish men and women: magnitude, pattern and associations with mortality

Chmielewski

Borysławski

Chmielowiec³

et al. 2015

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“…In addition to vertebral fractures, several factors, including muscle weakness, postural changes, intervertebral disc degeneration, and joint space narrowing, might be related to the height loss of elderly osteoporotic patients. 17 There are several limitations in this study. First, the degree of kyphosis was not quantified, because spinopelvic parameters were not measured.…”

Section: Discussionmentioning

confidence: 92%

<p>Diagnosis of Presarcopenia Using Body Height and Arm Span for Postmenopausal Osteoporosis</p>

Ono¹,

Miyakoshi²,

Kasukawa³

et al. 2020

CIA

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Purpose: Sarcopenia and osteoporosis are both serious health problems in postmenopausal women. The Asia Working Group for Sarcopenia recommends using the skeletal muscle index (SMI), which is height-adjusted appendicular skeletal muscle mass (ASMM). However, loss of height has been shown to be a common clinical finding in patients with osteoporosis. This study examined the prevalence of presarcopenia using height and arm span, which is a predictor of height, and investigated the diagnostic accuracy for presarcopenia. Methods: A total of 55 post-menopausal osteoporotic patients aged 62-95 years underwent bioelectrical impedance analysis (BIA) for ASMM measurement and dual-energy X-ray absorptiometry (DXA) scan for bone mineral density (BMD). Anthropometric measurements, including height, weight, and arm span were taken, and body mass index (BMI), SMI, and arm span-adjusted SMI (Arm span SMI) were calculated. Presarcopenia was defined as SMI or Arm span SMI <5.7 kg/m 2 in this study. Results: The prevalence of presarcopenia was 27.3% and 38.2% evaluated by SMI and Arm span SMI, respectively. The prevalence of presarcopenia was higher when evaluated by Arm span SMI than by SMI. In the presarcopenia group diagnosed only by Arm span SMI (n=11), the arm span-height difference was significantly higher (p<0.001) and the percentage of young adult mean (YAM) femoral neck-BMD was significantly lower (p=0.013) compared to the normal group diagnosed by both SMI and Arm span-SMI (n=29). Conclusion: These results indicated that Arm span SMI might be useful for the diagnosis of sarcopenia in patients with severe osteoporosis and kyphosis.

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“…Therefore, it is not unexpected that it did not have a strong impact on gait speed decline. However, height loss is more pronounced in case of osteoporosis and has been associated with an increased risk of hip fracture 29 ; it can therefore serve as a surrogate for osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

The gait speed advantage of taller stature is lost with age

Elbaz

Artaud

Dugravot

et al. 2018

Sci Rep

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Taller individuals walk faster but it is unknown whether this advantage persists at older ages. We examined the cross-sectional/longitudinal associations of height with gait speed (GS) in participants from the Dijon-Three-City cohort study (France) over 11 years. In 4011 participants (65–85 y), we measured usual/fast GS (6 m) up to five times. We examined whether the baseline height-GS association varied with age using linear regression, and whether height influenced GS change using linear mixed models. Taller participants 65 y at baseline walked faster than shorter ones (fast GS difference between top/bottom height quartiles, 0.100 m/s, P < 0.001); this association weakened with age (P-interaction = 0.02), with a 0.012 m/s (P = 0.57) difference at 80 y. Ten-year fast GS decline was 51% greater (P < 0.001) in younger participants in the top height quartile (−0.183 m/s) compared to those in the bottom quartile (−0.121 m/s), leading the GS difference between the two groups to be attenuated by 50% over the follow-up. The height-related difference in fast GS decline was not explained by time-dependent comorbidities or height shrinkage. Analyses for usual GS yielded consistent findings. The height-GS relation is more complex than previously thought, as the height related advantage in GS disappears as persons grow older due to faster decline in taller compared to shorter persons.

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Height loss predicts subsequent hip fracture in men and women of the Framingham Study

Cited by 32 publications

References 40 publications

Height loss with advancing age in a hospitalized population of Polish men and women: magnitude, pattern and associations with mortality

Height loss with advancing age in a hospitalized population of Polish men and women: magnitude, pattern and associations with mortality

<p>Diagnosis of Presarcopenia Using Body Height and Arm Span for Postmenopausal Osteoporosis</p>

The gait speed advantage of taller stature is lost with age

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