Skip to main content
Log in

Evaluation of pulmonary function and quality of life in women with osteoporosis

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

Osteoporotic vertebral fractures generally result in an increased kyphotic angle, which in turn may lead to disturbances in pulmonary function. The objective of the present study was to evaluate pulmonary function and quality of life in a group of osteoporotic patients. Fifteen women with osteoporosis and thoracic vertebral fractures (group 1), 20 women with osteoporosis without vertebral fracture (group 2) and 20 control women (group 3) were submitted to spirometry using a Vitatrace-130 SL spirometer and to an SF-36 quality of life questionnaire. Women with osteoporosis and vertebral fractures showed an increased kyphotic angle (median=60°) and decreased forced vital capacity (group 1 vs. group 2, P =0.020; group 1 vs. group 3, P =0.039) and forced expiratory volume in 1 s (group 1 vs. group 2, P =0.008; group 1 vs. group 3, P =0.014) when compared with women without vertebral fractures or osteoporosis. A negative correlation was observed between thoracic kyphosis and the predicted value of expiratory forced volume in 1 s ( r =−0.713, P =0.003). No differences in the quality of life were detected between the three groups studied. We conclude that women with thoracic vertebral fractures have an increased kyphotic angle and present a decrease in lung volume.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Consensus Development Conference (1991) Prophylaxis and treatment of osteoporosis. Am J Med 90:107–110

    Article  PubMed  Google Scholar 

  2. Sambrook PN, Dequeker J, Rasp HH (1998) Metabolic bone diseases: Osteoporosis. In: Klippel JH, Dieppe PA (eds) Rheumatology, 2nd edn. Mosby, London, pp 8.36.1–8.36.9

  3. Cook DJ, Guyatt GH, Adachi JD, et al (1993) Quality of life issues in women with vertebral fractures due to osteoporosis. Arthritis Rheum 36:750–756

    CAS  PubMed  Google Scholar 

  4. Leidig-Bruckner G, Minne HW, Schlaich GW, et al (1997) Clinical grading of spinal osteoporosis: quality of life components and spinal deformity in women with chronic low back pain and women with vertebral osteoporosis. J Bone Miner Res 12:663–675

    CAS  PubMed  Google Scholar 

  5. Schlaich C, Minne HW, Bruckner T, et al (1998) Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporos Int 8:261–267

    Article  CAS  PubMed  Google Scholar 

  6. Culham GE, Hilda AIJ, Cheryl EK (1994) Thoracic kyphosis, rib mobility, and lung volumes in normal women and women with osteoporosis. Spine 19:1250–1255

    Google Scholar 

  7. Rosenberg AE (1996) Sistema esquelético e tumores de partes moles. In: Cotran RS, Kumar V, Robbins SL (eds) Patologia estrutural e funcional, 5th edn. Guanabara Koogan S.A., Rio de Janeiro, pp 1099–1102

  8. De Smet AA, Robinson RG, Johnson BE, Lukert BP (1988) Spinal compression fractures in osteoporotic women: patterns and relationship to hyperkyphosis. Radiology 166:497–450

    Google Scholar 

  9. Leech JA, Dulberg C, Kellie S, Pattee L, Gay J (1990) Relationship of lung function to severity of osteoporosis in women. Am Rev Respir Dis 141:68–71

    CAS  PubMed  Google Scholar 

  10. Cortet B, Houvenagel E, Puisieux F, Roches E, Garnier P, Bernard D (1999) Spinal curvatures and quality of life in women with fractures secondary to osteoporosis. Spine 24:192–195

    Google Scholar 

  11. Hall SE, Criddle RA, Comito TL, Prince RL (1999) A case-control study of quality of life and functional impairment in women with long-standing vertebral osteoporotic fracture. Osteoporos Int 9:508–515

    Article  CAS  PubMed  Google Scholar 

  12. Finkelstein R, Fraser RS, Ghezzo H, Cosio MG (1995) Alveolar inflammation and its relation to emphysema in smokers. Am J Respir Crit Care Med 152:1666–1672

    Google Scholar 

  13. Peña VS, Miravitlles M, Gabriel R, et al (2000) Geographic variations in prevalence and underdiagnosis of COPD: results of the IBERPOC multicentre epidemiological study. Chest 118:981–989

    Google Scholar 

  14. Ciconelli RM, Ferraz MB, Santos W, et al. (1999) Tradução para língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol 39:143–150

    Google Scholar 

  15. Huskisson EC, Jones J, Scott PJ (1976) Application of visual annal scales to the measurement of functional capacity. Rheumatol Rehabil 15:185–187

    Google Scholar 

  16. World Health Organization (1998) Assessment of fracture and its application to screening for postmenopausal osteoporosis. Report of WHO study group. WHO, Geneva, Technical Report Series no. 843

  17. Melton LJ, Egan KS, O’Fallon WM, Riggs BL (1998) Influence of fracture criteria on the outcome of a randomized trial of therapy. Osteoporos Int 8:184–191

    Google Scholar 

  18. An HS, Humphreys SC, Balderston RA (1999) Juvenile kyphosis. In: Herkowitz HN, Grafin SR, Balderston RA, Eismont FS, Bell GR, Wiesel SW, Rothman S (eds) The spine, 4th edn. WB Saunders, Philadelphia, p 408

  19. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B (2001) Reliability of centroid, Cobb, and Harrison posterior tangent methods. Spine 26:E227–E234

    Google Scholar 

  20. American Thoracic Society (1987) Standartization of spirometry. Am Rev Respir Dis 136:1285–1298

    PubMed  Google Scholar 

  21. Neder JA, Andreoni S, Castelo-Filho A, Nery LE (1999) Reference values for lung function testes. I. Static volumes. Braz J Med Biol Res 32:703–717

    Google Scholar 

  22. Siegel S (1981) Estatística não paramétrica. McGraw-Hill, São Paulo

  23. Siegel S (1975) Estatística não-paramética (para as ciências do comportamento). McGraw-Hill, São Paulo

  24. Wirhed, R (1997) Athletic ability and the anatomy of motion, 2nd edn. Elsevier, St Louis

  25. Pauwels RA, Buist AS, Calverly PM, Jenkins CR, Hurd SS (2001) Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med 163:1256–1256

    CAS  PubMed  Google Scholar 

  26. Feltelius N, Hedenström H, Hillerdal G, Hällgren R (1986) Pulmonary involvement in ankylosing spondilitis. Ann Rheum Dis 45:736–740

    CAS  PubMed  Google Scholar 

  27. Grimby G, Fugl-Meyer AR, Blomstrand A (1974) Partitioning of contributions of rib cage and abdomen to ventilation in ankylosing spondilitis. Thorax 29:179–184

    Google Scholar 

  28. Kafer ER (1975) Idiopathic scoliosis: mechanical properties of the respiratory system and the respiratory response to carbon dioxide. J Clin Invest 55:1153–1163

    Google Scholar 

  29. Stewart RM, Ridyard JB, Pearson JD (1976) Regional lung function in ankylosing spondilitis. Thorax 31:433–437

    Google Scholar 

  30. Vanderchueren D, Decramer M, Van Den Daele, P, Dequeker J (1989) Pulmonary function and maximal transrespiratory pressures in ankylosing spondilitis. Ann Rheum Dis 48:632–635

    CAS  PubMed  Google Scholar 

  31. Weber BM, Smith JP, Briscoe WA, Friedman AS, King TKC (1975) Pulmonary function in asymptomatic adolescents with idiopathic scoliosis. Am Rev Resp Dis 111:389–397

    Google Scholar 

  32. Ross PD, Ettnger B, Davis JW, Melton LJ, Wasnich RD (1991) Evaluation of adverse health outcomes associated with vertebral fractures. Osteoporosis Int 1:134–140

    Google Scholar 

  33. Cantarelli FB, Simões MFJ, Oliveira LM, Ferraz MB, Szejnfeld VL (1999) Qualidade de vida em pacientes com fraturas por osteoporose: adaptação cultural, reprodutibilidade e validação do “Osteoporosis assessment questionnaire-OPAQ.” Rev Bras Reumatol 39:9–18

    Google Scholar 

  34. Lydick E, Martin A, Yawn B (1996) Impact of fears on quality of life in patients with a silent disease: osteoporosis. Clin Ther 18:1307–1315

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jamil Natour.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lombardi, I., Oliveira, L.M., Mayer, A.F. et al. Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int 16, 1247–1253 (2005). https://doi.org/10.1007/s00198-005-1834-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-005-1834-3

Keywords

Navigation