臨床整形外科54巻3号

2019年03月発行

誌上シンポジウム サルコペニアと整形外科

高齢者におけるサルコペニアと脊柱変形・腰痛の関連

著者： 江口和¹ 豊口透² 鈴木宗貴¹ 折田純久³ 稲毛一秀³ 大鳥精司³

所属機関： ¹独立行政法人国立病院機構下志津病院整形外科 ²千葉きぼーるクリニック整形外科 ³千葉大学大学院医学研究院整形外科学

ページ範囲：P.255 - P.263

　超高齢社会の昨今，脊柱後弯変形で日常生活に支障を来す患者は増加している．骨格筋量に着目して，高齢者の後弯変形に伴う腰痛とサルコペニア・骨粗鬆症の関与について述べた．骨盤-腰椎支持機構である体幹・四肢骨格筋量の低下が脊柱変形進行と腰痛増強に関与することが示唆された．骨密度は四肢筋量と相関しており，加齢，力学的負荷の減少，ビタミンD欠乏など骨粗鬆症の病因はサルコペニアにも深く関わっている可能性がある．運動療法，栄養療法(必須アミノ酸)，薬物療法(ビタミンD)のような骨格筋維持・増強を促す保存療法の有効性が期待され，さらなる検討を要する．

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