We investigated longitudinal losses of paraspinal muscle area in healthy individuals in a 10-year longitudinal retrospective observational study. Data from 1,849 individuals (1,690 men, 159 women) screened using computed tomography were examined. Logistic regression was performed to determine risk factors associated with paraspinal muscle area decreases; the area was significantly decreased at 10 years compared with the area at baseline regardless of age or sex, starting at 30 years of age. In regression analysis, only aging (≥50s [odds ratio [OR], 1.72; 95% confidence interval [CI], 1.05–2.84; p=0.03] and ≥60s [OR, 2.67; 95% CI, 1.55–4.60; p<0.001]) was a risk factor for psoas major area decreases. Age ≥60 years (OR, 2.05; 95% CI, 1.24–3.39; p=0.005), body mass index ≥25 kg/m2 (OR, 1.32; 95% CI, 1.01–1.73; p=0.04), and visceral fat ≥100 cm2 (OR, 1.61; 95% CI, 1.20–2.15; p=0.001) were risk factors for erector muscle area decreases; physical activity ≥900 kcal/week (OR, 0.68; 95% CI, 0.50–0.94; p=0.02) reduced erector muscle area loss in males. Our study demonstrated that walking >45 minutes daily could reduce paraspinal muscle loss, which in turn can decrease the risk of falls and low-back pain and might eventually help prevent sarcopenia.

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No competing interests reported.
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Posted 16 Feb, 2021
On 26 Apr, 2021
Received 11 Apr, 2021
On 10 Apr, 2021
On 29 Mar, 2021
Invitations sent on 27 Mar, 2021
On 23 Mar, 2021
On 05 Feb, 2021
On 05 Feb, 2021
On 31 Jan, 2021
Posted 16 Feb, 2021
On 26 Apr, 2021
Received 11 Apr, 2021
On 10 Apr, 2021
On 29 Mar, 2021
Invitations sent on 27 Mar, 2021
On 23 Mar, 2021
On 05 Feb, 2021
On 05 Feb, 2021
On 31 Jan, 2021
We investigated longitudinal losses of paraspinal muscle area in healthy individuals in a 10-year longitudinal retrospective observational study. Data from 1,849 individuals (1,690 men, 159 women) screened using computed tomography were examined. Logistic regression was performed to determine risk factors associated with paraspinal muscle area decreases; the area was significantly decreased at 10 years compared with the area at baseline regardless of age or sex, starting at 30 years of age. In regression analysis, only aging (≥50s [odds ratio [OR], 1.72; 95% confidence interval [CI], 1.05–2.84; p=0.03] and ≥60s [OR, 2.67; 95% CI, 1.55–4.60; p<0.001]) was a risk factor for psoas major area decreases. Age ≥60 years (OR, 2.05; 95% CI, 1.24–3.39; p=0.005), body mass index ≥25 kg/m2 (OR, 1.32; 95% CI, 1.01–1.73; p=0.04), and visceral fat ≥100 cm2 (OR, 1.61; 95% CI, 1.20–2.15; p=0.001) were risk factors for erector muscle area decreases; physical activity ≥900 kcal/week (OR, 0.68; 95% CI, 0.50–0.94; p=0.02) reduced erector muscle area loss in males. Our study demonstrated that walking >45 minutes daily could reduce paraspinal muscle loss, which in turn can decrease the risk of falls and low-back pain and might eventually help prevent sarcopenia.

Figure 1

Figure 2

Figure 3
No competing interests reported.
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