{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:45:00Z","timestamp":1789523100763,"version":"build-2803163510"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science foundation of China","doi-asserted-by":"crossref","award":["81773460"],"award-info":[{"award-number":["81773460"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science foundation of China","doi-asserted-by":"crossref","award":["81102148"],"award-info":[{"award-number":["81102148"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sarcopenia and bone loss are both common in older individuals. However, the association between sarcopenia and bone fractures has not been evaluated longitudinally. In this study, we evaluated the association between computed tomography (CT)-based erector spinae muscle area and attenuation and vertebral compression fracture (VCF) in elderly individuals in a longitudinal study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study recruited individuals 50 years of age and older, who did not have VCF and underwent CT imaging for lung cancer screening during January 2016 to December 2019. Participants were followed up annually until January 2021. Muscle CT value and muscle area of the erector spinae were determined for muscle assessment. Genant score was used to define new-onset VCF. Cox proportional hazards models were used to assess the association between muscle area\/attenuation and VCF.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 7 906 included participants, 72 developed new VCF over a median follow-up of 2 years. Large area of the erector spinae (adjusted hazard ratio [HR]\u2005=\u20050.2, 95% confidence interval [CI]: 0.1\u20130.7) and high bone attenuation (adjusted HR\u2005=\u20050.2, 95% CI: 0.1\u20130.5) were independently associated with VCF. High muscle attenuation was associated with severe VCF (adjusted HR\u2005=\u20050.46, 95% CI: 0.24\u20130.86). The addition of muscle area improved the area under the curve of bone attenuation from 0.79 (95% CI: 0.74\u20130.86) to 0.86 (95% CI: 0.82\u20130.91; p\u2005=\u2005.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>CT-based muscle area\/attenuation of the erector spinae was associated with VCF in elderly individuals, independently of bone attenuation. The addition of muscle area improved the performance of bone attenuation in predicting VCF.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gerona\/glad162","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T16:19:01Z","timestamp":1688919541000},"source":"Crossref","is-referenced-by-count":9,"title":["Opportunistic Muscle Evaluation During Chest CT Is Associated With Vertebral Compression Fractures in Old Adults: A Longitudinal Study"],"prefix":"10.1093","volume":"79","author":[{"given":"Miaomiao","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"},{"name":"Department of Radiology, The Second Affiliated Hospital of Soochow University , Suzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongye","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Longhua Hospital Shanghai University of Chinese Traditional Medicine , Shanghai , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjing","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Xie","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Research, School of Medicine and Dentistry, University of Rochester , Rochester, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8354-9087","authenticated-orcid":false,"given":"Xiao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine , Nanjing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,7,9]]},"reference":[{"issue":"5","key":"2024012102120987800_CIT0001","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1002\/jcsm.12483","article-title":"Sarcopenia: a time for action. 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