Sleeping Habit and Other Life Styles in the Prime of Life and Risk for Ossification of the Posterior Longitudinal Ligament of the Spine (OPLL) : a Case-control Study in Japan

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• BACKGROUND: Although the average age of onset of ossification of the posterior longitudinal ligament of the spine (OPLL) is at around 50 years, the onset of the symptoms is insidious and the progression is very slow. The etiology of OPLL has not been elucidated in detail. Previous studies have suggested that a high-salt diet and low consumption of animal protein, glucose intolerance and high body mass are risk factors for OPLL. However, there is little information about the relationship between OPLL and life styles in the prime of life (between 30 and 50 years).METHODS: To facilitate early prediction and prevention of OPLL, we analyzed life styles such as sleeping habit, physical exercise, smoking, alcohol drinking and hangover in subjects in the prime of life. Self-administered questionnaires were obtained from patients with OPLL and their sex- and age-matched controls. Sixty-nine patients diagnosed with OPLL within 3 years previously and 138 sex- and age-matched controls without backbone diseases, randomly selected from participants in a health checkup in a local town, were enrolled.RESULT: Moderate amount of sleep (6-8 hours vs. 5 hours or shorter and 9 hours or longer; odds ratio [OR] = 0.18, 95% confidence interval [CI] = 0.06, 0.54) and a regular sleeping habit (i.e., going to bed and getting up at regular time) (OR=0.44, 95% CI=0.22, 0.90) were associated with a decreased risk of OPLL even after adjusting for other factors. On the other hand, moderate physical exercise (once a week or more v.s. less than once a week: OR=0.97, 95% CI=0.42, 2.26), smoking (OR=1.41, 95% CI=0.67, 2.97), drinking (OR=1.08, 95% CI=0.53, 2.20) and hangover (OR=1.12, 95% CI=0.43, 2.94) in the prime of life showed no correlation with risk of OPLL.CONCLUSION: Good sleeping habits in the prime of life may decrease the risk of OPLL.

著者

• WASHIO Masakazu

  Department of Public Health, Sapporo Medical University School of Medicine

• Ito Yoshinori

  札幌医科大学 医学部公衆衛生学

• Ito Yoshinori

  Department Of Preventive Medicine/biostatistics And Medical Decision Making Nagoya University Gradua

• KOBASHI Gen

  Department of Health for Senior Citizens, Hokkaido University Graduate School of Medicine

• OKAMOTO Kazushi

  Department of Public Health, Aichi Prefectural College of Nursing and Health

• SASAKI Satoshi

  Project of Scientific Evaluation of Dietary Reference Intakes, National Institute of Health and Nutr

• YOKOYAMA Tetsuji

  Department of Technology Assessment and Biostatistics, National Institute of Public Health

• MIYAKE Yoshihiro

  Department of Public Health, Fukuoka University School of Medicine

• SAKAMOTO Naomasa

  Department of Hygiene, Hyogo College of Medicine

• OHTA Kaori

  Department of Health for Senior Citizens, Hokkaido University Graduate School of Medicine

• INABA Yutaka

  Department of Epidemiology and Environmental Health, Juntendo University School of Medicine

• TANAKA Heizo

  National Institute of Health and Nutrition

• Tsuda Hiroyuki

  Division Of Clinical Hematology Kumamoto City Hospital

• KOBASHI Gen

  Hokkaido University Graduate School of Medicine

• OKAMOTO Kazushi

  Aichi Prefectural College of Nursing and Health

• SAKAMOTO Naomasa

  Hyogo College of Medicine

• SASAKI Satoshi

  National Institute of Health and Nutrition

• MIYAKE Yoshihiro

  Fukuoka University School of Medicine

• YOKOYAMA Tetsuji

  National Institute of Public Health

• INABA Yutaka

  Juntendo University School of Medicine

• Okamoto K

  Aichi Prefectural College Of Nursing And Health

• Okamoto Kazushi

  札幌医科大学 医学部

• Tanaka H

  Tanaka Hospital

• Tanaka Hisato

  札幌医科大学 医学部

• Inaba Yutaka

  Department Of Neurosurgery School Of Medicine Tokyo Medical:dental University

• Inaba Yutaka

  愛知医科大学 公衆衛生学

• Inaba Yutaka

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• TAGUCHI Hirokuni

  Kochi Medical School

• WASHIO Masakazu

  Research Institute for Science and Engineering, Waseda University

• Washio M

  Department Of Public Health Sapporo Medical University School Of Medicine

• Ohta Kaori

  Department Of Health For Senior Citizens Hokkaido University Graduate School Of Medicine

• Kobashi G

  Molecular Biostatistics Research Team Research Center For Charged Particle Therapy National Institut

• Kobashi Gen

  Department Of Public Health Hokkaido University Graduate School Of Medicine

• Kobashi Gen

  Department Of Health For Senior Citizens Hokkaido University Graduate School Of Medicine

• Tanaka Heizo

  Tanaka Hospital

• Tsukamoto H

  Division Of Clinical Hematology Kumamoto City Hospital

• Sasaki S

  Materials And Structures Laboratory Tokyo Institute Of Technology

• Inaba Y

  Department Of Physics University Of Tokyo

• Yokoyama Tetsuji

  Department Of Epidemiology Medical Research Institute Tokyo Medical And Dental University

• Washio M

  Kyushu Univ.

• Washio Masakazu

  Department Of Preventive Medicine Graduate School Of Medical Sciences Kyushu University

• Tanaka Hiromitsu

  Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine

• Tanaka Heizo

  Division Of Health And Nutrition Monitoring National Institute Of Health And Nutrition

• Okamoto Kazushi

  Department Of Public Health Aichi Prefectural College Of Nursing And Health

• WASHIO MASAKAZU

  Imazu Red Cross Hospital

• Tsukamoto Hiroshi

  Division Of Clinical Hematology Kumamoto City Hospital

• Sakamoto Naomasa

  Department Of Hygiene Hyogo College Of Medicine

• Miyake Yoshihiro

  Department Of Chemistry Graduate School Of Science Tokyo Metropolitan University

• Inaba Y

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Miyake Y

  Fukuoka University School Of Medicine

• Inaba Yutaka

  Department Of Epidemiology And Enivironmental Health Juntendo University School Of Medicine

• Miyake Yoshihiro

  Department Of Public Health School Of Medicine Kyushu University

• Sasaki Satoshi

  Project Of Scientific Evaluation Of Dietary Reference Intakes National Institute Of Health And Nutrition

• Miyake Yoshihiro

  Department of Public Health, Faculty of Medicine, Fukuoka University

• WASHIO Masakazu

  Department of Community Health and Clinical Epidemiology, St. Mary's College

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