Re: Hyperkyphosis and Mortality-am I missing something?

[Guest guest]

I’m partying with you, dude!

On 3/2/10 1:12 PM, " joe medlin " <spinetree@...> wrote:



Some people need surgery.

ph Medlin D.C.

Spine Tree Chiropractic

1607 NE Alberta St

PDX, OR 97211

503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something?

Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswe gochiro.com <http://www.lakeoswegochiro.com/>

>

>

>

> FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667

> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES: To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN: Prospective cohort study.

>

> SETTING: Rancho Bernardo, California.

>

> PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant' s head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION: Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

I’m partying with you, dude!

On 3/2/10 1:12 PM, " joe medlin " <spinetree@...> wrote:



Some people need surgery.

ph Medlin D.C.

Spine Tree Chiropractic

1607 NE Alberta St

PDX, OR 97211

503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something?

Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswe gochiro.com <http://www.lakeoswegochiro.com/>

>

>

>

> FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667

> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES: To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN: Prospective cohort study.

>

> SETTING: Rancho Bernardo, California.

>

> PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant' s head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION: Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

It's not surprising that atherosclerosis is associated with poor posture. We rightly see that inappropriate diets, lack of exercise, and family genetics play a role, but environmental stress is also a factor. People don't sit or stand up straight because it's uncomfortable for them. Pain trains us to bend away from the upright spine, into a new relationship to gravity, for more comfort and ease. According to Herbert Benson, the diseases of atherosclerosis (hardening of the arteries, heart attacks, and strokes) "account for more than 50% of the deaths each year in the United States." These diseases of the heart and brain arise from hypertension, the sign for the inability to achieve deep relaxation within one's body. One should expect to find atherosclerosis in an elderly population still unaware of their responsibility to their own health in this regard. One should also expect to find hyperkyphotic spines and head forward postures in this population. Rather than causation, the discussion for body workers should be how to help.The yogic tradition, dating back perhaps 5,000 years, and it's fruit, seated meditation, is the art of achieving this inner relaxation. And, the process begins formally with the breath, which the body listens to in order to know whether to engage sympathetic or para-sympathetic potentials in the moment. By practicing breath control in simple moments of physical stress (resting aligned body postures), one begins to engage capacities of self awareness and, consequently, enhanced self-healing. As the breath is calmed, so also are the mind and body calmed; for when we observe our breath, all three, breath, body and mind are one, integrated, whole. In this potential space, one learns how to let the cardiovascular, respiratory and nervous systems rest. Over time, this practice of deep relaxation in gravity reverses and heals the diseases of high blood pressure, the killer. It also reverses and heals the chronic pain syndromes and problems of the human frame associated with aging.Atherosclerosis is related to poor posture because, at present, they go hand-in-hand in elderly populations. But that's where we come in. By being examples of good posture ourselves, we become teachers of what we've learned. Progress toward self-healing depends on developing a "feeling tone" for relaxation within one's body moment to moment: a sense of feeling good balanced on our bones. The feeling tone of the hyperkyphotic spine, or the head forward posture, or the imbalanced pelvis, or pain compensated hip or knee or foot, or any of the other maladies we see in the human form, does not feel good. Once one starts to relax inside, we begin to move out of the discomfort of poor posture, toward a more balanced relationship to gravity, and greater ease. This inner softening leads to transfers of energy to more significant healing and improved functioning from release of mechanical stresses on nerves, muscles, organs, systems. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Mar 2, 2010, at 9:51 PM, Abrahamson wrote: Great post , and if I may say, you make Danskins look good. Would it kill ya to get a certified yoga mat? On 3/2/10 10:06 AM, " Sears" <dm.bonesmac> wrote: Dr. Speery, the first to elucidate the function of the two cerebral hemispheres of the brain, and for which he won a Nobel Prize in Medicine in 1982, made the following statement in his address accepting the award: "Better than 90% of the brain's activity goes to just keeping us upright in gravity. The more efficient one's posture, the more energy one has for healing oneself in more significant ways." Dr. Ida Rolf shortly thereafter joined with Dr. Speery in promoting what they called "Verticality," or the next step in human evolution toward greater health and self-healing. Verticality, of course, is another name for good posture. The compressive effects of postural distortions are obviously the most reasonable explanation for the poor health effects of an inefficient relationship to gravity. This assumption is supported by observations of improved health indices as posture improves. In a nutshell, here's the mechanics I've been instructing patients to engage daily in order to improve their posture: <image.jpg><image.jpg> <image.jpg> <image.jpg> <image.jpg><image.jpg> <image.jpg> Notice, that each of these postures takes the neutral spine, with the head supported to bring the forehead and the chin into a parallel plane, and then sustained in a restful, relaxing manner with conscious breathing, working critical angles from the coccyx to the occiput. In this manner, I've found that tonic compensations and NS centralizations can be reversed as patients ease their way back toward comfortable balances in gravity. Seated meditation is the art of balancing in gravity, resting effortlessly on our bones, rather than on tight muscles and burden compressed organs. Practiced daily, this simple at-home active care regimen, can do for chiropractic patients what brushing teeth every day does for good dental health. Sears, DC, IAYT 1218 NW 21st Ave Portland, Oregon 97209 v: 503-225-0255 f: 503-525-6902 www.docbones.com On Mar 2, 2010, at 9:37 AM, Lindekugel wrote: I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well. Cheers, Jay Lindekugel, DC Concordia Chiropractic and Movement Center 5425 NE 33rd Ave. Portland Or. 97211 503-789-8923 From: Jamey Dyson <drjdyson1comcast (DOT) net> Abrahamson <drscottlakeoswegochiro> Cc: oregon dc listserve <Oregondcs > Sent: Tue, March 2, 2010 8:14:29 AM Subject: Re: Hyperkyphosis and Mortality-am I missing something? We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it. The study seems to merely point out the correlation but does not explore the etiology. Jamey Dyson, DC, CCWP Doctor of Chiropractic (DC) Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic 1295 Wallace Rd NW Salem, OR 97304 503-361-3949 drjdyson1comcast (DOT) net <mailto:drjdyson1comcast (DOT) net> On Mar 1, 2010, at 3:33 PM, Abrahamson wrote: In this study (below) touted by chiropractors, Kyphosis can lead to death. I finally read it and realized that they just happened to mention that the increased rate of death was due to atherosclerosis. Now I'm not a rocket surgeon but how the heck does posture lead to vascular disease? Or is it just that people who are stooped over just give up sooner? Or is it that their posture inhibits breathing? Comments? (I have heard that frequency specific microcurrent will reverse a kyphosis.;-) E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667 <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d ocsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA Division of Geriatrics, Department of Medicine, Geffen School of Medicine at University of California, Los Angeles, California 90095, USA. dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu> OBJECTIVES: To determine the association between hyperkyphotic posture and rate of mortality and cause-specific mortality in older persons. DESIGN: Prospective cohort study. SETTING: Rancho Bernardo, California. PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo Study who had measurements of kyphotic posture made at an osteoporosis visit between 1988 and 1991. MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks that needed to be placed under the participant' s head to achieve a neutral head position when lying supine on a radiology table. Demographic and clinical characteristics and health behaviors were assessed at a clinic visit using standard questionnaires. Participants were followed for an average of 4.2 years, with mortality and cause of death confirmed using review of death certificates. RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks under the occiput to achieve a neutral head position while lying supine, was more common in men than women (44% in men, 22% of women, P<.0001). In age- and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44 greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005). In multiply adjusted models, the increased rate of death associated with hyperkyphotic posture remained significant (relative hazard=1.40, 95% CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic posture was specifically associated with an increased rate of death due to atherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture have higher mortality rates.

[Guest guest]

It's not surprising that atherosclerosis is associated with poor posture. We rightly see that inappropriate diets, lack of exercise, and family genetics play a role, but environmental stress is also a factor. People don't sit or stand up straight because it's uncomfortable for them. Pain trains us to bend away from the upright spine, into a new relationship to gravity, for more comfort and ease. According to Herbert Benson, the diseases of atherosclerosis (hardening of the arteries, heart attacks, and strokes) "account for more than 50% of the deaths each year in the United States." These diseases of the heart and brain arise from hypertension, the sign for the inability to achieve deep relaxation within one's body. One should expect to find atherosclerosis in an elderly population still unaware of their responsibility to their own health in this regard. One should also expect to find hyperkyphotic spines and head forward postures in this population. Rather than causation, the discussion for body workers should be how to help.The yogic tradition, dating back perhaps 5,000 years, and it's fruit, seated meditation, is the art of achieving this inner relaxation. And, the process begins formally with the breath, which the body listens to in order to know whether to engage sympathetic or para-sympathetic potentials in the moment. By practicing breath control in simple moments of physical stress (resting aligned body postures), one begins to engage capacities of self awareness and, consequently, enhanced self-healing. As the breath is calmed, so also are the mind and body calmed; for when we observe our breath, all three, breath, body and mind are one, integrated, whole. In this potential space, one learns how to let the cardiovascular, respiratory and nervous systems rest. Over time, this practice of deep relaxation in gravity reverses and heals the diseases of high blood pressure, the killer. It also reverses and heals the chronic pain syndromes and problems of the human frame associated with aging.Atherosclerosis is related to poor posture because, at present, they go hand-in-hand in elderly populations. But that's where we come in. By being examples of good posture ourselves, we become teachers of what we've learned. Progress toward self-healing depends on developing a "feeling tone" for relaxation within one's body moment to moment: a sense of feeling good balanced on our bones. The feeling tone of the hyperkyphotic spine, or the head forward posture, or the imbalanced pelvis, or pain compensated hip or knee or foot, or any of the other maladies we see in the human form, does not feel good. Once one starts to relax inside, we begin to move out of the discomfort of poor posture, toward a more balanced relationship to gravity, and greater ease. This inner softening leads to transfers of energy to more significant healing and improved functioning from release of mechanical stresses on nerves, muscles, organs, systems. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Mar 2, 2010, at 9:51 PM, Abrahamson wrote: Great post , and if I may say, you make Danskins look good. Would it kill ya to get a certified yoga mat? On 3/2/10 10:06 AM, " Sears" <dm.bonesmac> wrote: Dr. Speery, the first to elucidate the function of the two cerebral hemispheres of the brain, and for which he won a Nobel Prize in Medicine in 1982, made the following statement in his address accepting the award: "Better than 90% of the brain's activity goes to just keeping us upright in gravity. The more efficient one's posture, the more energy one has for healing oneself in more significant ways." Dr. Ida Rolf shortly thereafter joined with Dr. Speery in promoting what they called "Verticality," or the next step in human evolution toward greater health and self-healing. Verticality, of course, is another name for good posture. The compressive effects of postural distortions are obviously the most reasonable explanation for the poor health effects of an inefficient relationship to gravity. This assumption is supported by observations of improved health indices as posture improves. In a nutshell, here's the mechanics I've been instructing patients to engage daily in order to improve their posture: <image.jpg><image.jpg> <image.jpg> <image.jpg> <image.jpg><image.jpg> <image.jpg> Notice, that each of these postures takes the neutral spine, with the head supported to bring the forehead and the chin into a parallel plane, and then sustained in a restful, relaxing manner with conscious breathing, working critical angles from the coccyx to the occiput. In this manner, I've found that tonic compensations and NS centralizations can be reversed as patients ease their way back toward comfortable balances in gravity. Seated meditation is the art of balancing in gravity, resting effortlessly on our bones, rather than on tight muscles and burden compressed organs. Practiced daily, this simple at-home active care regimen, can do for chiropractic patients what brushing teeth every day does for good dental health. Sears, DC, IAYT 1218 NW 21st Ave Portland, Oregon 97209 v: 503-225-0255 f: 503-525-6902 www.docbones.com On Mar 2, 2010, at 9:37 AM, Lindekugel wrote: I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well. Cheers, Jay Lindekugel, DC Concordia Chiropractic and Movement Center 5425 NE 33rd Ave. Portland Or. 97211 503-789-8923 From: Jamey Dyson <drjdyson1comcast (DOT) net> Abrahamson <drscottlakeoswegochiro> Cc: oregon dc listserve <Oregondcs > Sent: Tue, March 2, 2010 8:14:29 AM Subject: Re: Hyperkyphosis and Mortality-am I missing something? We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it. The study seems to merely point out the correlation but does not explore the etiology. Jamey Dyson, DC, CCWP Doctor of Chiropractic (DC) Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic 1295 Wallace Rd NW Salem, OR 97304 503-361-3949 drjdyson1comcast (DOT) net <mailto:drjdyson1comcast (DOT) net> On Mar 1, 2010, at 3:33 PM, Abrahamson wrote: In this study (below) touted by chiropractors, Kyphosis can lead to death. I finally read it and realized that they just happened to mention that the increased rate of death was due to atherosclerosis. Now I'm not a rocket surgeon but how the heck does posture lead to vascular disease? Or is it just that people who are stooped over just give up sooner? Or is it that their posture inhibits breathing? Comments? (I have heard that frequency specific microcurrent will reverse a kyphosis.;-) E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667 <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d ocsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA Division of Geriatrics, Department of Medicine, Geffen School of Medicine at University of California, Los Angeles, California 90095, USA. dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu> OBJECTIVES: To determine the association between hyperkyphotic posture and rate of mortality and cause-specific mortality in older persons. DESIGN: Prospective cohort study. SETTING: Rancho Bernardo, California. PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo Study who had measurements of kyphotic posture made at an osteoporosis visit between 1988 and 1991. MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks that needed to be placed under the participant' s head to achieve a neutral head position when lying supine on a radiology table. Demographic and clinical characteristics and health behaviors were assessed at a clinic visit using standard questionnaires. Participants were followed for an average of 4.2 years, with mortality and cause of death confirmed using review of death certificates. RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks under the occiput to achieve a neutral head position while lying supine, was more common in men than women (44% in men, 22% of women, P<.0001). In age- and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44 greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005). In multiply adjusted models, the increased rate of death associated with hyperkyphotic posture remained significant (relative hazard=1.40, 95% CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic posture was specifically associated with an increased rate of death due to atherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture have higher mortality rates.

[Guest guest]

Remember that the allopaths are not necessarily interested in causation ......... their purpose (and their ONLY purpose) is to quiet symptoms.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

drjdyson1@...CC: Oregondcs From: drscott@...Date: Tue, 2 Mar 2010 20:55:19 -0800Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.On 3/2/10 8:14 AM, "Jamey Dyson" <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.The study seems to merely point out the correlation but does not explore the etiology. Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic1295 Wallace Rd NWSalem, OR 97304503-361-3949drjdyson1comcast (DOT) net On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.I finally read it and realized that they just happened to mention that theincreased rate of death was due to atherosclerosis.Now I'm not a rocket surgeon but how the heck does posture lead to vasculardisease? Or is it just that people who are stooped over just give up sooner?Or is it that their posture inhibits breathing?Comments?(I have heard that frequency specific microcurrent will reverse akyphosis.;-) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.comFROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am> p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_docsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GADivision of Geriatrics, Department of Medicine, Geffen School ofMedicine at University of California, Los Angeles, California 90095, USA.dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu> OBJECTIVES: To determine the association between hyperkyphotic postureand rate of mortality and cause-specific mortality in older persons.DESIGN: Prospective cohort study.SETTING: Rancho Bernardo, California.PARTICIPANTS: Subjects were 1,353 participants from the Rancho BernardoStudy who had measurements of kyphotic posture made at an osteoporosis visitbetween 1988 and 1991.MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocksthat needed to be placed under the participant's head to achieve a neutralhead position when lying supine on a radiology table. Demographic andclinical characteristics and health behaviors were assessed at a clinicvisit using standard questionnaires. Participants were followed for anaverage of 4.2 years, with mortality and cause of death confirmed usingreview of death certificates.RESULTS: Hyperkyphotic posture, defined as requiring one or more blocksunder the occiput to achieve a neutral head position while lying supine, wasmore common in men than women (44% in men, 22% of women, P<.0001). In age-and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).In multiply adjusted models, the increased rate of death associated withhyperkyphotic posture remained significant (relative hazard=1.40, 95%CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphoticposture was specifically associated with an increased rate of death due toatherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture havehigher mortality rates.

Hotmail: Powerful Free email with security by Microsoft. Get it now.

[Guest guest]

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught. In fact, nothing more than hypothesis can be drawn from this type of study. But I think you may be a bit conservative in your stance that we shouldn't get "wee weed up" unless we can discuss mechanisms of causation. Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental. These are still just proposed mechanisms, but still scientific. Best,Jay Lindekugel,

DCConcordia Chiropractic and Movement Center5425 NE 33rd AvePortland Or 97211503-287-2273From: Abrahamson <drscott@...>Jamey Dyson <drjdyson1@...>Cc: oregon dc listserve <Oregondcs >Sent: Tue, March 2, 2010 8:55:19 PMSubject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, "Jamey Dyson" <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado% 40mednet. ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught. In fact, nothing more than hypothesis can be drawn from this type of study. But I think you may be a bit conservative in your stance that we shouldn't get " wee weed up " unless we can discuss mechanisms of causation. Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental. These are still just proposed mechanisms, but still scientific.

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu> <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught. In fact, nothing more than hypothesis can be drawn from this type of study. But I think you may be a bit conservative in your stance that we shouldn't get " wee weed up " unless we can discuss mechanisms of causation. Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental. These are still just proposed mechanisms, but still scientific.

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu> <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

, I read of this study some years ago.  As a Chriopractic Biophysics technique doc I was very interested in this study.  As I recall the study did not know definitively what caused death- only that anterior head translation  seemed to correlate with increased mortality.  I thought the study mentioned that death did seem to ;be associated with pulmonary difficulties.  This could be related to the fact that the ;Phrenic nerve does exit the spine at mid-cervical level and any stretching of the spine and nerves could lead to disruption of nerve flow . As you know the phrenic nerve is the only motor supply to the diaphragm-so disruption of this supply could be hard ;on peoples general health.

  It is also clear that Kyphosis of the cervical spine causes a stretching of the cord and all the attached spinal nerves.  I  am not sure if mere anterior translation causes a similar stretching but it would seem likely.

Food for thought. Schneider DCPDXOn Wed, Mar 3, 2010 at 11:00 AM, Abrahamson <drscott@...> wrote:

 

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught.  In fact, nothing more than hypothesis can be drawn from this type of study.  But I think you may be a bit conservative in your stance that we shouldn't get " wee weed up " unless we can discuss mechanisms of causation.  Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental.  These are still just proposed mechanisms, but still scientific.  

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

 

 

 

   

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1comcast (DOT) net> wrote:

 

 

   

We need to better understand the mechanics of hyperkyphosis on the heart and lungs.  Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity?  Is it due to irritation/stretchi ng of the sympathetic nerves?  Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

 

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR  97304

503-361-3949

drjdyson1comcast (DOT) net

 

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM:   J Am Geriatr Soc 2004 (Oct);   52 (10):   1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>  

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu>  <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>  

OBJECTIVES:   To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN:   Prospective cohort study.

SETTING:   Rancho Bernardo, California.

PARTICIPANTS:   Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES:   Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS:   Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION:   Older men and women with hyperkyphotic posture have

higher mortality rates.

 

   

 

      

 

 

-- Schneider DC PDX

[Guest guest]

, I read of this study some years ago.  As a Chriopractic Biophysics technique doc I was very interested in this study.  As I recall the study did not know definitively what caused death- only that anterior head translation  seemed to correlate with increased mortality.  I thought the study mentioned that death did seem to ;be associated with pulmonary difficulties.  This could be related to the fact that the ;Phrenic nerve does exit the spine at mid-cervical level and any stretching of the spine and nerves could lead to disruption of nerve flow . As you know the phrenic nerve is the only motor supply to the diaphragm-so disruption of this supply could be hard ;on peoples general health.

  It is also clear that Kyphosis of the cervical spine causes a stretching of the cord and all the attached spinal nerves.  I  am not sure if mere anterior translation causes a similar stretching but it would seem likely.

Food for thought. Schneider DCPDXOn Wed, Mar 3, 2010 at 11:00 AM, Abrahamson <drscott@...> wrote:

 

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught.  In fact, nothing more than hypothesis can be drawn from this type of study.  But I think you may be a bit conservative in your stance that we shouldn't get " wee weed up " unless we can discuss mechanisms of causation.  Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental.  These are still just proposed mechanisms, but still scientific.  

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

 

 

 

   

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1comcast (DOT) net> wrote:

 

 

   

We need to better understand the mechanics of hyperkyphosis on the heart and lungs.  Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity?  Is it due to irritation/stretchi ng of the sympathetic nerves?  Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

 

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR  97304

503-361-3949

drjdyson1comcast (DOT) net

 

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM:   J Am Geriatr Soc 2004 (Oct);   52 (10):   1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>  

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu>  <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>  

OBJECTIVES:   To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN:   Prospective cohort study.

SETTING:   Rancho Bernardo, California.

PARTICIPANTS:   Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES:   Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS:   Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION:   Older men and women with hyperkyphotic posture have

higher mortality rates.

 

   

 

      

 

 

-- Schneider DC PDX

[Guest guest]

"I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation."

Didn't mean to put words in you mouth and I don't think I have. It's been fun . Maybe some day you can find your ideal discussion group. Until then, expect more responses from -as you implied- self-important, politically biased, non-scientific folk. JayFrom: Abrahamson <drscott@...> Lindekugel <pdxchiroguy@...>; Jamey Dyson <drjdyson1@...>Cc: oregon dc listserve

<Oregondcs >Sent: Wed, March 3, 2010 11:00:41 AMSubject: Re: Hyperkyphosis and Mortality-am I missing something?

Re: Hyperkyphosis and Mortality-am I missing something?

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught. In fact, nothing more than hypothesis can be drawn from this type of study. But I think you may be a bit conservative in your stance that we shouldn't get "wee weed up" unless we can discuss mechanisms of causation. Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental. These are still just proposed mechanisms, but still scientific.

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, "Jamey Dyson" <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu> <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

"I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation."

Didn't mean to put words in you mouth and I don't think I have. It's been fun . Maybe some day you can find your ideal discussion group. Until then, expect more responses from -as you implied- self-important, politically biased, non-scientific folk. JayFrom: Abrahamson <drscott@...> Lindekugel <pdxchiroguy@...>; Jamey Dyson <drjdyson1@...>Cc: oregon dc listserve

<Oregondcs >Sent: Wed, March 3, 2010 11:00:41 AMSubject: Re: Hyperkyphosis and Mortality-am I missing something?

Re: Hyperkyphosis and Mortality-am I missing something?

Did I say that there was no apparent causation?

NO.

I said that the study was being touted without anyone asking why the people were dying early and if it was vascular disease what is the mechanism.

This is sort of a chiropractic school cafeteria discussion.

Everybody gets to be important because they have the right to an opinion.

Where is the input is from the people desperate to keep this a non-political, clinical discussion group?

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lindekugel <pdxchiroguy@...>

Date: Wed, 3 Mar 2010 09:36:41 -0800 (PST)

Abrahamson <drscott@...>, Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think you are right to be cautious about attributing causation to association data, or at least that is what I have been taught. In fact, nothing more than hypothesis can be drawn from this type of study. But I think you may be a bit conservative in your stance that we shouldn't get "wee weed up" unless we can discuss mechanisms of causation. Several have been given in the posts, ie mechanical stress on the vasculature, stress/vascular response, decreased movement over time leading to vascular compromise AND hyperkyphosis with the eventual early death being from the vascular part and the postural component only being coincidental. These are still just proposed mechanisms, but still scientific.

Best,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave

Portland Or 97211

503-287-2273

From: Abrahamson <drscott@...>

Jamey Dyson <drjdyson1@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:55:19 PM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, "Jamey Dyson" <drjdyson1comcast (DOT) net> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;amp;cmd= Retrieve & amp;am> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & amp;am%20%3Chttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids= 15450042 & amp;query_hl= 2 & amp;itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <http://ucla.edu> <mailto:dkado% 40mednet. ucla.edu> <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.