title: Decreased sleep duration: a risk of progression of degenerative lumbar scoliosis.
abstract: Degenerative lumbar scoliosis (DLS) is a spinal deformity that develops after skeletal maturity with a Cobb angle of more than 10° in the coronal plane. As the life expectancy of our population increases, DLS becomes a prevalent health issue affecting the quality of life of the elderly. The degree of the scoliosis curvature affects not only the symptoms but also the choice of treatments. Osteoporosis and intervertebral disc degeneration (IDD) have been suggested as two important risks associated with the progression of DLS. Interestingly, recent data implicate interleukin-1 (IL-1) in the altered matrix biology that characterizes human IDD. Compelling evidence links decreased sleep duration to lower bone mineral density (BMD) and elevated expression of IL-1. Based on these evidences, we propose that decreased sleep duration might be a risk of the progression of DLS, and hypothesize that the underlying mechanisms might be the elevated excretion of glucocorticoids and elevated expression of IL-1.
authors: Department of Orthopedics, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, #88 Jiefang Road, Hangzhou, PR China.
authors: Hao
authors: H
authors: Li
authors: Chengzhen
authors: C
authors: Liang
authors: Chenchun
authors: C
authors: Shen
authors: Yan
authors: Y
authors: Li
authors: Qixin
authors: Q
authors: Chen
mesh_terms: D015502:Absorptiometry, Photon; D000818:Animals; D015519:Bone Density; D018450:Disease Progression; D005938:Glucocorticoids / Q000378:metabolism; D006801:Humans; D007375:Interleukin-1 / Q000096:biosynthesis; D055959:Intervertebral Disc Degeneration / Q000473:pathology*; D008159:Lumbar Vertebrae / Q000473:pathology*; D008297:Male; D011788:Quality of Life; D011897:Random Allocation; D051381:Rats; D012306:Risk; D012307:Risk Factors; D012600:Scoliosis / Q000150:complications*; D012890:Sleep; D012893:Sleep Wake Disorders / Q000150:complications*
chemical_list: D005938:Glucocorticoids; D007375:Interleukin-1