Skip to main content

Table 2 Study characteristics and individual studies results

From: The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults

Authors and year

Type of measurement

Results

Sample size

Age (SD)

Age range

Gender

Ethnicity

BMI (SD)

Study design

Kyphosis (SD) (degrees/cm)

Amabile et al. 2016 [56]

Cobb T1–T12

49 (±13)

69

26.3

18–40

Mix

Europeans

 

Retrospective, observational

Cobb T4–T12

35.1 (±11.5)

Bakouny et al. 2017 [37]

Cobb T1–T12

51 (±7.9)

47.7 (±9.1)

49.4 (±8.6)

48

44

92

21.5

21.5

21.5

18–28

18–28

18–28

Male

Female

Mix

Asians

25.1 (±3.3)

21.8 (±2.4)

23.5 (±3.4)

Prospective cross-sectional cohort study, observational

Cobb T2–T12

50.8 (±8.8)

47.4 (±10.1)

49.2 (±9.5)

Cobb T4–T12

43.1 (±8.8)

41 (±10.4)

42.1 (±9.6)

Bassani et al. 2019 [20]

Cobb T1–T12

49.4 (±13.6)

54.4 (±13.2)

63.3 (±11.3)

44

83

27

66

74

83

60–69

70–79

x > 79

Mix

Europeans

25 (±3)

26 (±3)

25 (±3)

Prospective cross-sectional cohort study, observational

Cobb T4–T12

40.8 (±10)

48 (±12.1)

57.7 (±10.8)

Endo et al. 2014 [46]

Cobb T4–T12

27.5 (±9.6)

86

35.9 (±11.1)

23–59

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Endo et al. 2016 [40]

Cobb T4–T12

30.5 (±8.3)

24.1 (±10.4)

27.8 (±9.7)

30

22

52

35.2 (±10.2)

35.8 (±13.6)

35.4 (±11.6)

22–50

22–50

22–50

Male

Female

Mix

Asians

21 (±2.7)

21 (±2.7)

21 (±2.7)

Prospective cross-sectional cohort study, observational

Gangnet et al. 2006 [54]

Cobb T1–T12

44.5 (±11.3)

34

30

 

Mix

Europeans

 

Retrospective, observational

Cobb T4–T12

35.7 (±7.7)

Gelb et al. 1995 [7]

Cobb T5–T12

36 (±11)

32 (±10)

36 (±11)

33 (±14)

27

27

37

9

 

40–49

50–59

60–69

x > 70

Mix

North Americans

 

Prospective cross-sectional cohort study, observational

Granito et al. 2014 [48]

Cobb T1–T12

29.99 (±5.12)

36.11 (±3.71)

37.14 (±2.67)

10

10

10

24.6 (±2.27)

43.5 (±2.88)

62.4 (±2.67)

 

Female

South Americans

20.9 (±1.45)

22.79 (±2.72)

26.2 (±2.32)

Prospective cross-sectional cohort study, observational

Hammerberg et al. 2003 [61]

Cobb T1–T12

52.5 (±12.2)

50

76.3

70–85

Mix

North Americans

 

Prospective cross-sectional cohort study, observational

Hasegawa et al 2016 [51]

Cobb T1–T12

41.5 (±9.9)

126

39.4 (±11.3)

 

Mix

Asians

21.1 (±2.4)

Prospective cross-sectional cohort study, observational

Cobb T4–T12

29.6 (±9.2)

Hasegawa et al. 2017 [53]

Cobb T1–T12

43.7 (±9)

41 (±10.2)

41.8 (±19.58)

40

96

136

40

39.6

39.7

 

Male

Female

Mix

Asians

21.4

21.4

21.4

Prospective cross-sectional cohort study, observational

Hinman 2004 [47]

Flexicurve

12.19 (±3.71) (cm)

10.02 (±2.43) (cm)

25

26

29.2

72.3

21–51

66–68

Female

North Americans

 

Prospective cross-sectional cohort study, observational

Hu et al. 2016 [42]

Cobb T5–T12

24.6 (±9.4)

23.5 (±8.5)

24.2 (±9)

161

111

272

23.2 (±3.4)

23.2 (±5.4)

23.2 (±4.4)

18–45

18–45

18–45

Male

Female

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Hu et al. 2020 [32]

Cobb T5–T12

24.7 (±9.5)

23.8 (±8.5)

22.6 (±7.7)

23.9 (±8.5)

25.2 (±7.5)

27.2 (±8.5)

26.8 (±8.5)

27.4 (±8.5)

28.5 (±7.2)

27.5 (±8.5)

28.6 (±8.8)

28.6 (±8.5)

30.8 (±13.2)

29 (±8.5)

40

46

40

41

40

42

41

45

40

44

41

40

40

44

 

20–29

20–29

30–39

30–39

40–49

40–49

50–59

50–59

60–69

60–69

70–79

70–79

x > 80

x > 80

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Asians

 

Prospective cross-sectional cohort study, observational

Iyer et al. 2016 [6]

Cobb T2–T12

46.3 (±6.3)

39.6 (±14.7)

41.2 (±13.3)

37.3 (±10.7)

46 (±11)

43.2 (±11.4)

59.6 (±21)

40.4 (±6.8)

44.5 (±13.2)

48.5 (±15.4)

51.4 (±10.7)

50.9 (±11.2)

52.4 (±11.3)

44.7 (±14.5)

47.7 (±13.6)

46 (±15.7)

54.2 (±16.4)

49.8 (±16.1)

5

16

21

6

13

19

4

15

19

3

13

16

11

16

27

9

9

18

 

21–30

21–30

21–30

31–40

31–40

31–40

41–50

41–50

41–50

51–60

51–60

51–60

61–70

61–70

61–70

x > 71

x > 71

x > 71

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

North Americans

26.5 (±6.6)

26.5 (±6.6)

26.5 (±6.6)

28.2 (±7)

28.2 (±7)

28.2 (±7)

31.4 (±7.8)

31.4 (±7.8)

31.4 (±7.8)

28.2 (±6.2)

28.2 (±6.2)

28.2 (±6.2)

27.4 (±2.7)

27.4 (±2.7)

27.4 (±2.7)

26.8 (±4)

26.8 (±4)

26.8 (±4)

Prospective cross-sectional cohort study, observational

Iyer et al. 2016 [6]

Cobb T5–T12

34.8 (±7.7)

27 (±11.4)

28.9 (±11)

27.8 (±9.9)

37.3 (±10.7)

31.2 (±9.3)

46 (±22.3)

29.1 (±6.4)

32.7 (±12.8)

39.9 (±11.2)

37.9 (±12.8)

38.3 (±12.2)

39.5 (±8.7)

34.4 (±15.6)

36.4 (±13.3)

33.3 (±13.3)

44 (±16)

38.3 (±15.2)

5

16

21

6

13

19

4

15

19

3

13

16

11

16

27

9

9

18

 

21–30

21–30

21–30

31–40

31–40

31–40

41–50

41–50

41–50

51–60

51–60

51–60

61–70

61–70

61–70

x > 71

x > 71

x > 71

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

Male

Female

Mix

North Americans

26.5 (±6.6)

26.5 (±6.6)

26.5 (±6.6)

28.2 (±7)

28.2 (±7)

28.2 (±7)

31.4 (±7.8)

31.4 (±7.8)

31.4 (±7.8)

28.2 (±6.2)

28.2 (±6.2)

28.2 (±6.2)

27.4 (±2.7)

27.4 (±2.7)

27.4 (±2.7)

26.8 (±4)

26.8 (±4)

26.8 (±4)

Prospective cross-sectional cohort study, observational

Janssen et al. 2009 [36]

Cobb T4–T12

37 (±7.3)

35 (±10)

30

30

27

26

 

Male

Female

Europeans

21.9

21.4

Prospective cross-sectional cohort study, observational

Kim et al. 2014 [31]

Cobb T5–T12

21.1 (±7.8)

30.1 (±8.6)

184

158

21.2

63.8

19–28

53–79

Male

Asians

22.4 (±2.1)

23.9 (±2.9)

Prospective cross-sectional cohort study, observational

Korovessis et al. 1998 [44]

Cobb T4–T12

41.8 (±13)

99

52.7 (±15)

20–79

Mix

Europeans

 

Prospective cross-sectional cohort study, observational

Lafage et al. 2019 [55]

Cobb T1–T12

49.5 (±13.3)

119

50.8 (±17)

22–78

Mix

North Americans

28 (±6)

Retrospective, observational

Cobb T4–T12

41.5 (±12.7)

Cobb T5–T12

36.1 (±12.5)

Lee et al. 2015 [49]

Cobb T4–T12

28.5 (±9)

77

31.5 (±7.6)

21–50

Mix

Asians

22.6 (±3.7)

Prospective cross-sectional cohort study, observational

Le Huec et al. 2016 [38]

Cobb T1–T12

41.6 (±9.9)

131

35

18–76

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Cobb T4–T12

29.9 (±9.4)

Cobb T1–T12

41.1 (±9.8)

147

39.6

18–76

Mix

Europeans

Cobb T4–T12

33.7 (±8.9)

Oe et al. 2015 [59]

Cobb T5–T12

28.3 (±5.8)

30.3 (±13.1)

32.9 (±11.1)

33.4 (±13.4)

33.8 (±11.3)

36.7 (±14.5)

38.8 (±12.6)

40.4 (±18.7)

14

22

73

101

108

203

68

67

50

50

60

60

70

70

80

80

50

50

60

60

70

70

80

80

Male

Female

Male

Female

Male

Female

Male

Female

Asians

25.2 (±2.8)

21.3 (±2.8)

23.1 (±3.3)

22.8 (±3.3)

22.7 (±2.6)

22.3 (±2.7)

22.1 (±2.8)

22.3 (±3.5)

Prospective cross-sectional cohort study, observational

Park et al. 2013 [58]

Cobb T1–T12

38.31 (±12.12)

38.69 (±11.08)

39 (±11.52)

41 (±8.05)

26.33 (±21.53)

33.37 (±17.94)

25

25

50

25

25

50

23.4

23.4

23.4

65.8

65.8

65.8

20–29

20–29

20–29

60–74

60–74

60–74

Male

Female

Mix

Male

Female

Mix

Asians

20.8 (±3.2)

20.8 (±3.2)

20.8 (±3.2)

23.1 (±3.7)

23.1 (±3.7)

23.1 (±3.7)

Retrospective, observational

Pavlovic et al. 2013 [52]

Flexicurve

3.2 (±2.2) (cm)

3.4 (±2.2) (cm)

104

138

39.5

52 (±4.6)

 

Female

North Americans

 

Prospective cross-sectional cohort study, observational

Schwab et al. 2006 [50]

Cobb T4–T12

38 (±12)

37 (±9)

44 (±12)

25

24

22

29.8 (±5.8)

47.3 (±7.22)

70.8 (±5.2)

21–40

41–60

x > 60

Mix

North Americans

 

Prospective cross-sectional cohort study, observational

Sudhir et al. 2016 [39]

Cobb T3–T12

32.55 (±10.93)

33.91 (±11.26)

31.17 (±10.5)

30.24 (±9.6)

35 (±11.75)

101

51

50

52

49

44.91 (±15.81)

48.59 (±13.23)

47.16 (±17.41)

32.17 (±10.4)

58.43 (±6.6)

18–79

18–73

18–79

18–48

50–79

Mix

Female

Male

Mix

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Uehara et al. 2019 [41]

Cobb T5–T12

25 (±8)

27 (±9)

29 (±8)

31 (±10)

31 (±10)

30 (±11)

31 (±13)

33 (±19)

50

47

53

61

55

54

45

48

50

50

60

60

70

70

80

80

50

50

60

60

70

70

80

80

Male

Female

Male

Female

Male

Female

Male

Female

Asians

22.7 (±2.9)

22.2 (±2.8)

24.1 (±2.1)

22.3 (±2.8)

22.5 (±3.4)

22.6 (±3.2)

22.4 (±2.8)

23.1 (±3.3)

Prospective cross-sectional cohort study, observational

Urrutia et al. 2014 [60]

Cobb T5–T12

36

760

66.6 (±11)

 

Mix

South Americans

 

Prospective cross-sectional cohort study, observational

Vialle et al. 2005 [57]

Cobb T4–T12

40.6 (±10)

300

35.4 (±12)

20–70

Mix

Europeans

23.5 (±3)

Prospective cross-sectional cohort study, observational

Yang et al. 2017 [34]

Cobb T1–T12

36.33 (±10.25)

39.28 (±9.58)

35.78 (±8.9)

36.72 (±11.11)

311

29

128

183

46.2

40.3

40.01

50.52

18–78

22–74

Mix

Mix

Male

Female

Asians

 

Retrospective, observational.

Yeh et al. 2018 [35]

Cobb T5–T12

35 (±10)

32 (±13)

31 (±13)

114

135

143

28 (±7)

52 (±5)

69 (±6)

20–40

41–60

61–80

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Yokoyama et al. 2017 [33]

Cobb C7–T12

38.8 (±10.4)

220

59

20–95

Mix

Asians

 

Prospective cross-sectional cohort study, observational

Yukawa et al. 2018 [43]

Cobb T1–T12

34.9 (±8.1)

33.9 (±9.1)

37.3 (±9.1)

33.4 (±9)

35.9 (±8.5)

35.9 (±10.4)

39.4 (±10.5)

35.9 (±10.7)

39.7 (±10)

36 (±11.7)

35 (±11.8)

34.8 (±10.5)

48

53

51

50

50

57

56

51

50

60

50

50

20

20

30

30

40

40

50

50

60

60

70

70

20

20

30

30

40

40

50

50

60

60

70

70

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Asians

 

Prospective cross-sectional cohort study, observational

Zhu et al 2014 [45]

Cobb T5–T12

27.6 (±8.7)

28.1 (±10.6)

27.8 (±11.4)

104

156

260

33.8 (±11.6)

34.6 (±10.8)

34.3 (±12.6)

 

Male

Female

Mix

Asians

 

Cross-sectional cohort study, observational

  1. SD standard deviation