UPFRONT | News and events SLEEP HEALTH Little sleep negatively affects bone health PATIENT CARE Global researchers gather in Canada to investigate SMT for non-MSK disorders over 60 of the world’s leading researchers from the chiropractic profession gathered in Toronto, Canada over the weekend of Septem-ber 14-15 to attend a Global Summit on Spinal Manipu-lation for Non-Musculoskel-etal Disorders. Hosted by the Centre for Disability Prevention and Rehabilitation at Ontario Tech University and Cana-dian Memorial Chiropractic College, the stated purpose of the Summit was to de-velop evidence-based, pa-tient-centred policy recom-mendations to inform patients, the public and de-cision-makers about the ef-fectiveness of using spinal manipulation to prevent or treat conditions outside the umbrella of MSK disorders most commonly associated with chiropractic treatment. Organized by Professors Pierre Côté, Jan Hartvigsen, Iben Axén and Charlotte Leboeuf-Yde, the meeting was undertaken as part of a comprehensive systematic review of randomized clini-cal trials of the evidence supporting spinal manipula-tion, mobilization and trac-tion for a wide range of non-MSK conditions. Specifically, researchers from eight countries looked at evidence of effectiveness for preventing disease-spe-cific outcomes, evidence of effectiveness for improving disease-specific outcomes, and evidence of effectiveness for maintaining health status or lowering the incidence of negative health outcomes of non-MSK disorders. Over 30 non-researcher observers from national, getting too little sleep was linked with a higher risk of having low bone mineral density (BMD) and developing osteoporosis, as reported in a recent Journal of Bone and Mineral Research study of post-menopausal women. In the study of 11,084 post-menopausal women, those who reported sleeping five hours or less per night had lower BMD at all four sites assessed (whole body, total hip, neck, and spine) compared with women who reported sleeping seven hours per night. Women reporting five hours or less per night had 22% and 63% higher risks of experiencing low bone mass and osteoporosis of the hip, respectively. “Our study suggests that sleep may negatively impact bone health, adding to the list of the negative health impacts of poor sleep. I hope that it can also serve as a reminder to strive for the recommended seven or more hours of sleep per night for our physical and mental health,” said lead author Heather Ochs-Balcom, PhD, of the University at Buffalo — WILEY regional and global organi-zations attended. These in-cluded representatives from the Canadian Chiropractic Association, Ontario Chiro-practic Association, Cana-dian Chiropractic Protective Association and the World Federation of Chiropractic. Observers attended ses-sions where the strength and quality of research was dis-cussed and well as dedicated observer sessions that dis-cussed policy implications. Many commented that they were highly impressed with the scientific rigor of the process and that they appre-ciated the openness with which the proceedings were conducted. The outcomes of the Summit and the systematic review are expected to be published late in 2019. www.canadianchiropractor.ca 8 Canadian Chiropractor December 2019
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