Men were more likely to be hyperkyphotic than were women (p < .0001). In multiplyadjusted comparisons, there was a graded stepwise increase in difficulty in bending, walking andclimbing, measured grip strength, and ability to rise from a chair. For example, the odds ratio (OR)of having to use the arms to stand up from a chair increased from 1.6 (95% confidence interval [CI]:0.9–3.0) for individuals defined as hyperkyphotic by 1 block to 2.9 (95% CI: 1.7–5.1) for individualsdefined as hyperkyphotic by 2 blocks to 3.7 (95% CI: 2.1–6.3) for individuals defined ashyperkyphotic by ≥ 3 blocks compared to those who were not hyperkyphotic (p for trend < .0001)