Bener Abdulbari, Alwash Rafie, Gaber Tariq, Lovasz Gyorgy
Department of Community Medicine, Faculty of Medicine, UAE University, UAE.
Coll Antropol. 2003 Jun;27(1):95-104.
Obesity and low back pain (LBP) are common health problems among patients attending Primary Health Care (PHC) in general practice at the United Arab Emirates (UAE). The objective of this study was to determine whether obesity is associated with low back pain. A cross-sectional face-to-face interview questionnaire survey was conducted. The questionnaire was a modified version of the Roland-Morris Scale for evaluating back disability. The interviews were conducted in Arabic by qualified nurses. A multi-stage stratified sample 1,103 UAE national aged 25-65 years, who attended PHC clinics for any reason, were invited to participate but only 802 subjects were eligible to be included for the statistical analysis. The data were analyzed using univariate and multivariate statistical methods. Of the 802 subjects, 428 (53.4%) were males and 374 (46.6%) were females. The mean age of the males was 40.5 +/- 11.5 years and females was 38.2 +/- 10.5 years (p = 0.004). The mean BMI of the males was 26.4 +/- 7.4 and females was 27.8 +/- 5.6 (p = 0.002). The overall prevalence of LBP in the present study was 64.9% (95% confidence interval, 61.0-68.8) and respectively, 56.1% in males and 73.8% in females. The results revealed that there was association between BMI and some socio-demographic variables with the respect of with low back pain. Back pain had more influence on the life style habits on females than in males. Stepwise multiple regression analysis showed that only age (p < 0.0001), educational level (p = 0.001), gender (p = 0.002), place of living (p = 0.019), BMI (p < 0.0001), and housing condition (p = 0.02) had significant effect on the presence of LBP in patients. The present study showed that obesity is moderately associated with low back pain.
肥胖和腰痛是阿联酋初级卫生保健机构普通门诊患者中常见的健康问题。本研究的目的是确定肥胖是否与腰痛有关。我们进行了一项横断面面对面访谈问卷调查。该问卷是用于评估背部残疾的罗兰-莫里斯量表的修改版。访谈由合格护士用阿拉伯语进行。我们采用多阶段分层抽样，邀请了1103名25至65岁因任何原因前往初级卫生保健诊所的阿联酋国民参与，但只有802名受试者有资格纳入统计分析。数据采用单变量和多变量统计方法进行分析。在802名受试者中，428名（53.4%）为男性，374名（46.6%）为女性。男性的平均年龄为40.5±11.5岁，女性为38.2±10.5岁（p = 0.004）。男性的平均体重指数为26.4±7.4，女性为27.8±5.6（p = 0.002）。本研究中腰痛的总体患病率为64.9%（95%置信区间，61.0 - 68.8），男性为56.1%，女性为73.8%。结果显示，体重指数和一些社会人口统计学变量与腰痛之间存在关联。背痛对女性生活方式习惯的影响大于男性。逐步多元回归分析表明，只有年龄（p < 0.0001）、教育水平（p = 0.001）、性别（p = 0.002）、居住地点（p = 0.019）、体重指数（p < 0.0001）和住房条件（p = 0.02）对患者腰痛的存在有显著影响。本研究表明，肥胖与腰痛存在中度关联。
