Cecchi Francesca, Debolini Pierluigi, Lova Raffaello Molino, Macchi Claudio, Bandinelli Stefania, Bartali Benedetta, Lauretani Fulvio, Benvenuti Enrico, Hicks Gregory, Ferrucci Luigi
Fondazione Don Carlo Gnocchi, Institute for Recovery and Care with Scientific Character, Centro S. Maria agli Ulivi, Florence, Italy.
Spine (Phila Pa 1976). 2006 May 1;31(10):1149-55. doi: 10.1097/01.brs.0000216606.24142.e1.
Clinico-epidemiologic study in the Chianti area (Tuscany, Italy).
To describe prevalence and correlates of back pain in a representative sample of the population.
Back pain is common in old age and is related to functional limitations, but back pain characteristics and correlates in older adults, which may be targeted by specific interventions, are still underinvestigated.
A total of 1,299 persons aged 65 or older were selected from the city registry of Greve in Chianti and Bagno a Ripoli; 1,008 (565 women; 443 men) were included in this analysis. Back pain in the past 12 months was ascertained using a questionnaire. Potential correlates of back pain were identified in age- and sex-adjusted regression analyses, and their independent association with back pain was tested in a multivariate model.
The prevalence of frequent back pain was 31.5%. Back pain was reported less often by men and the very old, was primarily located in the dorsolumbar and lumbar spine, was moderate in intensity and mainly elicited by carrying, lifting, and pushing heavy objects. Among participants who reported frequent back pain, 76.3% had no back pain-related impairments; 7.4% of the overall study population had back pain-related functional limitation. Back pain participants were significantly more likely to report difficulty in heavy household chores, carrying a shopping bag, cutting toenails, and using public transportation. Limited trunk extension, depression, low levels of prior-year physical activity, and hip, knee, and foot pain were independent correlates of back pain.
Frequent back pain is highly prevalent in the older population and is often associated with conditions that are potentially reversible.
在基安蒂地区（意大利托斯卡纳）进行的临床流行病学研究。
描述该地区具有代表性人群样本中背痛的患病率及其相关因素。
背痛在老年人中很常见，且与功能受限有关，但针对老年人背痛特征及其相关因素（这些因素可能是特定干预措施的目标）的研究仍不足。
从基安蒂地区的格雷韦市和巴尼奥阿里波利市的城市登记册中选取了1299名65岁及以上的老年人；本分析纳入了1008人（565名女性；443名男性）。通过问卷调查确定过去12个月内的背痛情况。在年龄和性别调整的回归分析中确定背痛的潜在相关因素，并在多变量模型中测试它们与背痛的独立关联。
经常背痛的患病率为31.5%。男性和高龄老人报告背痛的频率较低，背痛主要位于胸腰椎和腰椎，强度为中度，主要由搬运、提起和推重物引起。在报告经常背痛的参与者中，76.3%没有与背痛相关的损伤；整个研究人群中有7.4%存在与背痛相关的功能受限。背痛参与者报告在繁重家务、提购物袋、剪脚趾甲和使用公共交通方面有困难的可能性显著更高。躯干伸展受限、抑郁、前一年身体活动水平低以及髋部、膝盖和足部疼痛是背痛的独立相关因素。
经常背痛在老年人群中非常普遍，且通常与可能可逆的情况相关。
