PM&R Department, Rheumatology Division, Celal Bayar University Medical School, Manisa, Turkey.
Rheumatol Int. 2012 Mar;32(3):663-7. doi: 10.1007/s00296-010-1693-x. Epub 2010 Dec 5.
The aim of our study was to investigate the frequency of the metabolic syndrome in chronic low back pain and evaluate the differences in clinical and functional parameters in chronic low back pain patients with and without metabolic syndrome. Patients complaining of low back pain complaint lasting for at least 2 months were included in the study. In order to establish functional deficiency, Roland-Morris Disability Questionnaire, Istanbul Low Back Pain Disability Index and Oswestry Disability Index were used. To evaluate depression, Beck's depression scale was used. The diagnosis of metabolic syndrome was made according to the criteria of National Cholesterol Education Program (NCEP) defined in 2001. For this; lumbar circumference around anterior iliac spine, arterial blood pressure, fasting blood glucose, plasma triglyceride levels and HDL cholesterol levels were noted down. Sixty patients (51 women) were included in the study. There was significant difference in terms of BMI (P = 0.034), age (P = 0.001), waist circumference (P = 0.048) and disease duration (P = 0.005) between chronic low back pain patients with and without metabolic syndrome. There was no significant difference in other parameters. Low back pain is a frequent complaint amongst people with obesity in the abdominal area. According to our results, elderly people, people with chronic low back pain and patients with high BMI are under risk for metabolic syndrome. For this reason this group of patients can be screened for metabolic syndrome and preventive measures can be taken.
我们的研究目的是调查慢性下腰痛患者中代谢综合征的频率，并评估有和无代谢综合征的慢性下腰痛患者在临床和功能参数方面的差异。研究纳入了抱怨持续至少 2 个月的慢性下腰痛的患者。为了确定功能缺陷，使用了 Roland-Morris 残疾问卷、伊斯坦布尔下腰痛残疾指数和 Oswestry 残疾指数。为了评估抑郁，使用了 Beck 抑郁量表。代谢综合征的诊断根据 2001 年国家胆固醇教育计划 (NCEP) 的标准进行。为此，记录了髂前上棘周围的腰椎周径、动脉血压、空腹血糖、血浆甘油三酯水平和高密度脂蛋白胆固醇水平。研究纳入了 60 名患者（51 名女性）。有代谢综合征的慢性下腰痛患者与无代谢综合征的患者在 BMI（P = 0.034）、年龄（P = 0.001）、腰围（P = 0.048）和疾病持续时间（P = 0.005）方面存在显著差异。其他参数无显著差异。腰背痛是腹部肥胖人群中常见的抱怨。根据我们的结果，老年人、患有慢性下腰痛的患者和 BMI 较高的患者有患代谢综合征的风险。因此，这群患者可以进行代谢综合征的筛查，并采取预防措施。
