身体素质，而非自我报告的身体活动，与腰痛的相关性更强：来自工作人群的证据。

Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population.

机构信息

Research Department Lifestyle and Health, University of Applied Sciences, PO box 85182, 3508 AD, Utrecht, The Netherlands.

出版信息

Eur Spine J. 2012 Jul;21(7):1265-72. doi: 10.1007/s00586-011-2097-7. Epub 2011 Dec 2.

DOI:10.1007/s00586-011-2097-7

PMID:22134487

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3389121/

Abstract

INTRODUCTION

Physical activity is suggested to be important for low back pain (LBP) but a major problem is the limited validity of the measurement of physical activities, which is usually based on questionnaires. Physical fitness can be viewed as a more objective measurement and our question was how physical activity based on self-reports and objective measured levels of physical fitness were associated with LBP.

MATERIALS AND METHODS

We analyzed cross-sectional data of 1,723 police employees. Physical activity was assessed by questionnaire (SQUASH) measuring type of activity, intensity, and time spent on these activities. Physical fitness was based on muscular dynamic endurance capacity and peak oxygen uptake (VO(2) peak). Severe LBP, interfering with functioning, was defined by pain ratings ≥ 4 on a scale of 0-10.

RESULTS

Higher levels of physical fitness, both muscular and aerobic, were associated with less LBP (OR: 0.54; 95% CI: 0.34-0.86, respectively, 0.59: 95%CI: 0.35-0.99). For self-reported physical activity, both a low and a high level of the total physical activity pattern were associated with an increase of LBP (OR: 1.52; 95%CI: 1.00-2.31, respectively, 1.60; 95%CI: 1.05-2.44).

CONCLUSION

These findings suggest that physical activity of an intensity that improves physical fitness may be important in the prevention of LBP.

摘要

简介

体力活动对下腰痛（LBP）很重要，但主要问题是体力活动的测量效度有限，通常基于问卷。身体适应性可以被视为一种更客观的测量方法，我们的问题是基于自我报告的体力活动和客观测量的身体适应性水平与 LBP 的关系。

材料和方法

我们分析了 1723 名警察员工的横断面数据。体力活动通过问卷（SQUASH）进行评估，该问卷测量活动类型、强度和从事这些活动的时间。身体适应性基于肌肉动态耐力能力和最大摄氧量（VO2 峰值）。严重的 LBP，即干扰功能的疼痛，定义为疼痛评分≥10 分制的 4 分。

结果

更高水平的身体适应性，包括肌肉和有氧，与较少的 LBP 相关（OR：0.54；95%CI：0.34-0.86，分别为 0.59：95%CI：0.35-0.99）。对于自我报告的体力活动，低水平和高水平的总体体力活动模式都与 LBP 的增加相关（OR：1.52；95%CI：1.00-2.31，分别为 1.60；95%CI：1.05-2.44）。