School of Physiotherapy and Curtin Health Innovation Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
BMC Public Health. 2012 Feb 5;12:100. doi: 10.1186/1471-2458-12-100.
Prevalence of low back pain (LBP) rises rapidly during adolescence, reaching adult levels by the age of 18. It has been suggested that adolescent LBP is benign with minimal impact, despite limited evidence.
The aim of this study was to investigate the impact of LBP and the influence of chronicity, gender and presence of other spinal pain comorbidities at age 17. Subjects (n=1283) were categorised according to experiencing current and chronic LBP, gender and presence of other areas of spinal pain. LBP impact was ascertained via questions regarding seeking professional assistance, using medication, missing school/work, limited normal or recreational physical activity and health related quality of life (HRQOL).
12.3% of participants reported current but not chronic LBP, while 19.9% reported current chronic LBP. LBP was more commonly reported by females than males. Other spinal pain comorbidities were common in the LBP groups. Impact was greater in subjects with chronic LBP, in females and in those with other spinal pain comorbidities.
LBP, and particularly chronic LBP, has a significant negative impact at 17 years. It is commonly associated with care seeking, medication use, school absenteeism, and reduced HRQOL. These findings support that adolescent LBP is an important public health issue that requires attention.
腰痛（LBP）在青少年时期迅速增加，到 18 岁时达到成人水平。尽管证据有限，但有人认为青少年 LBP 是良性的，影响很小。
本研究旨在探讨 17 岁时 LBP 的影响，以及慢性、性别和其他脊柱疼痛合并症的存在对 LBP 的影响。受试者（n=1283）根据是否有当前和慢性 LBP、性别和是否存在其他脊柱疼痛区域进行分类。通过询问有关寻求专业帮助、使用药物、缺课/旷工、正常或娱乐性体育活动受限以及健康相关生活质量（HRQOL）等问题来确定 LBP 影响。
12.3%的参与者报告有当前但非慢性 LBP，19.9%报告有当前慢性 LBP。女性比男性更常报告 LBP。其他脊柱疼痛合并症在 LBP 组中很常见。慢性 LBP、女性和其他脊柱疼痛合并症的受试者的影响更大。
17 岁时，LBP，特别是慢性 LBP，具有显著的负面影响。它通常与寻求医疗、药物使用、缺课和降低 HRQOL 有关。这些发现支持青少年 LBP 是一个重要的公共卫生问题，需要引起关注。
