Aggarwal Nupur, Anand Tanu, Kishore Jugal, Ingle Gopal Krishna
Department of Community Medicine, Maulana Azad Medical College and Associated L.N, G.N.E.C and G.B. Pant Hospitals, New Delhi, India.
Educ Health (Abingdon). 2013 May-Aug;26(2):103-8. doi: 10.4103/1357-6283.120702.
Low back pain (LBP) is the most common orthopedic problem worldwide and is known to affect both younger and older adults. The stressful and time consuming curriculum of medical students predisposes them to this problem. Few statistics are available on prevalence rates of LBP among medical students in India. This study assesses the prevalence and risk factors of LBP in students of a medical college in Delhi.
A cross-sectional study was carried out in a medical college in Delhi. The study subjects (n = 160; 100% participation) were selected via stratified random sampling from all undergraduate medical students (aged 17-25 years). A validated questionnaire was used to collect the data.
The overall prevalence of LBP among the students over the past one year was 47.5% (n = 76) with a prevalence of 32.5% at the time of data collection. Prevalence among males and females was 45.3% and 50%, respectively. Significant associations were found between LBP in the past year and coffee drinking (Regular = 57%, Occasional = 38.9%, Never = 65.2%, χ2 = 7.24, P= 0.02), body posture (Normal = 32.6%, Abnormal = 75%, χ2 = 18.97, P < 0.001), place of study (Study table = 33.8%, Bed = 58.6, Both = 61.5% χ2 = 10.51, P = 0.01), family history of LBP (Present = 75%, Absent = 38.3%, χ2 = 16.17, P < 0.001) and carrying backpacks (Regular = 50%, Occasional = 33%, Never = 0%, χ2 = 16.17, P < 0.001). The mean scores of depression (2.7 vs. 1.6), anxiety (3.5 vs 1.9), and monotonous work (3.9 vs. 1.8) were found to be significantly higher in group with LBP than in the non-LBP group. However, no association with LBP was seen for weight lifting, watching television/working on computers, driving, wearing heels, or body mass index.
The high prevalence of LBP among medical students and its association with poor study habits, lifestyle habits, and psychological factors highlight a need for life skills training, education, counseling, and restructuring of the medical curriculum.
腰痛是全球最常见的骨科问题，已知会影响年轻人和老年人。医学生紧张且耗时的课程使他们易患此问题。关于印度医学生腰痛患病率的统计数据很少。本研究评估了德里一所医学院学生中腰痛的患病率及危险因素。
在德里的一所医学院开展了一项横断面研究。研究对象（n = 160；参与率100%）通过分层随机抽样从所有本科医学生（年龄17 - 25岁）中选取。使用经过验证的问卷收集数据。
在过去一年中，学生中腰痛的总体患病率为47.5%（n = 76），在数据收集时患病率为32.5%。男性和女性的患病率分别为45.3%和50%。发现过去一年的腰痛与喝咖啡（经常喝 = 57%，偶尔喝 = 38.9%，从不喝 = 65.2%，χ2 = 7.24，P = 0.02）、身体姿势（正常 = 32.6%，异常 = 75%，χ2 = 18.97，P < 0.001）、学习地点（学习桌 = 33.8%，床上 = 58.6%，两者都有 = 61.5%，χ2 = 10.51，P = 0.01）、腰痛家族史（有 = 75%，无 = 38.3%，χ2 = 16.17，P < 0.001）以及背背包（经常背 = 50%，偶尔背 = 33%，从不背 = 0%，χ2 = 16.17，P < 0.001）之间存在显著关联。发现腰痛组的抑郁（2.7对1.6）、焦虑（3.5对1.9）和单调工作（3.9对1.8）平均得分显著高于无腰痛组。然而，未发现举重、看电视/使用电脑、开车、穿高跟鞋或体重指数与腰痛有关联。
医学生中腰痛的高患病率及其与不良学习习惯、生活方式习惯和心理因素的关联凸显了对生活技能培训、教育、咨询以及医学课程重新调整的需求。
