Biering-Sørensen F, Thomsen C E, Hilden J
Department of Internal Medicine TTA and TH, Rigshospitalet, Denmark.
Scand J Rehabil Med. 1989;21(3):151-7.
A general population of 928 men and women aged 30, 40, 50 and 60 years participated in a health survey with emphasis on low back trouble (LBT). In all 135 variables were analysed to identify possible indicators for first-time experience and recurrence or persistence of LBT during a one-year follow-up. Stepwise logistic regression analyses were carried out to identify the most informative combinations of indicators for prediction of LBT. For men, a high risk for recurrence or persistence of LBT was associated with frequent LBT in the past, worsening of the LBT since its onset, sciatica and living alone. For women corresponding risk indicators were: recency of the last LBT episode, waking up during night because of LBT, aggravation of LBT when standing, rumbling of "the stomach" and smoking. The strongest risk indicators for first-time experience of LBT were epigastric pain, daily smoking and low isometric endurance of the back muscles. In addition, hospitalisations for whatever cause and a long distance from home to work showed predictive power for first-time LBT among gainfully employed participants. The results indicate that persons with either recurring or first-time LBT had more health problems and probably lived under a higher psycho-social pressure than those without LBT in the follow-up year.
928名年龄在30、40、50和60岁的男性和女性参与了一项以腰痛（LBT）为重点的健康调查。总共分析了135个变量，以确定在为期一年的随访期间首次出现LBT以及复发或持续存在LBT的可能指标。进行了逐步逻辑回归分析，以确定预测LBT的最具信息性的指标组合。对于男性，LBT复发或持续存在的高风险与过去频繁出现LBT、LBT自发病以来的恶化、坐骨神经痛和独居有关。对于女性，相应的风险指标为：最近一次LBT发作的时间、因LBT在夜间醒来、站立时LBT加重、“胃部”咕噜作响和吸烟。首次出现LBT的最强风险指标是上腹部疼痛、每日吸烟和背部肌肉等长耐力低下。此外，无论何种原因的住院治疗以及从家到工作地点的距离较远，对有工作的参与者首次出现LBT具有预测作用。结果表明，在随访年度中，患有复发性或首次LBT的人比没有LBT的人有更多的健康问题，并且可能生活在更高的心理社会压力之下。
