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青少年时期疼痛与成年后腰背痛之间的关联:对一组矿工的研究

Association between Pain in Adolescence and Low Back Pain in Adulthood: Studying a Cohort of Mine Workers.

作者信息

Jonsson David, Burström Lage, Nilsson Tohr, Wahlström Jens, Pettersson Hans

机构信息

Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.

Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, 901 87 Umeå, Sweden.

出版信息

Pain Res Treat. 2017;2017:3569231. doi: 10.1155/2017/3569231. Epub 2017 Mar 6.

Abstract

To study the association of self-reported pain in adolescence with low back pain (LBP) in adulthood among mine workers and, also, study associations between the presence of LBP over 12-month or one-month LBP intensity during a health examination and daily ratings of LBP three and nine months later. Mixed design with data collected retrospectively, cross-sectionally, and prospectively. Data was collected using a questionnaire during a health examination and by using self-reported daily ratings of LBP three and nine months after the examination. Pain prevalence during teenage years was 55% and it was 59% at age 20. Pain during teenage years had a relative risk of 1.33 (95% confidence interval 1.03-1.73) of LBP 12 months prior to the health examination, but with no associations with LBP intensity or LBP assessed by text messaging. Pain at age 20 years was not associated with any measure of LBP in adulthood. Daily ratings of LBP were associated with LBP during the health examination three and nine months earlier. There were no clear associations between self-reported pain in adolescence and LBP in adulthood. Self-reported daily ratings of LBP were associated with LBP from the health examination. Possible limitations for this study were the retrospective design and few participants.

摘要

研究矿工青春期自我报告的疼痛与成年期腰痛(LBP)之间的关联,同时研究健康检查期间12个月的LBP存在情况或一个月的LBP强度与三个月和九个月后LBP每日评分之间的关联。采用回顾性、横断面和前瞻性收集数据的混合设计。在健康检查期间使用问卷收集数据,并在检查后三个月和九个月通过自我报告的LBP每日评分收集数据。青少年时期的疼痛患病率为55%,20岁时为59%。青少年时期的疼痛在健康检查前12个月发生LBP的相对风险为1.33(95%置信区间1.03 - 1.73),但与LBP强度或通过短信评估的LBP无关。20岁时的疼痛与成年期的任何LBP测量指标均无关联。LBP的每日评分与三个月和九个月前健康检查期间的LBP相关。青少年自我报告的疼痛与成年期的LBP之间没有明确的关联。LBP的自我报告每日评分与健康检查中的LBP相关。本研究的可能局限性在于回顾性设计和参与者较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/452c/5358449/c20bc2e36f6c/PRT2017-3569231.001.jpg

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