Hashimoto Yuko, Matsudaira Ko, Sawada Susumu S, Gando Yuko, Kawakami Ryoko, Kinugawa Chihiro, Okamoto Takashi, Tsukamoto Koji, Miyachi Motohiko, Naito Hisashi
Faculty of Health and Sports Science, Juntendo University, Japan.
Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Japan.
J Phys Ther Sci. 2017 Jun;29(6):978-983. doi: 10.1589/jpts.29.978. Epub 2017 Jun 7.
[Purpose] This study evaluated whether obesity is a risk factor for low back pain, by using body fat percentage (%FAT) and body mass index (BMI) as indices of obesity among Japanese males. [Subjects and Methods] This study included 1,152 males (average age: 28.0 ± 4.6 years). BMI was calculated from subject's height and weight, and %FAT was estimated by the thickness of two parts of skin. Low back pain, drinking and smoking were surveyed using a self-administered questionnaire, and maximal oxygen uptake was measured by a submaximal exercise test using a cycle ergometer. [Results] A significant positive dose-response relationship was shown between %FAT and persistent low back pain prevalence. Similarly, a significant positive dose-response relationship was confirmed between BMI and persistent low back pain. [Conclusion] This study suggests that both high %FAT and BMI are risk factors for persistent low back pain.
[目的]本研究通过将体脂百分比(%FAT)和体重指数(BMI)作为日本男性肥胖指标,评估肥胖是否为腰痛的危险因素。[对象与方法]本研究纳入1152名男性(平均年龄:28.0±4.6岁)。根据受试者的身高和体重计算BMI,并通过测量两个部位的皮肤厚度估算%FAT。使用自填式问卷对腰痛、饮酒和吸烟情况进行调查,并通过使用自行车测力计的次极量运动试验测量最大摄氧量。[结果] %FAT与持续性腰痛患病率之间呈现显著的正剂量反应关系。同样,BMI与持续性腰痛之间也证实存在显著的正剂量反应关系。[结论]本研究表明,高%FAT和BMI均为持续性腰痛的危险因素。