Research Department, Rehabilitation Clinic ("Reh aClinic"), Bad Zurzach, Switzerland.
Department of Psychiatry, Psychotherapy, and Psychosomatics, Psychiatric Hospital Burghölzli, University of Zurich, Zurich, Switzerland.
Psychosomatics. 2017 Nov-Dec;58(6):604-613. doi: 10.1016/j.psym.2017.05.004. Epub 2017 Jun 1.
Back pain is extremely common and a huge burden for both individuals and health care services.
The aim was to determine the prevalence and incidence of lumbar and cervical back pain over 23 years and to quantify associations with concomitant disorders.
Data on lumbar and cervical back pain, and mental disorders from the Zurich study, collected between 1986 (age men: 27/women: 28 years) and 2008 (age 49/50) were analyzed. Epidemiological parameters were representative rates for the general population. Associations were quantified by odds ratios (ORs).
Of 499 subjects, 68.9% ever experienced lumbar pain and 60.7% ever experienced cervical back pain; the 23-year prevalences were 66.9% and 54.9% and the 23-year incidences 52.3% and 48.9% for lumbar and cervical back pain, respectively. Annual prevalences varied between 28.4% and 47.2% for lumbar and 18.3% and 54.7% for cervical back pain; the corresponding annual incidences varied by 5.8-13.3% (lumbar) and 7.8-12.6% (cervical). Lumbar back pain was significantly associated with cardiovascular disease (OR = 4.58), obesity (OR = 3.99), asthma spectrum (OR = 5.76), tranquillizer dependence (OR = 5.84), and other comorbidities (ORs = 1.47-3.27). Significant associations with cervical back pain were observed for specific phobia (OR = 5.10), panic attacks (OR = 4.79), and other comorbidities (ORs = 1.61-2.62).
This study contributes to the refinement of epidemiological data on lumbar and cervical back pain. Some associations with treatable disorders were high, which may offer hope for the indirect management of lumbar and cervical back pain.
腰痛极其常见，给个人和医疗保健服务带来了巨大负担。
旨在确定腰椎和颈椎腰痛在 23 年内的患病率和发病率，并量化其与并存疾病的关联。
分析了苏黎世研究中收集的 1986 年（男性年龄：27 岁/女性年龄：28 岁）至 2008 年（年龄 49/50 岁）之间腰椎和颈椎腰痛以及精神障碍的数据。流行病学参数是针对一般人群的代表性率。关联通过比值比（ORs）来量化。
在 499 名受试者中，68.9%曾经历过腰痛，60.7%曾经历过颈椎痛；23 年的患病率分别为 66.9%和 54.9%，23 年的发病率分别为 52.3%和 48.9%。腰椎和颈椎腰痛的年患病率分别为 28.4%至 47.2%和 18.3%至 54.7%；相应的年发病率分别为 5.8-13.3%（腰椎）和 7.8-12.6%（颈椎）。腰椎背痛与心血管疾病（OR=4.58）、肥胖（OR=3.99）、哮喘谱（OR=5.76）、安定依赖（OR=5.84）和其他合并症（ORs=1.47-3.27）显著相关。特定恐惧症（OR=5.10）、惊恐发作（OR=4.79）和其他合并症（ORs=1.61-2.62）与颈椎背痛显著相关。
本研究有助于完善腰椎和颈椎腰痛的流行病学数据。一些与可治疗疾病的关联很高，这可能为腰椎和颈椎腰痛的间接管理带来希望。
