Ganesan Sudhir, Acharya Anita Shankar, Chauhan Ravi, Acharya Shankar
Department of Spine Surgery, Sir GangaRam Hospital, New Delhi, India.
Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.
Asian Spine J. 2017 Aug;11(4):610-617. doi: 10.4184/asj.2017.11.4.610. Epub 2017 Aug 7.
Cross-sectional study.
To evaluate the prevalence and various risk factors for low back pain (LBP) in young adults in India.
LBP is an emerging problem in adolescents, with an incidence that is the highest in the third decade of life worldwide. Various risk factors such as obesity, smoking, family history, stress, and exercise have been described in the literature. This study was conducted because of paucity of data in the Indian literature.
A total of 1,355 (741 males and 641 females) young Indian Administrative Service aspirants and medical postgraduate aspirants aged 18-35 years were enrolled in the study. The subjects completed a detailed, semi-structured questionnaire that gathered data regarding their sociodemographic profile and factors considered to be risk factors for LBP. Anthropometric measurements, including height and weight, were measured and body mass index was calculated.
Most subjects (90.6%) were aged 20-29 years (mean, 24.49; range, 18-35 years). Results indicated that the following factors were associated with LBP in young adults: marital status, previous history of spine problems, strenuous exercise, job satisfaction, monotony, stress, daily number of studying hours, and family history of spine problems (<0.05). However, age, sex, smoking, alcoholism, coffee intake, mode and duration of travel, diet, frequency of weightlifting, wearing heels, studying posture, and frequency and type of sports activities were not associated with LBP.
The study identified various modifiable and non-modifiable risk factors that precipitated LBP in young adult Indians. Identifying these risk factors at an early stage will prevent LBP progression to a chronic disease state, thereby improving an individual's quality of life and increasing productivity.
横断面研究。
评估印度年轻成年人中腰痛（LBP）的患病率及各种风险因素。
LBP在青少年中是一个新出现的问题，在全球范围内其发病率在30岁时最高。文献中描述了各种风险因素，如肥胖、吸烟、家族史、压力和运动。由于印度文献中数据匮乏，开展了本研究。
共有1355名（741名男性和641名女性）年龄在18 - 35岁的印度行政服务预备人员和医学研究生预备人员参与本研究。受试者完成了一份详细的半结构化问卷，收集了有关其社会人口学特征以及被认为是LBP风险因素的数据。测量了身高和体重等人体测量指标，并计算了体重指数。
大多数受试者（90.6%）年龄在20 - 29岁（平均24.49岁；范围18 - 35岁）。结果表明，以下因素与年轻成年人的LBP相关：婚姻状况、脊柱问题既往史、剧烈运动、工作满意度、单调乏味、压力、每日学习时长以及脊柱问题家族史（<0.05）。然而，年龄、性别、吸烟、酗酒、咖啡摄入量、出行方式和时长、饮食、举重频率、穿高跟鞋、学习姿势以及体育活动的频率和类型与LBP无关。
该研究确定了多种可改变和不可改变的风险因素，这些因素促使印度年轻成年人发生LBP。早期识别这些风险因素将防止LBP发展为慢性病状态，从而改善个人生活质量并提高生产力。
