de Luca Katie E, Parkinson Lynne, Haldeman Scott, Byles Julie E, Blyth Fiona
Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan, New South Wales, Australia.
Central Queensland University, School of Human Health and Social Sciences, Rockhampton, Queensland, Australia.
J Manipulative Physiol Ther. 2017 Sep;40(7):459-466. doi: 10.1016/j.jmpt.2017.06.004. Epub 2017 Oct 13.
The aims of this study were to (1) report the prevalence and explore the influence of spinal pain on quality of life and (2) assess the relationship between spinal pain and the type and number of comorbidities.
This cross-sectional study comprised 579 community-dwelling, older Australian women. Women had "spinal pain" if they marked "yes" to neck pain, upper back pain, mid-back pain, and/or lower back pain. Descriptive statistics and binary logistic regression were performed to report the prevalence and explore the relationship between spinal pain and the type and number of comorbidities.
A majority of women (55.8%) who returned surveys had spinal pain. Women with spinal pain had significantly lower physical and mental quality of life scores than women without spinal pain (Medical Outcomes Study: 36 Item Short Form Survey [SF-36] physical component summary: 40.1 ± 11.1 vs 49.0 ± 9.0, and SF-36 mental component summary: 50.0 ± 10.5 vs 53.9 ± 8.2, respectively). Having spinal pain was significantly associated with overweight and obesity (odds ratio 1.98 [95% confidence interval 1.3-2.96] and 2.12 [1.37-3.28]), diabetes (1.93 [1.01-3.67]), pulmonary comorbidity (1.66 [1.04-2.65]), and cardiovascular comorbidity (1.57 [1.07-2.28]). More than half of the women with spinal pain reported 2 or more comorbidities, with comorbidities significantly more common among women with spinal pain than among women without spinal pain. The odds of having spinal pain increased with an increasing number of comorbidities (2 comorbidities: 2.44 [1.47-4.04], 3 comorbidities: 3.07 [1.66-5.67], 4 comorbidities: 5.05 [1.64-15.54]).
Spinal pain is common in community-dwelling, older Australian women and is associated with greater disability and poorer quality of life. Diabetes, cardiovascular disease, pulmonary disease, and obesity appear to have a relationship with spinal pain. There was an incremental increase in the risk of spinal pain associated with increasing comorbidity count.
本研究的目的是（1）报告脊柱疼痛的患病率并探讨其对生活质量的影响，以及（2）评估脊柱疼痛与合并症的类型和数量之间的关系。
这项横断面研究纳入了579名居住在社区的澳大利亚老年女性。如果女性对颈部疼痛、上背部疼痛、中背部疼痛和/或下背部疼痛回答“是”，则被认为有“脊柱疼痛”。进行描述性统计和二元逻辑回归分析，以报告患病率并探讨脊柱疼痛与合并症的类型和数量之间的关系。
回复调查问卷的大多数女性（55.8%）有脊柱疼痛。有脊柱疼痛的女性的身体和心理健康生活质量得分显著低于无脊柱疼痛的女性（医学结局研究：36项简短问卷[SF - 36]身体成分总结得分：40.1±11.1对49.0±9.0，SF - 36心理成分总结得分：50.0±10.5对53.9±8.2）。有脊柱疼痛与超重和肥胖显著相关（比值比分别为1.98[95%置信区间1.3 - 2.96]和2.12[1.37 - 3.28]）、糖尿病（1.93[1.01 - 3.67]）、肺部合并症（1.66[1.04 - 2.65]）和心血管合并症（1.57[1.07 - 2.28]）。超过一半有脊柱疼痛的女性报告有2种或更多合并症，合并症在有脊柱疼痛的女性中比在无脊柱疼痛的女性中明显更常见。脊柱疼痛的几率随着合并症数量的增加而增加（2种合并症：2.44[1.47 - 4.04]，3种合并症：3.07[1.66 - 5.67]，4种合并症：5.05[1.64 - 15.54]）。
脊柱疼痛在居住在社区的澳大利亚老年女性中很常见，并且与更大的残疾和更差的生活质量相关。糖尿病、心血管疾病、肺部疾病和肥胖似乎与脊柱疼痛有关。随着合并症数量的增加，脊柱疼痛的风险逐渐增加。
