Skillgate Eva, Pico-Espinosa Oscar Javier, Hallqvist Johan, Bohman Tony, Holm Lena W
Unit of Cardiovascular Epidemiology, Musculoskeletal and Sports Injury Epidemiology Center, Institute of Environmental Medicine, Karolinska Institutet.
Naprapathögskolan - Scandinavian College of Naprapathic Manual Medicine, Stockholm.
Clin Epidemiol. 2017 Oct 11;9:491-500. doi: 10.2147/CLEP.S145264. eCollection 2017.
The role of healthy lifestyle behavior (HLB) in terms of physical activity, alcohol intake, smoking, and diet put together has not yet been explored for the risk of low back pain (LBP) and neck pain (NP). Our aim was to study if an HLB is protective against the onset of long duration troublesome LBP and NP in men and women.
Two cohorts from the Stockholm Public Health Cohort, free from LBP (n=12,483) and NP (n=10,539), respectively, in 2006, were surveyed with questionnaires. Baseline information about physical activity, alcohol intake, diet, and smoking were dichotomized into being healthy/not healthy and combined in a categorical variable according to the number of healthy behaviors present. Binomial regression analyses were used to evaluate the role of HLB for the outcomes 4 years later.
When men with three or four healthy lifestyles were compared to men with none or one, the risk ratio (RR) of LBP was 0.63 (95% confidence interval [CI]: 0.39-1.02). The corresponding RR for LBP in women was 0.86 (95% CI: 0.56-1.32). When men with three or four healthy lifestyles were compared to men with none or one, the RR for NP was 1.13 (95% CI: 0.74-1.71). The corresponding RR for NP in women was 0.52 (95% CI: 0.35-0.77).
An HLB seems to be protective for long duration troublesome LBP in men, and for long duration troublesome NP in women.
健康生活方式行为（HLB）在身体活动、饮酒、吸烟和饮食方面综合起来对腰痛（LBP）和颈痛（NP）风险的影响尚未得到研究。我们的目的是研究HLB是否能预防男性和女性长期持续性的麻烦性LBP和NP的发生。
对来自斯德哥尔摩公共卫生队列的两组人群进行问卷调查，这两组人群在2006年时分别无LBP（n = 12,483）和NP（n = 10,539）。将关于身体活动、饮酒、饮食和吸烟的基线信息分为健康/不健康两类，并根据存在的健康行为数量合并为一个分类变量。使用二项式回归分析来评估4年后HLB对结果的作用。
将具有三种或四种健康生活方式的男性与没有或只有一种健康生活方式的男性相比，LBP的风险比（RR）为0.63（95%置信区间[CI]：0.39 - 1.02）。女性中LBP的相应RR为0.86（95% CI：0.56 - 1.32）。将具有三种或四种健康生活方式的男性与没有或只有一种健康生活方式的男性相比，NP的RR为1.13（95% CI：0.74 - 1.71）。女性中NP的相应RR为0.52（95% CI：0.35 - 0.77）。
HLB似乎对男性长期持续性的麻烦性LBP具有保护作用，对女性长期持续性的麻烦性NP具有保护作用。
