Machado Luciana A C, Viana Joana U, da Silva Sílvia L A, Couto Flávia G P, Mendes Liliane P, Ferreira Paulo H, Ferreira Manuela L, Dias João M D, Dias Rosângela C
Faculty of Medicine, Department of Preventive and Social Medicine, UFMG-Universidade Federal de Minas Gerais.
Postgraduate Program in Rehabilitation Sciences, EEFFTO-Physical Education, Physical Therapy and Occupational Therapy School UFMG.
Clin J Pain. 2018 Jun;34(6):515-524. doi: 10.1097/AJP.0000000000000564.
To investigate the correlates of a recent history of disabling low back pain (LBP) in older persons.
The Pain in the Elderly (PAINEL) Study was derived from the Frailty among Brazilian Older Adults (FIBRA) Network Study. Data were collected through face-to-face/telephone interviews and clinical examination. A series of logistic regressions assessed associations between a recent history of disabling LBP and sociodemographic, physical/lifestyle, and psychological factors.
Of the 378 community-dwelling elders included in the study (age±SD, 75.5±6.1), 9.3% experienced LBP that was bad enough to limit or change their daily activities during the past year. Those reporting a recent history of disabling LBP were more likely to be women and under financial strain, to present poor self-rated health, overweight, multimorbidity, low physical activity level, fatigue, depressive symptomatology/diagnosis and fear beliefs, and to report decreased sleep time, prolonged sitting time, chronic pain (in location other than lower back), and frequently recurring LBP. The multivariate logistic regression analysis indicated that overweight (odds ratio [OR], 29.6; 95% confidence interval [CI], 2.3-391.0), low physical activity level (OR, 4.4; 95% CI, 1.3-15.4), fatigue (OR, 10.3; 95% CI, 2.4-43.4), depression diagnosis (OR, 4.9; 95% CI, 1.3-18.4), and frequently recurring LBP (OR, 4.6; 95% CI, 1.0-20.1) were independently associated with a recent history of disabling LBP.
Our study supports the link between disabling LBP and other age-related chronic conditions in a middle-income country with a rapidly aging population.
调查老年人近期致残性腰痛（LBP）病史的相关因素。
老年人疼痛（PAINEL）研究源自巴西老年人衰弱（FIBRA）网络研究。数据通过面对面/电话访谈和临床检查收集。一系列逻辑回归分析评估了近期致残性LBP病史与社会人口统计学、身体/生活方式及心理因素之间的关联。
该研究纳入的378名社区居住老年人（年龄±标准差，75.5±6.1岁）中，9.3%在过去一年经历了严重到足以限制或改变其日常活动的腰痛。报告近期有致残性LBP病史的人更可能是女性且面临经济压力，自我健康评分差、超重、患有多种疾病、身体活动水平低、疲劳、有抑郁症状/诊断及恐惧观念，且报告睡眠时间减少、久坐时间延长、有慢性疼痛（下背部以外部位）以及腰痛频繁复发。多变量逻辑回归分析表明，超重（比值比[OR]，29.6；95%置信区间[CI]，2.3 - 391.0）、身体活动水平低（OR，4.4；95% CI，1.3 - 15.4）、疲劳（OR，10.3；95% CI，2.4 - 43.4）、抑郁症诊断（OR，4.9；95% CI，1.3 - 18.4）以及腰痛频繁复发（OR，4.6；95% CI，1.0 - 20.1）与近期致残性LBP病史独立相关。
我们的研究支持了在一个人口快速老龄化的中等收入国家中，致残性LBP与其他年龄相关慢性疾病之间的联系。
