Finnish Institute of Occupational Health, Helsinki, Finland.
Western University, London, Ontario, Canada.
Arthritis Care Res (Hoboken). 2019 Feb;71(2):290-299. doi: 10.1002/acr.23710.
To identify risk factors for low back pain (LBP) and lumbar radicular pain and to assess whether obesity and exposure to workload factors modify the effect of leisure-time physical activity on LBP and lumbar radicular pain.
The population of this 11-year longitudinal study consists of a nationally representative sample of Finns ages ≥30 years (n = 3,505). The outcomes of the study were LBP and lumbar radicular pain for >7 days or for >30 days in the past 12 months at follow-up.
LBP and lumbar radicular pain were more common in women than in men. LBP slightly declined with increasing age, while lumbar radicular pain increased with age. Abdominal obesity (defined by waist circumference) increased the risk of LBP (adjusted odds ratio [OR] 1.40 [95% confidence interval (95% CI) 1.16-1.68] for LBP >7 days and adjusted OR 1.41 [95% CI 1.13-1.76] for LBP >30 days) and general obesity (defined by body mass index) increased the risk of lumbar radicular pain (adjusted OR 1.44 [95% CI 1.12-1.85] for pain >7 days and adjusted OR 1.62 [95% CI 1.16-2.26] for pain >30 days). Smoking and strenuous physical work increased the risk of both LBP and lumbar radicular pain. Walking or cycling to work reduced the risk of LBP, particularly LBP for >30 days (adjusted OR 0.75 [95% CI 0.59-0.95]), with the largest reductions among nonabdominally obese individuals and among those not exposed to physical workload factors. Using vibrating tools increased the risk of lumbar radicular pain.
Lifestyle and physical workload factors increase the risk of LBP and lumbar radicular pain. Walking and cycling may have preventive potential for LBP.
确定腰痛（LBP）和腰椎神经根痛的危险因素，并评估肥胖和工作负荷因素暴露是否会改变休闲时间体力活动对 LBP 和腰椎神经根痛的影响。
本 11 年纵向研究的人群为年龄≥30 岁的芬兰全国代表性样本（n=3505）。该研究的结局为随访时 LBP 和腰椎神经根痛持续>7 天或>30 天。
女性比男性更容易出现 LBP 和腰椎神经根痛。LBP 随年龄略有下降，而腰椎神经根痛随年龄增加而增加。腹部肥胖（定义为腰围）增加了 LBP 的风险（调整后的优势比[OR] 1.40[95%置信区间（95%CI）1.16-1.68]对于 LBP>7 天，调整后的 OR 1.41[95%CI 1.13-1.76]对于 LBP>30 天）和全身性肥胖（定义为 BMI）增加了腰椎神经根痛的风险（调整后的 OR 1.44[95%CI 1.12-1.85]对于疼痛>7 天，调整后的 OR 1.62[95%CI 1.16-2.26]对于疼痛>30 天）。吸烟和剧烈体力工作增加了 LBP 和腰椎神经根痛的风险。步行或骑自行车上班可降低 LBP 的风险，尤其是 LBP>30 天的风险（调整后的 OR 0.75[95%CI 0.59-0.95]），在非腹部肥胖者和未暴露于体力工作负荷因素者中降幅最大。使用振动工具会增加腰椎神经根痛的风险。
生活方式和体力工作负荷因素会增加 LBP 和腰椎神经根痛的风险。步行和骑自行车可能对 LBP 具有预防潜力。
