Gilmartin-Thomas Julia Fm, Cicuttini Flavia M, Owen Alice J, Wolfe Rory, Ernst Michael E, Nelson Mark R, Lockery Jessica, Woods Robyn L, Britt Carlene, Liew Danny, Murray Anne, Workman Barbara, Ward Stephanie A, McNeil John J
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia.
Arch Gerontol Geriatr. 2020 Nov/Dec;91:104231. doi: 10.1016/j.archger.2020.104231. Epub 2020 Aug 13.
Low back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI).
Cross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline.
Of 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27-1.76) or obese (males: OR = 2.23, 95 %CI = 1.77-2.80 and females: OR = 2.91, 95 %CI = 2.48-3.42).
Moderate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years.
腰痛在老年人群中普遍存在，可改变的风险因素可能包括超重或肥胖。本研究旨在描述社区居住的老年人中中度或重度腰痛的患病率及其影响，以及其与体重指数（BMI）的关联。
对16439名年龄≥70岁的澳大利亚人进行横断面研究。采用逻辑回归来描述大多数日子里经历的中度或重度腰痛的有无与BMI之间的关联。对男性和女性分别进行分析，并在基线时控制年龄和抑郁情况。
在14155名回答疼痛问题的受访者中，11%的男性（n = 710/6475）和18%的女性（n = 1391/7680）报告有中度或重度腰痛（总计15%，n = 2101/14155）。在报告有中度或重度腰痛的人群（n = 2101）中，55%报告经常服用止痛药物，29%报告疼痛经常干扰睡眠，37%干扰行走，47%干扰日常活动。在控制年龄和抑郁因素后，中度或重度腰痛与超重（女性：比值比OR = 1.50，95%置信区间CI = 1.27 - 1.76）或肥胖（男性：OR = 2.23，95%CI = 1.77 - 2.80；女性：OR = 2.91，95%CI = 2.48 - 3.42）之间存在统计学显著关联（p < 0.001）。
中度或重度腰痛很常见，影响重大，且在年龄≥70岁的社区居住澳大利亚人中与超重或肥胖的BMI相关。
