University of California San Diego, USA.
University of Kentucky, Lexington, USA.
J Appl Gerontol. 2021 Nov;40(11):1455-1464. doi: 10.1177/0733464820966517. Epub 2020 Oct 23.
Mobility-related injuries associate with reduced quality of life, greater functional dependence, and quicker mortality in older adults-warranting prevention efforts. One factor elevating injury risk may be persistent low back pain, which can negatively affect cognitive and physical functions essential for safe mobility. Among older adults obtaining license renewal ( = 1,127), this study examined the association between persistent low back pain and incidence of falls and motor vehicle collisions (MVCs) for up to 15 years. Overall, older adults with persistent low back pain were more likely to have a fall (odds ratio [OR] = 1.54, 95% confidence interval [CI] = [1.34, 1.77]) or MVC (OR = 1.38, 95% CI = [1.07, 1.77]) than those without back pain. Furthermore, the number of falls and MVCs was lower for people with better lower limb and visuospatial function, respectively. Ameliorating pain and functioning in persistent lower back pain might contribute to improved mobility and a reduction of injury-related risk in later life.
与老年人相关的行动能力损伤会降低生活质量、增加功能依赖和更快的死亡率——需要进行预防。一个可能增加受伤风险的因素是持续的下背痛，这会对安全行动能力至关重要的认知和身体功能产生负面影响。在获得驾照更新的老年人中（=1127），本研究调查了持续下背痛与跌倒和机动车碰撞（MVC）发生率之间的关联，最长可达 15 年。总体而言，持续下背痛的老年人更有可能跌倒（比值比 [OR] = 1.54，95%置信区间 [CI] = [1.34, 1.77]）或发生 MVC（OR = 1.38，95% CI = [1.07, 1.77]），而非背痛者。此外，下肢和视空间功能更好的人跌倒和 MVC 的次数更少。改善持续性下背痛的疼痛和功能可能有助于提高活动能力，降低晚年受伤风险。
