Nuffield Department of Rheumatology, Orthopaedics and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
College of Medicine and Health, University of Exeter, Exeter, United Kingdom.
Spine (Phila Pa 1976). 2021 Jan 1;46(1):54-61. doi: 10.1097/BRS.0000000000003719.
Cross-sectional analysis of the Oxford Pain, Activity and Lifestyle (OPAL) Cohort Study.
The aim of this study was to assess the prevalence of back pain (BP) and leg pain and determine their relationship with adverse health states among older adults in England.
Epidemiological data describing the prevalence of BP and leg pain in older adults in England is lacking.
A total of 5304 community-dwelling adults (aged 65-100 years) enrolled in the OPAL cohort study who provided data on BP and leg pain were included. Participants were classified into four groups based on reports of back and leg pain: no BP, BP only, BP and leg pain which was likely to be neurogenic claudication (NC), and BP and leg pain which was not NC. Adverse health states were frailty, falls, mobility decline, low walking confidence, poor sleep quality, and urinary incontinence. We collected demographic and socioeconomic information, health-related quality of life, and existing health conditions, and estimated the association between BP presentations and adverse health states using regression analysis.
Thirty-four percent of participants (1786/5304) reported BP only, 11.2% (n = 594/5304) reported BP and NC and 8.3% (n = 441/5304) reported BP and non-NC leg pain. Participants with BP had worse quality of life compared to those without BP. All BP presentations were significantly associated with adverse health states. Those with NC were most affected. In particular, there was greater relative risk (RR) of low walking confidence (RR 3.11, 95% confidence interval [CI] 2.56-3.78), frailty (RR 1.88, 95% CI 1.67-2.11), and mobility decline (RR 1.74, 95% CI 1.54-1.97) compared to no BP.
Back and leg pain is a common problem for older adults and associated with reduced quality of life and adverse health states. Findings suggest a need to develop more effective treatment for older adults with BP especially for those with neurogenic claudication.
牛津疼痛、活动和生活方式（OPAL）队列研究的横断面分析。
本研究旨在评估英格兰老年人背痛（BP）和腿痛的患病率，并确定它们与不良健康状况之间的关系。
缺乏描述英格兰老年人 BP 和腿痛患病率的流行病学数据。
共纳入参加 OPAL 队列研究的 5304 名社区居住的成年人（年龄 65-100 岁），这些成年人提供了关于 BP 和腿痛的资料。根据背痛和腿痛的报告，将参与者分为四组：无 BP、仅 BP、BP 和腿痛可能是神经性跛行（NC）、BP 和非 NC 腿痛。不良健康状况包括虚弱、跌倒、活动能力下降、行走信心低、睡眠质量差和尿失禁。我们收集了人口统计学和社会经济信息、与健康相关的生活质量和现有健康状况，并使用回归分析估计 BP 表现与不良健康状况之间的关联。
34%的参与者（1786/5304）报告仅 BP，11.2%（n=594/5304）报告 BP 和 NC，8.3%（n=441/5304）报告 BP 和非 NC 腿痛。有 BP 的参与者的生活质量比没有 BP 的参与者差。所有 BP 表现均与不良健康状况显著相关。有 NC 的患者受影响最大。特别是，行走信心低（RR 3.11，95%置信区间[CI] 2.56-3.78）、虚弱（RR 1.88，95% CI 1.67-2.11）和活动能力下降（RR 1.74，95% CI 1.54-1.97）的相对风险（RR）均高于无 BP。
背痛和腿痛是老年人的常见问题，与生活质量下降和不良健康状况有关。研究结果表明，需要为有 BP 的老年人，特别是有神经性跛行的老年人，制定更有效的治疗方法。
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