School of Health and Rehabilitation, Jiangsu Collge of Nursing, Huaian, China.
Department of Sports Rehabilitation, Shanghai University of Sport, Shanghai, China.
Pain Res Manag. 2021 Feb 22;2021:6660304. doi: 10.1155/2021/6660304. eCollection 2021.
The occurrence of low back pain (LBP) in marathon runners has been poorly understood. This study aimed to describe the risk factors and identify whether these factors can cause LBP in these athletes.
A self-developed questionnaire was randomly distributed to 850 runners of running a half or a full marathon. Participants responded with the questionnaire focusing on previous training and running conditions after their competitions.
On the basis of the remaining 800 valid questionnaires, the incidence of LBP was 4.50% ( = 36). A total of 572 (71.5%) males and 228 (28.5%) females, with an average age range of 33.9 ± 9.0 years, came from different occupations with different physical activity characteristics. However, no significant associations between occupation and runners with LBP ( > 0.05) were found. In the final models, risk factors, including warm-up activities (=0.012, OR = 2.617), fatigue ( = 0.008, OR = 2.680), running gait posture (=0.041, OR = 2.273), and environmental temperature (=0.020, OR = 6.584), were significantly associated with LBP in marathoners.
Although LBP was uncommon in marathoners, it was linked to the factors such as insufficient warm-up activities, fatigue, poor running gait posture, and uncomfortable environmental temperature. Future studies need to validate these results. Nevertheless, these findings could still be useful for protecting the lower back area of runners clinically.
马拉松运动员的腰痛（LBP）发生率较低，但仍了解不足。本研究旨在描述相关风险因素，并确定这些因素是否会导致运动员出现 LBP。
自行设计问卷，随机分发给 850 名参加半程或全程马拉松的跑步者。参与者根据问卷回答重点关注他们比赛前后的既往训练和跑步条件。
基于剩余的 800 份有效问卷，LBP 的发生率为 4.50%（ = 36）。共 572 名（71.5%）男性和 228 名（28.5%）女性，平均年龄范围为 33.9 ± 9.0 岁，来自不同职业，具有不同的身体活动特征。然而，职业与 LBP 跑步者之间没有显著关联（>0.05）。在最终模型中，风险因素，包括热身活动（=0.012，OR = 2.617）、疲劳（ = 0.008，OR = 2.680）、跑步步态姿势（=0.041，OR = 2.273）和环境温度（=0.020，OR = 6.584）与马拉松运动员的 LBP 显著相关。
尽管马拉松运动员的 LBP 并不常见，但它与热身活动不足、疲劳、不良跑步步态姿势和不适宜的环境温度等因素有关。未来的研究需要验证这些结果。尽管如此，这些发现对于临床上保护跑步者的下背部区域仍可能具有一定的参考价值。
