de Souza Ingred Merllin Batista, Merini Lilian Regiani, Ramos Luiz Armando Vidal, Pássaro Anice de Campos, França João Italo Dias, Marques Amélia Pasqual
Department of Physical Therapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine at University of São Paulo, Cipotânea Street, Vila Universitária, 51, São Paulo 05360-000, SP, Brazil.
Department of Faculty of Physical Education and Physical Therapy at Federal University of Amazonas, Manaus, Jauary Marinho Avenue, Coroado, Manaus 69067-005, AM, Brazil.
Healthcare (Basel). 2021 May 5;9(5):539. doi: 10.3390/healthcare9050539.
To investigate the prevalence of low back pain (LBP) and associated factors in the older adult Amazonia Brazilian community, a cross-sectional study was conducted to evaluate 700 participants that were ≥60 years old. Pain intensity and functional disability were assessed using the Numerical Pain Scale and the Roland Morris Questionnaire, respectively, and their sociodemographic, clinical, and behavior variables were collected, i.e., age, sex, education level, socioeconomic level, anthropometric measurements, physical activity, health perception, and emotional state. The punctual prevalence rates of LBP were 42.4% (95% CI: 38.2-46.6%), and for the last 365 days, these prevalence rates were 93.7% (95% CI: 91.3-95.6%), the mean pain and functional disability scores were 6.17 ± 2.13 and 11.30 ± 6.07, and the moderate-to-severe disability was 39.7%. Pain and functional disability were associated with sex, chronic diseases, body mass index (BMI), physical activity level, health perception, and emotional level. In conclusion, the prevalence of LBP was high (for both punctual and the last 365 days), but the variables associated with being female, fewer years of schooling, sedentary behavior, diseases related to diet and the cardiovascular system, and impaired emotional levels had a higher level LBP, even though they considered themselves in good health. These findings can aid with coordinated efforts from government and health professionals to help manage and promote the prevention of LBP by considering the older adult population's needs in the state of Amazonas.
为调查巴西亚马逊地区老年社区中腰痛（LBP）的患病率及相关因素，开展了一项横断面研究，对700名年龄≥60岁的参与者进行评估。分别使用数字疼痛量表和罗兰·莫里斯问卷评估疼痛强度和功能障碍，并收集他们的社会人口统计学、临床和行为变量，即年龄、性别、教育水平、社会经济水平、人体测量学指标、身体活动、健康认知和情绪状态。LBP的即时患病率为42.4%（95%CI：38.2-46.6%），在过去365天内，这些患病率为93.7%（95%CI：91.3-95.6%），平均疼痛和功能障碍评分分别为6.17±2.13和11.30±6.07，中重度功能障碍为39.7%。疼痛和功能障碍与性别、慢性病、体重指数（BMI）、身体活动水平、健康认知和情绪水平相关。总之，LBP的患病率较高（即时患病率和过去365天患病率均如此），但与女性、受教育年限较少、久坐行为、与饮食和心血管系统相关的疾病以及情绪水平受损相关的变量LBP水平较高，尽管他们自认为健康状况良好。这些发现有助于政府和卫生专业人员共同努力，通过考虑亚马逊州老年人群的需求来帮助管理和促进LBP的预防。
