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巴西帕拉州贝伦市老年人的腰痛:患病率及其与功能残疾的关联。

Low Back Pain in Elderly from Belém-Pa, Brazil: Prevalence and Association with Functional Disability.

作者信息

Sato Elaine Miyuka, Magalhães Mauricio Oliveira, Jenkins Beatriz Coelho, da Silva Ferreira Lays, da Silva Hallyson Andrey Raposo, Farias Furtado Paulo Renan, Soares Ferreira Eder Gabriel, Dos Santos Emmanuele Celina Souza, Callegari Bianca, Pasqual Marques Amélia

机构信息

Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil.

Laboratory of Human Motricity Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil.

出版信息

Healthcare (Basel). 2021 Nov 30;9(12):1658. doi: 10.3390/healthcare9121658.

DOI:10.3390/healthcare9121658
PMID:34946384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8702051/
Abstract

BACKGROUND

This cross-sectional study aimed to determine the prevalence of low back pain (LBP) in the elderly population living in Belém-Pará and to assess the spectrum of problems related to these diseases including the demographic, socioeconomic, occupational characteristics and disability in this population.

METHODS

Three structured questionnaires were applied in a randomly selected representative sample of 512 elderly people aged ≥60 years.

RESULTS

LBP prevalence in the elderly population was 55.7%. Among then, 56.1% had pain at the time of the interview (punctual prevalence), 91.7% had LBP in the last 365 days (prevalence in the last year), and 85.3% at some point in life (prevalence at some point in life). Overall, most studies are above average. LBP was positively associated with hypertension and the influence of the physical and mental health on their social activities ranged from slightly to extreme. LBP was negatively associated with characteristics, such as education (over 11 years), class A or B income, physical activity, high satisfaction with previous work, and excellent self-perceived health, corroborating to the literature.

CONCLUSIONS

Greater intensity of pain and functional disability were associated with the presence of comorbidities, smoking habits, and low physical activity. LBP prevalence was high, above the national average, mainly affecting the underprivileged classes related to several modifiable factors, highlighting the importance of preventive and interventionist actions for healthy aging.

摘要

背景

这项横断面研究旨在确定居住在帕拉州贝伦市的老年人群中腰痛(LBP)的患病率,并评估与这些疾病相关的问题范围,包括该人群的人口统计学、社会经济、职业特征和残疾情况。

方法

对随机抽取的512名年龄≥60岁的老年人代表性样本应用了三份结构化问卷。

结果

老年人群中LBP患病率为55.7%。其中,56.1%在访谈时存在疼痛(时点患病率),91.7%在过去365天内有LBP(去年患病率),85.3%在生命中的某个时刻有LBP(终生患病率)。总体而言,大多数研究高于平均水平。LBP与高血压呈正相关,其对社会活动的身心健康影响程度从轻微到极端不等。LBP与教育程度(超过11年)、A或B类收入、体育活动、对以前工作的高度满意度以及良好的自我感知健康等特征呈负相关,这与文献一致。

结论

疼痛强度增加和功能残疾与合并症、吸烟习惯及低体育活动有关。LBP患病率较高,高于全国平均水平,主要影响与多个可改变因素相关的弱势群体,凸显了预防和干预行动对健康老龄化的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7046/8702051/b64cad6e8933/healthcare-09-01658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7046/8702051/b64cad6e8933/healthcare-09-01658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7046/8702051/b64cad6e8933/healthcare-09-01658-g001.jpg

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