Saint-Luc University Hospital, Av. Hippocrate 10/1650, 1200 Brussels, Belgium.
Psychology, Education and Motor Sciences Library, Université catholique de Louvain, Brussels, Place Cardinal Mercier, 10/L3.05.01, 1348 Louvain-la-Neuve, Belgium.
Ann Phys Rehabil Med. 2022 Nov;65(6):101660. doi: 10.1016/j.rehab.2022.101660. Epub 2022 Apr 28.
Stratified approaches to spinal pain that address psychosocial risk factors reduce long-term disability to a moderate extent. Identifying and managing other risk factors might help improve outcomes.
This systematic review of longitudinal studies aimed to evaluate possible associations between the onset of chronic spinal pain (including low back, back and neck pain) and putative modifiable lifestyle-related risk or protective factors.
This systematic review of longitudinal studies published during the last 2 decades followed PRISMA guidelines. Two reviewers screened Medline, Scopus, Pedro, Cochrane Library, Psycinfo, Science Direct, PTSDpubs and Google Scholar for relevant studies. The QUIPS tool was used to assess the risk of bias. A qualitative meta-synthesis of relevant factors was performed.
Of 3716 unique records, 14 studies met the inclusion criteria (10 with low risk of bias and 4 moderate risk of bias). The highest bias observed was attrition. For chronic low back pain, we found moderate evidence for the involvement of high body weight, waist circumference, and hip circumference and conflicting evidence for high body mass index (BMI), smoking, and physical activity. For chronic neck pain, we found strong evidence for high BMI in women, moderate evidence for sleep disorders in women and conflicting evidence for high BMI in men and physical activity. For chronic back pain, we found limited evidence for gardening/yard work in men and more than one adult at home. Effect sizes were small.
Several modifiable lifestyle-related factors were identified. Evidence is still sparse and there is a need for more studies. PROSPERO database registration: Ref 172,112 CRD42020172112.
针对心理社会风险因素的分层方法可在一定程度上减轻长期残疾。确定和管理其他风险因素可能有助于改善结果。
本系统评价对前瞻性研究进行了综述，旨在评估慢性脊柱疼痛（包括下腰痛、腰背和颈痛）的发生与潜在的可改变的与生活方式相关的风险或保护因素之间的可能关联。
本系统评价对过去 20 年发表的前瞻性研究进行了综述，遵循 PRISMA 指南。两名评审员筛选了 Medline、Scopus、Pedro、Cochrane 图书馆、Psycinfo、Science Direct、PTSDpubs 和 Google Scholar 中相关的研究。使用 QUIPS 工具评估偏倚风险。对相关因素进行定性荟萃分析。
从 3716 条独特记录中，有 14 项研究符合纳入标准（10 项研究偏倚风险低，4 项研究偏倚风险中）。观察到的最高偏倚是失访。对于慢性下腰痛，我们发现体重指数（BMI）高、腰围和臀围高与慢性下腰痛有关，而 BMI 高、吸烟和体力活动与慢性下腰痛无关，这方面的证据为中等强度。对于慢性颈痛，我们发现女性 BMI 高、女性睡眠障碍与慢性颈痛有关，男性 BMI 高和体力活动与慢性颈痛有关，这方面的证据为中等强度。对于慢性背痛，我们发现男性园艺/庭院工作和家中有不止一个成年人与慢性背痛有关，这方面的证据有限。效应大小较小。
确定了一些可改变的与生活方式相关的因素。证据仍然有限，需要更多的研究。PROSPERO 数据库注册：Ref 172,112 CRD42020172112。
