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来自一个人口众多国家的研究:中年成年人下背痛的相关危险因素。

A Study from a Highly Populated Country : Risk Factors Associated with Lower Back Pain in Middle-Aged Adults.

作者信息

Makkiyah Feda Anisah, Sinaga Tasya Anggraini, Khairunnisa Namira

机构信息

Department of Neurosurgery, Faculty of Medicine UPN Veteran Jakarta, Jakarta, Indonesia.

Undergraduate Program, Faculty of Medicine UPN Veteran Jakarta, Jakarta, Indonesia.

出版信息

J Korean Neurosurg Soc. 2023 Mar;66(2):190-198. doi: 10.3340/jkns.2021.0278. Epub 2022 Jul 26.

Abstract

OBJECTIVE

Low back pain (LBP) is a global health problem that affects the productivity of the patients. Several factors such as individual, occupational, and psychosocial factors increase the risk of LBP. However, only a few studies investigated those factors, especially in middle adulthood in Indonesia. Indonesia is a country with a young population that has been rapidly developing in recent years. This study was conducted to find out the factors associated with LBP in middle adulthood.

METHODS

This study is a cross-sectional observational analytic study using a convenience sampling method with a total sample of 3005 respondents. Data were collected using a questionnaire which was then analyzed using the chi-square test, Kolmogorovsmirnov, Spearman's Rank, and logistic regression test.

RESULTS

From the result of this study, it was found that the 12-month prevalence of LBP in middle-aged adults was 44,29%. Female (odds ratio [OR], 1.3; 95% confidence interval [Cl], 1.098-1.545; p=0.002), lack of physical exercises (OR, 0.87; 95% Cl, 0.794-0.959; p=0.005), high body mass index (OR, 1.09; 95% Cl, 1.009-1.187; p=0.002), stress level (OR, 1.26; 95% Cl, 1.088-1.458; p=0.002), and years of work experience (OR, 1.1; 95% Cl, 1.001-1.225; p=0.047) were determined as risk factors that significantly associated with LBP.

CONCLUSION

LBP is quite common among middle-aged adults in Indonesia. Female gender, higher body mass index, lack of physical activity, stress level, and years of work experience were all potential risk factors for LBP in middle-aged adults. Middle-aged adults in Indonesia should be aware of LBP and avoid disabilities by identifying risk factors that may worsen LBP in the future.

摘要

目的

腰痛(LBP)是一个全球性的健康问题,会影响患者的生产力。个体、职业和社会心理等多种因素会增加腰痛的风险。然而,只有少数研究对这些因素进行了调查,尤其是在印度尼西亚的中年人群中。印度尼西亚是一个人口年轻化且近年来发展迅速的国家。本研究旨在找出与中年人群腰痛相关的因素。

方法

本研究是一项横断面观察性分析研究,采用便利抽样方法,共纳入3005名受访者。通过问卷调查收集数据,然后使用卡方检验、柯尔莫哥洛夫-斯米尔诺夫检验、斯皮尔曼等级相关分析和逻辑回归检验进行分析。

结果

从本研究结果发现,中年成年人中腰痛的12个月患病率为44.29%。女性(优势比[OR],1.3;95%置信区间[CI],1.098 - 1.545;p = 0.002)、缺乏体育锻炼(OR,0.87;95% CI,0.794 - 0.959;p = 0.005)、高体重指数(OR,1.09;95% CI,1.009 - 1.187;p = 0.002)、压力水平(OR,1.26;95% CI,1.088 - 1.458;p = 0.002)和工作年限(OR,1.1;95% CI,1.001 - 1.225;p = 0.047)被确定为与腰痛显著相关 的风险因素。

结论

腰痛在印度尼西亚的中年成年人中相当普遍。女性、较高的体重指数、缺乏体育活动、压力水平和工作年限都是中年成年人腰痛的潜在风险因素。印度尼西亚的中年成年人应意识到腰痛问题,并通过识别未来可能使腰痛恶化的风险因素来避免残疾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/10009244/7eef6b166b17/jkns-2021-0278f1.jpg

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