University Department of Rheumatology, Physical and Rehabilitation Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
Medikol Outpatient Clinic, Zagreb, Croatia.
Acta Clin Croat. 2022 Dec;61(4):636-646. doi: 10.20471/acc.2022.61.04.10.
The aim of the study was testing the hypothesis that body height has a moderating effect on the association of weight and chronic low back pain (LBP) induced disability, and that this moderating effect is different in women and men. We performed a nested cross-sectional analysis using data collected at baseline in a prospective cohort study conducted in 2008-2009 at a special hospital for medical rehabilitation in Croatia. The outcome was the Roland-Morris Disability Questionnaire (RMDQ) score. The independent variable was body weight. The focal moderators were body height and sex. The moderation analysis was adjusted for seven sociodemographic and clinical covariates. We analyzed data on 72 patients with a median (interquartile range) age of 50 (43-55) years, 36 (50%) of whom were women, treated for nonspecific, chronic LBP. The interaction of sex, body weight and height was a significant predictor of the RMDQ score after adjustments for all covariates (increase of R2=0.13; p=0.001; false discovery rate <5%). In both sexes, the correlation between body weight and the RMDQ score was significantly moderated by body height but in opposite ways. In conclusion, the effects of body weight on physical disability are moderated by body height, but this moderation effect differs between women and men.
本研究旨在验证以下假设,即身高对体重与慢性下腰痛(LBP)所致残疾之间的关联具有调节作用,且这种调节作用在女性和男性中存在差异。我们使用 2008 年至 2009 年在克罗地亚一家专门从事医疗康复的医院进行的前瞻性队列研究中基线时收集的数据,进行了嵌套的横断面分析。结局为 Roland-Morris 残疾问卷(RMDQ)评分。自变量为体重。焦点调节变量为身高和性别。在调整了七个社会人口学和临床协变量后,我们对 72 名患者进行了分析,这些患者的年龄中位数(四分位距)为 50(43-55)岁,其中 36(50%)为女性,患有非特异性、慢性 LBP。在调整了所有协变量后,性别、体重和身高的相互作用是 RMDQ 评分的显著预测因素(调整后 R2 增加 0.13;p=0.001;错误发现率<5%)。在两性中,体重与 RMDQ 评分之间的相关性均受到身高的显著调节,但调节方式相反。总之,体重对身体残疾的影响受到身高的调节,但这种调节作用在女性和男性中存在差异。