Wang Yanting, Tang Yuchen, Li Zhichun, Jiang Changhai, Jiang Wei, Hu Zhenming
Department of Orthopedics, Orthopedic Laboratory of Chongqing Medical University, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Orthopedics, The People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, Yunnan, China.
Front Nutr. 2024 Jul 3;11:1418393. doi: 10.3389/fnut.2024.1418393. eCollection 2024.
The consumption of sugar-sweetened beverages (SSBs) has become a major public health problem globally. However, no studies have specifically examined the relationship between SSB intake and chronic low back pain (CLBP). Therefore, the present study aimed to investigate the relationship between SSB intake and the risk of CLBP.
This cross-sectional study enrolled participants aged 20 to 69 from the National Health and Nutrition Examination Survey. CLBP was defined as persistent LBP for a consecutive three-month period. Furthermore, SSB intake was assessed and calculated based on dietary recall interviews. Moreover, survey-weighted logistic regression models were employed to evaluate the association between SSB intake and the risk of CLBP, while the restricted cubic spline (RCS) analysis was used to determine whether there were nonlinear associations between SSB intake and CLBP risk. In addition, subgroup analysis was performed using stratification and interaction analysis for all covariates.
A total of 4,146 participants (mean age: 43.405 years) were enrolled in the final analysis. The results of survey-weighted logistic regression models showed that SSB consumption was significantly associated with an increased risk of CLBP among individuals aged 20 to 69 years. Moreover, the results of subgroup analysis and interaction analysis demonstrated that the association between SSB intake and the risk of CLBP was modified by smoking status and hypertension. Specifically, the SSB intake-associated CLBP risk was more pronounced among current smokers or individuals with hypertension.
Reduction of SSB consumption might contribute to the prevention of CLBP for individuals aged 20 to 69 years. Moreover, current smokers or individuals with hypertension should be more vigilant about the SSB intake-associated CLBP risk. Nevertheless, caution should be exercised when interpreting the results of this study, as further research is necessary to explore the association between SSB consumption and CLBP, given the limitations of the current study.
含糖饮料（SSB）的消费已成为全球主要的公共卫生问题。然而，尚无研究专门探讨SSB摄入量与慢性下腰痛（CLBP）之间的关系。因此，本研究旨在调查SSB摄入量与CLBP风险之间的关系。
本横断面研究纳入了来自国家健康与营养检查调查的20至69岁参与者。CLBP被定义为连续三个月持续存在的下腰痛。此外，基于饮食回忆访谈评估并计算SSB摄入量。此外，采用调查加权逻辑回归模型评估SSB摄入量与CLBP风险之间的关联，同时使用受限立方样条（RCS）分析来确定SSB摄入量与CLBP风险之间是否存在非线性关联。此外，对所有协变量进行分层和交互分析的亚组分析。
最终分析共纳入4146名参与者（平均年龄：43.405岁）。调查加权逻辑回归模型的结果表明，在20至69岁的个体中，饮用SSB与CLBP风险增加显著相关。此外，亚组分析和交互分析的结果表明，吸烟状况和高血压改变了SSB摄入量与CLBP风险之间的关联。具体而言，目前吸烟者或高血压患者中，与SSB摄入量相关的CLBP风险更为明显。
减少SSB消费可能有助于预防20至69岁个体的CLBP。此外，目前吸烟者或高血压患者应更加警惕与SSB摄入量相关的CLBP风险。然而，鉴于本研究的局限性，在解释本研究结果时应谨慎，因为需要进一步研究来探索SSB消费与CLBP之间的关联。
