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下背痛与体力劳动者的身体成分、柔韧性和姿势偏差有关吗?

Is low back pain related to the body composition, flexibility, and postural deviations in rural workers?

作者信息

Glänzel Marcelo Henrique, da Rocha Guilherme Görgen, Couto Analie Nunes, Corbelini Valeriano Antônio, Reckziegel Miriam Beatrís, Pohl Hildegard Hedwig

机构信息

Departamento de Ciências da Saúde, Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil.

Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Rev Bras Med Trab. 2024 Aug 5;22(1):e2022983. doi: 10.47626/1679-4435-2022-983. eCollection 2024 Jan-Mar.

Abstract

INTRODUCTION

Hard work in the countryside can lead to the onset of pain conditions, which in turn trigger different degrees of labor reduction and musculoskeletal disorders. Low back pain is one of the most common disorders that lead to inactivity, and obesity seems to be associated with the development of low back pain symptoms, since abdominal fat causes mechanical demands in this region due to excessive load.

OBJECTIVES

To analyze low back pain and its relationship with body composition, flexibility, and posture in rural workers.

METHODS

Rural workers (n = 55) were grouped according to the presence of low back pain or absence of low back pain symptoms. Body composition, flexibility, and posture were assessed and compared between groups. A principal component analysis was used to group variables to identify possible associations among variables and low back pain.

RESULTS

The low back pain group presented greater obesity rates than the group without symptoms. Regarding low back pain prevalence, most of the participants had pain symptoms and showed postural deviations. Principal components analysis showed that the group without symptoms was mainly related to the amount of muscle tissue, while the low back pain group was to the adipose tissue.

CONCLUSIONS

Low back pain appears to be associated with body composition and postural deviations, while musculoskeletal and adipose tissues are protective and risk factors for low back pain, respectively, in rural workers.

摘要

引言

在农村地区辛勤劳作可能引发疼痛状况,进而导致不同程度的劳动能力下降和肌肉骨骼疾病。腰痛是导致身体活动减少的最常见疾病之一,肥胖似乎与腰痛症状的发展有关,因为腹部脂肪由于负荷过重会对该区域产生机械性需求。

目的

分析农村劳动者的腰痛及其与身体成分、柔韧性和姿势的关系。

方法

根据是否存在腰痛症状,将农村劳动者(n = 55)分为两组。对两组的身体成分、柔韧性和姿势进行评估并比较。采用主成分分析法对变量进行分组,以确定变量与腰痛之间可能存在的关联。

结果

腰痛组的肥胖率高于无症状组。关于腰痛患病率,大多数参与者有疼痛症状并表现出姿势偏差。主成分分析表明,无症状组主要与肌肉组织量有关,而腰痛组则与脂肪组织有关。

结论

在农村劳动者中,腰痛似乎与身体成分和姿势偏差有关,而肌肉骨骼组织和脂肪组织分别是腰痛的保护因素和危险因素。

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