Bayartai Munkh-Erdene, Tringali Gabriella, De Micheli Roberta, Danielewicz Ana Lúcia, Sartorio Alessandro
Department of Physical and Occupational Therapy, School of Nursing, Mongolian National University of Medical Sciences, Ulaanbaatar 14210, Mongolia.
Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Experimental Laboratory for Auxo-Endocrinological Research, 28824 Piancavallo-Verbania, Italy.
J Clin Med. 2024 Sep 22;13(18):5614. doi: 10.3390/jcm13185614.
Low back pain is one of the most prevalent musculoskeletal problems and continues to be the leading cause of disabilities worldwide. The aim of this study was to cross-sectionally investigate the association of physical performance with mental and physical health-related quality of life and low back pain-related disabilities among older adults with severe obesity. A total of 96 hospitalized older adults with severe obesity (45 males, 51 females, age: 69.7 ± 5.4 years; BMI: 43.7 ± 5.7 kg/m) were recruited into the study. Physical performance, health-related quality of life, and low back pain-related disability were measured through physical performance tests, the 12-item short-form survey (SF-12), and the Oswestry disability index, respectively. LBP-related disabilities, as well as physical health-related quality of life, were associated with all the physiological parameters measured by physical performance tests, including muscular strength, aerobic capacity, balance, and lower body flexibility ( < 0.05). In contrast, mental health-related quality of life was associated with fewer physiological parameters, such as primarily muscular strength ( < 0.05). These findings could provide important insights for developing rehabilitation strategies designed to improve LBP-related disabilities, as well as the physical and mental health-related quality of life, in older adults with severe obesity.
腰痛是最常见的肌肉骨骼问题之一，并且仍然是全球残疾的主要原因。本研究的目的是横断面调查重度肥胖老年人的身体机能与心理和身体健康相关生活质量以及腰痛相关残疾之间的关联。共有96名住院的重度肥胖老年人（45名男性，51名女性，年龄：69.7±5.4岁；体重指数：43.7±5.7kg/m²）被纳入该研究。身体机能、健康相关生活质量和腰痛相关残疾分别通过身体机能测试、12项简短调查（SF-12）和奥斯威斯利残疾指数进行测量。与腰痛相关的残疾以及与身体健康相关的生活质量与身体机能测试所测量的所有生理参数相关，包括肌肉力量、有氧能力、平衡和下肢柔韧性（P<0.05）。相比之下，与心理健康相关的生活质量与较少的生理参数相关，主要是肌肉力量（P<0.05）。这些发现可为制定康复策略提供重要见解，以改善重度肥胖老年人与腰痛相关的残疾以及与身心健康相关的生活质量。
