Zhu Yuanpeng, Zhang Haoran, Li Qing, Zhang Terry Jianguo, Wu Nan
Department of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory of Big Data Innovation and Application for Skeletal Health Medical Care, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences; Beijing, 100730, China.
Department of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory of Big Data Innovation and Application for Skeletal Health Medical Care, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences; Beijing, 100730, China.
Spine J. 2024 Dec;24(12):2207-2217. doi: 10.1016/j.spinee.2024.09.009. Epub 2024 Sep 27.
Chronic low back pain (CLBP) is a significant global health burden, primarily affecting the middle-aged and older; However, there is a lack of clear, evidence-based guidelines for leisure-time physical activity aimed at preventing CLBP.
This study sought to delineate the association between aerobic physical activity (APA) and muscle strengthening activities (MSA) and the prevalence of CLBP.
This was a population-based study conducted across the United States.
This nationwide study utilizes deidentified data from 22 consecutive rounds of the National Health Interview Survey (NHIS) from 1997 to 2018.
The primary outcome was self-reported CLBP.
We analyzed the prevalence of CLBP in a representative sample of 324,793 middle-aged and older people. Among 263,871 individuals, we used multiple logistic regression to investigate individual and joint association between the amount of APA and MSA with CLBP.
In total, 263,871 participants (mean age, 59.0 years; SD, 9.7) were included in the final analysis. From 1997 to 2018, the prevalence of CLBP was approximately 32%, with an annual increase. Engaging in APA for 75 to 150 minutes weekly was associated with a modest reduction in CLBP risk (OR [95% CI] = 0.97 [0.97-0.98]). Similar benefits were seen with 150 to 225, 225 to 300, and >300 minutes. Engaging in MSA 2 to 3 times and 4 to 5 times weekly also reduced CLBP risk (0.98 [0.98-0.99] and 0.98 [0.97-0.99], respectively). Optimal reductions of CLBP risk may be associated with balanced levels of APA and MSA, with recommended amounts being 225 to 300 min/w of APA and 4 to 5 times/w of MSA (0.92 [0.89-0.95]).
The study found engaging in over 75 minutes of APA and 2 to 5 weekly MSA sessions is associated with a reduced risk of CLBP. Furthermore, a balanced combination of APA and MSA may correspond to the greatest reduction in CLBP risk.
慢性下腰痛（CLBP）是一项重大的全球健康负担，主要影响中老年人；然而，针对预防CLBP的休闲体育活动，缺乏明确的、基于证据的指南。
本研究旨在阐明有氧运动（APA）和肌肉强化活动（MSA）与CLBP患病率之间的关联。
这是一项在美国全国范围内开展的基于人群的研究。
这项全国性研究利用了1997年至2018年连续22轮美国国家健康访谈调查（NHIS）中身份信息被去除的数据。
主要结局为自我报告的CLBP。
我们分析了324793名中老年人代表性样本中CLBP的患病率。在263871名个体中，我们使用多元逻辑回归研究APA和MSA的量与CLBP之间的个体及联合关联。
最终分析纳入了总共263871名参与者（平均年龄59.0岁；标准差9.7）。从1997年到2018年，CLBP的患病率约为32%，且呈逐年上升趋势。每周进行75至150分钟的APA与CLBP风险适度降低相关（比值比[95%置信区间]=0.97[0.97 - 0.98]）。150至225分钟、225至300分钟以及超过300分钟的情况也有类似益处。每周进行2至3次和4至5次MSA也降低了CLBP风险（分别为0.98[0.98 - 0.99]和0.98[0.97 - 0.99]）。CLBP风险的最佳降低可能与APA和MSA的平衡水平相关，推荐量为每周225至300分钟的APA和每周4至5次的MSA（0.92[0.89 - 0.95]）。
该研究发现，每周进行超过75分钟的APA和每周2至5次的MSA与CLBP风险降低相关。此外，APA和MSA的平衡组合可能对应着CLBP风险的最大降低。
