Alyousef Bothaina, Cicuttini Flavia M, Wang Yuanyuan, Wluka Anita E, Shaw Jonathan E, Magliano Dianna J, Urquhart Donna M
School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Department of Rehabilitation Sciences, College of Health and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Osteoarthr Cartil Open. 2025 Mar 29;7(2):100604. doi: 10.1016/j.ocarto.2025.100604. eCollection 2025 Jun.
This study aimed to examine the associations of overweight/obesity, physical function and mental function with back pain intensity and disability.
A 14-year population-based study based on Australian Diabetes, Obesity and Lifestyle Study. Body mass index and the SF-36 Survey were used to determine baseline overweight/obesity and physical and mental status respectively. Back pain intensity and disability were assessed using the Chronic Pain Grade Questionnaire.
Participants with overweight/obesity only had higher odds of high-intensity pain and high disability (OR:1.61 95%CI(1.28-2.02); 1.48 (1.12-1.97) respectively), but not low disability (OR:1.22, 95%CI 0.99-1.50), compared to those with neither overweight/obesity nor impaired physical function. However, those with overweight/obesity and impaired physical function had a 9.5 (95%CI 6.32-14.1) and 7.8 (95%CI 5.60-10.8) times higher odds of high-intensity pain and high disability respectively. Compared to people with normal weight and mental function, participants with overweight/obesity only had 1.5-times higher odds of both high-intensity pain and disability (95%CI(1.19-1.97); (1.12-1.99) respectively). Those with overweight/obesity and impaired mental function had 4.2-times (95%CI 2.97-5.93) higher odds of high-intensity pain and 2.9-times (95%CI 2.11-4.16) higher odds of high disability compared with participants without overweight/obesity or impaired mental function.
These findings highlight that among individuals with overweight or obesity significantly impaired physical and mental functions are important in identifying those at risk of having high-intensity back pain and high disability 14 years later. Examining changes in weight and physical and mental health over time is warranted and targeting these factors together may help reduce the huge burden of back pain in the community.
本研究旨在探讨超重/肥胖、身体功能和心理功能与背痛强度及残疾之间的关联。
一项基于澳大利亚糖尿病、肥胖与生活方式研究的为期14年的人群研究。分别使用体重指数和SF-36调查问卷来确定基线时的超重/肥胖情况以及身体和心理状态。使用慢性疼痛分级问卷评估背痛强度和残疾情况。
与既无超重/肥胖也无身体功能受损的参与者相比，仅超重/肥胖的参与者出现高强度疼痛和高残疾的几率更高（比值比分别为：1.61，95%置信区间(1.28 - 2.02)；1.48(1.12 - 1.97)），但低残疾的几率并非如此（比值比为：1.22，95%置信区间0.99 - 1.50）。然而，超重/肥胖且身体功能受损的参与者出现高强度疼痛和高残疾的几率分别高出9.5倍（95%置信区间6.32 - 14.1）和7.8倍（95%置信区间5.60 - 10.8）。与体重正常且心理功能正常的人相比，仅超重/肥胖的参与者出现高强度疼痛和残疾的几率均高出1.5倍（95%置信区间分别为(1.19 - 1.97)；(1.12 - 1.99)）。与无超重/肥胖或心理功能未受损的参与者相比，超重/肥胖且心理功能受损的参与者出现高强度疼痛的几率高出4.2倍（95%置信区间2.97 - 5.93），出现高残疾的几率高出2.9倍（95%置信区间2.11 - 4.16）。
这些发现突出表明，在超重或肥胖个体中，显著受损的身体和心理功能对于识别14年后有患高强度背痛和高残疾风险的个体很重要。有必要研究体重以及身体和心理健康随时间的变化情况，同时针对这些因素可能有助于减轻社区中背痛带来的巨大负担。
