Rosolek Barbara, Alexe Dan Iulian, Gawlik Krystyna, Panaet Elena Adelina, Mihai Ilie, Antohe Bogdan Alexandru, Zwierzchowska Anna
Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-287 Katowice, Poland.
Department of Physical and Occupational Therapy, "Vasile Alecsandri" University of Bacău, 600115 Bacău, Romania.
Healthcare (Basel). 2025 May 3;13(9):1054. doi: 10.3390/healthcare13091054.
Low back pain (LBP) is a widespread and disabling condition affecting many older adults.
This study aimed to establish correlations between LBP, physical activity, body composition, and posture in 114 women (mean age: 67.6 ± 5.68 years). Using a cross-sectional study design, LBP was assessed using the Oswestry Disability Index (ODI). Physical activity (PA) was measured using a pedometer to count the steps taken. Spinal curvatures in the sagittal plane were examined with a Rippstein Plurimeter.
Significant correlations were found between ODI and waist circumference (WC) (F(1, 113) = 7.574, = 0.007), body mass index (BMI) (F(1, 113) = 11.660, = 0.001), total fat (TF) (F(1, 113) = 8.806, = 0.004, R = 0.072), and total steps (F(1, 113) = 4.446, = 0.037). No associations were found between ODI and hip circumference (HC) (F(1, 113) = 6.257, = 0.014, R = 0.52), waist-to-hip ratio (WHR) (F(1, 113) = 6.342, = 0.013, R = 0.053), thoracic kyphosis (THK) (F(1, 113) = 0.290, = 0.591, R = 0.003), or lumbar lordosis angle (LLA) (F(1, 113) = 0.290, = 0.591, R = 0.003).
These results of the study findings reveal the multifactorial nature of LBP syndrome and highlight the connection between LBP and ODI, BMI, WC, and TF in older women. Additionally, we emphasize the importance of implementing further prevention and intervention strategies to manage the clinical manifestation of LBP in the geriatric population. Healthcare providers can better support this population's well-being by focusing on targeted interventions.
腰痛（LBP）是一种普遍存在且使人致残的病症，影响着许多老年人。
本研究旨在确定114名女性（平均年龄：67.6±5.68岁）的腰痛、身体活动、身体成分和姿势之间的相关性。采用横断面研究设计，使用奥斯威斯利功能障碍指数（ODI）评估腰痛。使用计步器测量身体活动（PA），以计算所走的步数。使用里普斯坦多平面测量仪检查矢状面的脊柱曲率。
发现ODI与腰围（WC）（F(1, 113) = 7.574，P = 0.007）、体重指数（BMI）（F(1, 113) = 11.660，P = 0.001）、总脂肪（TF）（F(1, 113) = 8.806，P = 0.004，R = 0.072）和总步数（F(1, 113) = 4.446，P = 0.037）之间存在显著相关性。未发现ODI与臀围（HC）（F(1, 113) = 6.257，P = 0.014，R = 0.52）、腰臀比（WHR）（F(1, 113) = 6.342，P = 0.013，R = 0.053）、胸椎后凸（THK）（F(1, 113) = 0.290，P = 0.591，R = 0.003）或腰椎前凸角（LLA）（F(1, 113) = 0.290，P = 0.591，R = 0.003）之间存在关联。
这些研究结果揭示了腰痛综合征的多因素性质，并突出了老年女性腰痛与ODI、BMI、WC和TF之间的联系。此外，我们强调实施进一步的预防和干预策略以控制老年人群中腰痛临床表现的重要性。医疗保健提供者可以通过关注有针对性的干预措施来更好地支持这一人群的健康。
