Ferreira Érica de Matos Reis, Lemes Ítalo Ribeiro, Ribeiro Edmar Geraldo, Malta Deborah Carvalho, Maher Christopher G, McAuley James H, Jones Matthew D, Hespanhol Luiz, Pinto Rafael Zambelli
Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Department of Physical Therapy, Universidade Estadual Paulista (UNESP), Presidente Prudente, Brazil.
Braz J Phys Ther. 2025 Aug 2;29(5):101241. doi: 10.1016/j.bjpt.2025.101241.
Patients with chronic back pain who also have comorbidities are more likely to report severe symptoms and receive inappropriate care. It is still unclear which types of comorbidity are associated with more disabling symptoms.
To compare the prevalence of chronic non-communicable disease between adults with and without chronic back pain, estimate the prevalence of multimorbidity in adults with chronic back pain, and identify comorbidities that are associated with activity limitations.
Data from adults who participated in the 2019 National Health Survey were used to collect information about chronic non-communicable diseases, chronic back pain, and activity limitations. Multimorbidity was defined as the presence of one or more comorbidities in addition to chronic back pain. Difference in proportion and ordinal logistic regression were used in the analyses.
Of the total sample size (n = 87,678), 21.6 % (n = 18,930) reported having chronic back pain. The prevalence rates of all non-communicable conditions were higher in people with chronic back pain compared to those without chronic back pain. Multimorbidity was reported by 62.1 % (95 %CI: 61.1, 63.6) of the adults with chronic back pain. The odds of a participant with comorbidities reporting a worse activity limitation level were 2.1 (95 %CI:1.9, 2.4) for arthritis or rheumatism, 1.6 (95 %CI: 1.4, 1.8) for depression, and 1.5 (95 %CI: 1.3, 1.6) for cardiovascular disease compared to participants without this specific comorbidity.
Non-communicable diseases and multimorbidity were prevalent in adults with chronic back pain. Cardiovascular disease, arthritis or rheumatism, and depression, were associated with higher activity limitations due to back pain.
患有慢性背痛且伴有合并症的患者更有可能报告严重症状并接受不适当的治疗。目前仍不清楚哪些类型的合并症与更严重的致残症状相关。
比较有和没有慢性背痛的成年人中慢性非传染性疾病的患病率，估计慢性背痛成年人中多病共存的患病率，并确定与活动受限相关的合并症。
使用参加2019年全国健康调查的成年人的数据来收集有关慢性非传染性疾病、慢性背痛和活动受限的信息。多病共存被定义为除慢性背痛外还存在一种或多种合并症。分析中使用了比例差异和有序逻辑回归。
在总样本量（n = 87,678）中，21.6%（n = 18,930）报告患有慢性背痛。与没有慢性背痛的人相比，患有慢性背痛的人所有非传染性疾病的患病率更高。62.1%（95%CI：61.1，63.6）的慢性背痛成年人报告有多病共存。与没有这种特定合并症的参与者相比，患有合并症的参与者报告活动受限水平更差的几率，关节炎或风湿病为2.1（95%CI：1.9，2.4），抑郁症为1.6（95%CI：1.4，1.8），心血管疾病为1.5（95%CI：1.3，1.6）。
慢性背痛的成年人中，非传染性疾病和多病共存很普遍。心血管疾病、关节炎或风湿病以及抑郁症与因背痛导致的更高活动受限相关。
