Boshuizen H C, Verbeek J H, Broersen J P, Weel A N
Coronel Laboratory, University of Amsterdam, The Netherlands.
Spine (Phila Pa 1976). 1993 Jan;18(1):35-40. doi: 10.1097/00007632-199301000-00007.
Recently smoking has been increasingly implicated as a possible risk factor for low-back pain. One explanation for this finding is confounding by occupation. To investigate this possibility, the relationship between smoking and self-reported back pain was studied within 13 occupations. A relationship between smoking and back pain was observed only in occupations that require physical exertion. The relationship between smoking and other musculoskeletal pain also was explored. Pain in the extremities turned out to be related more clearly to smoking than to pain in the neck or the back. This suggests confounding or a general influence of smoking on pain. It is concluded that prevention of back pain could be a beneficial side-effect of anti-smoking campaigns. However, the prime target for prevention of low-back pain would have to be other factors.
最近，吸烟越来越被认为是导致腰痛的一个可能风险因素。这一发现的一种解释是职业因素造成的混淆。为了研究这种可能性，我们在13种职业中研究了吸烟与自我报告的背痛之间的关系。仅在需要体力劳动的职业中观察到吸烟与背痛之间的关系。我们还探讨了吸烟与其他肌肉骨骼疼痛之间的关系。结果发现，四肢疼痛与吸烟的关联比颈部或背部疼痛与吸烟的关联更为明显。这表明存在混淆因素或吸烟对疼痛有普遍影响。得出的结论是，预防背痛可能是反吸烟运动的一个有益副作用。然而，预防腰痛的主要目标必须是其他因素。
