Han T S, Schouten J S, Lean M E, Seidell J C
Department of Human Nutrition, University of Glasgow, Glasgow Royal Infirmary, UK.
Int J Obes Relat Metab Disord. 1997 Jul;21(7):600-7. doi: 10.1038/sj.ijo.0800448.
To examine the associations of low back pain symptoms with waist circumference, height, waist to hip ratio and body mass index, and to test the interactions between (1) waist circumference and height, and (2) waist to hip ratio and body mass index.
Cross-sectional study set in The Netherlands of a random sample of 5887 men and 7018 women aged 20-60 y.
The prevalences of low back pain in men and women in the past 12 months were 46% and 52%, of whom 17% and 21% had low back pain for a total of 12 or more weeks, and 13% and 18% had symptoms suggestive of intervertebral disc herniation. After adjustments for age, smoking and education, more women in the highest tertile of waist circumference reported low back pain in the past 12 months (odds ratio = 1.2, 95% confidence interval: 1.1-1.4), low back pain for a total of 12 or more weeks (odds ratio = 1.5, 95% confidence interval: 1.3-1.8), and intervertebral disc herniation symptoms (odds ratio = 1.3, 95% confidence interval: 1.1-1.6) than women in the lowest waist tertile. Corresponding values of low back pain symptoms for women with high body mass index or high waist to hip ratio were similar to those with high waist. There were no significant differences between men in different tertiles of waist, waist to hip ratio or body mass index reporting low back pain symptoms. Tallest subjects did not report low back pain symptoms more often than shortest subjects. There was no significant interactions between waist and height or between waist to hip ratio and body mass index on low back pain symptoms.
Women who are overweight or with a large waist have a significantly increased likelihood of low back pain. There are no significant interactions between waist and height, or waist to hip ratio and body mass index on low back pain symptoms.
研究腰痛症状与腰围、身高、腰臀比及体重指数之间的关联，并检验（1）腰围与身高之间以及（2）腰臀比与体重指数之间的相互作用。
在荷兰进行的一项横断面研究，随机抽取了5887名年龄在20 - 60岁的男性和7018名年龄在20 - 60岁的女性。
在过去12个月中，男性和女性腰痛的患病率分别为46%和52%，其中17%和21%的人腰痛持续了总共12周或更长时间，13%和18%的人有椎间盘突出的症状。在对年龄、吸烟和教育程度进行调整后，腰围处于最高三分位数的女性中，有更多人报告在过去12个月中出现腰痛（优势比 = 1.2，95%置信区间：1.1 - 1.4）、腰痛持续总共12周或更长时间（优势比 = 1.5，95%置信区间：1.3 - 1.8）以及椎间盘突出症状（优势比 = 1.3，95%置信区间：1.1 - 1.6），高于腰围处于最低三分位数的女性。体重指数高或腰臀比高的女性的腰痛症状对应值与腰围高的女性相似。在报告腰痛症状的不同腰围、腰臀比或体重指数三分位数的男性之间没有显著差异。最高的受试者报告腰痛症状的频率并不比最矮的受试者更高。腰围与身高之间或腰臀比与体重指数之间在腰痛症状上没有显著的相互作用。
超重或腰围大的女性患腰痛的可能性显著增加。腰围与身高之间或腰臀比与体重指数之间在腰痛症状上没有显著的相互作用。
