Association between lifting and use of medication for low back pain: results from the Backworks Prospective Cohort Study.
Association between lifting and use of medication for low back pain: results from the Backworks Prospective Cohort Study.
复制标题
举重和使用药物治疗腰痛之间的关联：Backworks 前瞻性队列研究的结果。
DOI：
10.1097/jom.0000000000000197
复制
发表时间：
2014
影响因子：
3.2
通讯作者：
Malloy,ElizabethJ
中科院分区：
文献类型：
--
作者：
Kapellusch,JayM;Garg,Arun;Boda,Sruthi;Hegmann,KurtT;Moore,JSteven;Thiese,MatthewS;Merryweather,Andrew;Tomich,Suzanna;Foster,JamesC;Bloswick,Donald;Malloy,ElizabethJ
目的：评价负重升降与下腰痛用药风险(M-LBP)的关系。方法：在基线时，评估工人的人口学特征、心理社会因素、爱好、LBP病史和升降(用修订的NIOSH升降方程量化)。对258名符合事故条件的工人队列进行了4.5年的跟踪调查，以确定新的M-LBP病例和提升/降低要求的变化。结果：峰值抬高指数(PLI)和综合抬高指数(PCLI)、LBP病史、焦虑、家务等因素对M-LBP有预测作用。在调整后的模型中，PLI和PCLI呈现暴露-反应关系，峰值危险比分别为3.8和4.3(P≤0.0 2)。PLI和PCLI是评估M-LBP抬高风险的有用指标。
Objective:To evaluate relationships between lifting and lowering of loads and risk of low back pain resulting in medication use (M-LBP).Methods:At baseline, worker demographics, psychosocial factors, hobbies, LBP history, and lifting and lowering (quantified using the Revised NIOSH Lifting Equation) were assessed. A cohort of 258 incident-eligible workers was followed up for 4.5 years to determine new M-LBP cases and changes in lifting/lowering requirements. Proportional hazards regression with time-varying covariates was used to model associations.Results:Factors predicting M-LBP included peak lifting index (PLI) and composite lifting index (PCLI), LBP history, anxiety, and housework. In adjusted models, PLI and PCLI showed exposure–response relationships with peak hazard ratios of 3.8 and 4.3, respectively (P≤ 0.02).Conclusions:Lifting of loads is associated with increased risk of M-LBP. The PLI and PCLI are useful metrics for estimating the risk of M-LBP from lifting.