Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake.
Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake.
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DOI：
10.1186/s12877-022-03655-7
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发表时间：
2022-12-02
期刊：
影响因子：
4.1
通讯作者：
Tsuji, Ichiro
中科院分区：
文献类型：
--
作者：
Yabe, Yutaka;Hagiwara, Yoshihiro;Sugawara, Yumi;Tsuji, Ichiro
关键词：
功能残疾是老龄化人口的一个主要健康问题。下背痛（LBP）是一种常见的健康问题，可导致老年人的功能障碍;尽管如此，其相关性尚未得到澄清。本研究旨在研究LBP与老年人功能障碍之间的关系，重点是其剂量依赖性效应。本研究使用了东日本大地震后受灾地区居民（65岁，n = 914）的4年纵向数据。LBP和身体功能在灾难发生后2年、4年和6年进行评估。进行多因素logistic回归分析，以评估LBP和低身体功能之间的关联，以及先前LBP对低身体功能发作的影响。LBP与身体功能低下显著相关，并且随着LBP持续时间的增加，这种相关性变得更强。调整后的优势比（95%置信区间）在"<2年"中为1.27（0.79 - 2.06），在"≥ 2年且<4年"中为1.95（1.01 - 3.77），在"≥ 4年"中为2.34（1.35 - 4.06）（趋势p = 0.009）。此外，先前的LBP与低身体功能的发生显著相关，并且随着LBP持续时间的增加，这种影响变得突出。调整后的优势比（95%置信区间）在"<2年"和"≥ 2年"中分别为2.28（1.19 - 4.37）和2.82（1.35 - 5.90）（趋势p = 0.003）。LBP与老年人的身体残疾有关，并呈剂量依赖性。因此，预防和治疗LBP对预防功能障碍非常重要。在线版本包含补充材料，可通过10.1186/s12877 - 022 - 03655 - 7获得。
Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. The online version contains supplementary material available at 10.1186/s12877-022-03655-7.
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DOI：
10.3390/diagnostics11010074
发表时间：
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期刊：
Diagnostics (Basel, Switzerland)
影响因子：
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作者：
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2.3
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