Low back pain is closely associated with frailty but not with sarcopenia: Cross-sectional study of rural Japanese community-dwelling older adults
Low back pain is closely associated with frailty but not with sarcopenia: Cross-sectional study of rural Japanese community-dwelling older adults
复制标题
腰痛与虚弱密切相关，但与肌肉减少症无关：对日本农村社区老年人的横断面研究
DOI：
10.1111/ggi.14100
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发表时间：
2021
影响因子：
3.3
通讯作者：
Tachibana T
中科院分区：
文献类型：
--
作者：
Tsuji S;Shinmura S;Nagai K;Wada Y;Kusunoki H;Tamaki K;Ito M;Sano K;Amano M;Hasegawa Y;Kishimoto H;Maruo K;Iseki T;Tachibana T
我们推测，下背痛是老年人最常见的疾病，与虚弱和/或肌肉减少症有关，并有助于这两种疾病的进展。我们的目的是评估腰痛，肌肉减少症和虚弱之间的关系，在农村日本社区居住的老年人。MethodsWe招募了730名年龄≥65岁的参与者，他们在2016年11月至2018年12月期间接受了全面的健康检查。采用奥斯韦斯特里功能障碍指数（ODI）对腰痛进行定量评估，并对日本版心血管健康研究确定的虚弱组和2019年亚洲肌肉减少症工作组确定的肌肉减少症组进行评分比较。健康组、虚弱前组和虚弱组的ODI评分差异有显著性意义（P< 0.001）。相比之下，在强健、低approximular骨骼肌和肌肉减少症组之间，ODI评分没有显著差异。Logistic回归分析显示，在调整年龄、性别和体重指数后，腰痛患病率和ODI评分与虚弱程度显著相关（比值比3.41，95%置信区间1.39-8.39，P = 0.008，比值比1.06，95%置信区间1.04-1.09，P < 0.001，结论：据我们所知，这项研究首次显示了腰痛和虚弱之间的密切联系，并表明不仅身体功能下降，而且神经精神因素，包括慢性疼痛，构成了社区居住老年人虚弱的恶性循环。Geriatr Gerontol Int 2021; 21：54-59。
AimWe speculated that low back pain, which is the most common ailment in older adults, is associated with frailty and/or sarcopenia and contributes to the progression of either condition. Our objective was to evaluate the relationship between low back pain, sarcopenia and frailty in rural Japanese community‐dwelling older adults.MethodsWe recruited 730 participants aged ≥65 years who underwent a comprehensive health examination between November 2016 and December 2018. The Oswestry Disability Index (ODI) was used to assess low back pain quantitatively, and scores were compared for the frail groups determined by the Japanese version of Cardiovascular Health Study, and the sarcopenia groups as determined by the Asian Working Group for Sarcopenia 2019.ResultsAmong 730 participants, the prevalence of low back pain was 57.8%. There were significant differences in the ODI scores between the robust, prefrail and frail groups (P< 0.001). In contrast, there were no significant differences in the ODI scores among the robust, low appendicular skeletal muscle and sarcopenia groups. Logistic regression analysis showed that the prevalence of low back pain and the ODI scores were significantly associated with frailty after adjustment for age, sex and body mass index (odds ratio 3.41, 95% confidence interval 1.39–8.39, P = 0.008, and odds ratio 1.06, 95% confidence interval 1.04–1.09, P < 0.001, respectively).ConclusionsTo the best of our knowledge, this study is the first to show the close association between low back pain and frailty, and suggests that not only the decline in physical function but also neuropsychiatric factors, including chronic pain, constitute a vicious cycle of frailty in community‐dwelling older adults.Geriatr Gerontol Int 2021; 21: 54–59.