Risk factors for low back pain and sciatica in elderly men-the MrOS Sweden study
Risk factors for low back pain and sciatica in elderly men-the MrOS Sweden study
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DOI：
10.1093/ageing/afw152
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发表时间：
2017-01-01
期刊：
影响因子：
6.7
通讯作者：
Karlsson, Magnus K.
中科院分区：
文献类型：
--
作者：
Kherad, Mehrsa;Rosengren, Bjorn E.;Karlsson, Magnus K.
导言：本研究的目的是确定解剖异常以外的因素是否与老年男性的下腰痛(LBP)和LBP合并坐骨神经痛(SCI)有关。材料和方法：瑞典骨质疏松症先生包括3014名年龄在69-81岁的男性。他们回答了关于生活方式以及在过去12个月内是否经历过LBP和SCI的问卷调查。约3007名男性回答了背部疼痛(BP)的问题，258名男性报告了无特定区域的BP。我们发现1,388例无BP，1,361例有任何LBP(不考虑SCI)，1,074例LBP患者还表示他们是否经历过LBP(n=615)、LBP+SCI(n=459)。结果：约49%的LBP患者和54%的LBP+SCI患者认为他们的健康状况为差/非常差(P<；0.001)。患有LBP的男性比没有BP的男性有更差的自我评估健康，抑郁症状，头晕，跌倒倾向，严重的共病(糖尿病，中风，冠心病，肺部疾病和/或癌症)(均P<；0.001)，外国背景，吸烟者(均P<；0.01)，体力活动少和使用助行器(均P<；0.05)。腰背痛+脊髓损伤患者的教育程度、自评健康程度、合并症、头晕和使用助行器(均为P<；0.001)。结论：在腰背痛合并脊髓损伤的老年患者中，脊柱骨折、转移瘤、中央或侧方椎管狭窄或退行性疾病等解剖异常只能部分解释普遍的症状和残疾。还必须评估社会和生活方式因素，因为它们不仅与非特异性LBP有关，而且与伴有SCI的LBP有关。
Introduction: the aim of this study was to identify whether factors beyond anatomical abnormalities are associated with low back pain (LBP) and LBP with sciatica (SCI) in older men.Material and methods: Mister Osteoporosis Sweden includes 3,014 men aged 69-81 years. They answered questionnaires on lifestyle and whether they had experienced LBP and SCI during the preceding 12 months. About 3,007 men answered the back pain (BP) questions, 258 reported BP without specified region. We identified 1,388 with no BP, 1,361 with any LBP (regardless of SCI), 1,074 of those with LBP also indicated if they had experienced LBP (n = 615), LBP+ SCI (n = 459).Results: about 49% of those with LBP and 54% of those with LBP+ SCI rated their health as poor/very poor (P < 0.001). Men with any LBP to a greater extent than those without BP had poor self-estimated health, depressive symptoms, dizziness, fall tendency, serious comorbidity (diabetes, stroke, coronary heart disease, pulmonary disease and/or cancer) (all P < 0.001), foreign background, were smokers (all P < 0.01), had low physical activity and used walking aids (all P < 0.05). Men with LBP+ SCI to a greater extent than those with LBP had lower education, lower self-estimated health, comorbidity, dizziness and used walking aids (all P < 0.001).Conclusions: in older men with LBP and SCI, anatomical abnormalities such as vertebral fractures, metastases, central or lateral spinal stenosis or degenerative conditions may only in part explain prevalent symptoms and disability. Social and lifestyle factors must also be evaluated since they are associated not only with unspecific LBP but also with LBP with SCI.