Predictors of musculoskeletal pain in men - A twenty-year follow-up from examination at enlistment
Predictors of musculoskeletal pain in men - A twenty-year follow-up from examination at enlistment
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DOI：
10.1097/00007632-200012010-00016
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发表时间：
2000-12-01
期刊：
影响因子：
3
通讯作者：
Bryngelsson, IL
中科院分区：
文献类型：
--
作者：
Hellsing, AL;Bryngelsson, IL
研究设计。前瞻性研究通过邮寄问卷对6626名年龄近40岁的男性进行随访，这些男性在18岁时首次接受检查。研究从20年前的检查中预测频繁出现的肌肉骨骼问题、健康状况、生活方式和工作状况。那些在1979-1980年期间参加6个月军事任务的人回答了一份关于背部疼痛、吸烟和体力劳动暴露的问卷。当这些人进入背痛最常见的生理年龄时，对他们进行随访是很有意义的。一份新的调查问卷发给了那些在人口登记簿上可以识别的应征小组成员，并将其答案与应征时的答案进行了比较。在20年间，腰痛的患病率从38%上升到74%。颈部或肩部的问题几乎和背部的问题一样普遍。身体质量指数超过25的人数从9%增加到50%，吸烟人数从29%下降到14%。在随访评估中，如果一个人在入伍时经历过严重影响日常生活的背痛，那么频繁出现背部/颈部/肩部问题的比值比为8.7 (95% CI: 3.78-20.10)，如果他因为背痛而请假或上学，那么比值比为3.0 (95% CI: 2.33-3.93)，如果他在入伍时已经在做繁重的工作，那么比值比为2.2 （95% CI: 1.57-3.24）。在后续检查中，早期背部疼痛导致缺勤，疼痛导致活动水平降低，以及繁重的工作负荷显示出频繁出现疼痛问题的风险显著增加。
Study Design. Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18.Objectives. To study the predictability of frequent musculosketetal problems, health, lifestyle, and work situation from the examination 20 years earlier.Background. Those who enlisted for,military duty during 6 months in 1979-1980 answered a questionnaire focusing on back pain, smoking) and physical work exposure. As these men enter the biologic age when back pain is most frequent, a follow-up was of interest.Methods. A new questionnaire was sent to those from the enlistment group who could be identified in the population register, and the answers-were compared with those given at enlistment.Results. The prevalence of law back pain increased from 38% to 74% during the 20-year period. Neck or shoulder problems were nearly as common as back problems. The number of those with a body mass index more than 25 had increased from 9% to 50%, and smoking had decreased from 29% to 14%. The odds ratio for frequent back/neck/shoulder problems at follow-up evaluation was 8.7 (95% CI: 3.78-20.10) if the person had experienced back pain that greatly affected everyday life at enlistment, 3.0 (95% CI: 2.33-3.93) if he had been off work or school because of that pain, and 2.2 (95% CI 1.57-3.24) if he had been doing heavy work already at the time of enlistment.Conclusion. Early back pain causing absence from work, reduced activity levels because of the pain, and heavy work loads showed a significantly increased risk for frequent pain problems at follow-up examination.