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Low back pain and some associated factors: is there any difference between genders?
Brazilian Journal of Physical Therapy ( IF 3.4 ) Pub Date : 2019-02-13 , DOI: 10.1016/j.bjpt.2019.01.012
Thiago Paulo Frascareli Bento 1 , Caio Vitor Dos Santos Genebra 1 , Nicoly Machado Maciel 1 , Guilherme Porfírio Cornelio 2 , Sandra Fiorelli Almeida Penteado Simeão 3 , Alberto de Vitta 1
Affiliation  

Objective

To compare men and women with low back pain and identify the prevalence and some of its associated factors in a population-based sample of adults aged 20 and over a seven day period.

Methods

Cross-sectional study based on a population survey. 600 individuals were interviewed on the following: (1) characteristics of the participants (i.e. demographic, socioeconomic, and labor aspects); (2) physical activity level (IPAQ); (3) musculoskeletal symptoms (Nordic Questionnaire). Descriptive, bivariate, and Poisson regression analyses were performed.

Results

Overall prevalence of LBP was 28.8%, being 39.0% in men and 60.9% in women. The measured associated factors in men were age between 36 and 59 years (PR = 3.00 [1.31–6.88]) and over 60 (PR = 4.52 [2.02–10.12]), smoking (PR = 2.47 [1.20–5.11]), fewer years of formal education (0–4 years) (PR = 6.37 [2.15–18.62]), and hypertension (PR = 2.27 [1.15–4.50]). For women, the associated factors were occupational activities that involved heavy lifting (PR = 1.80 [1.03–3.16]), standing posture leaning forward (PR = 2.04 [1.20–3.44]), sitting posture leaning forward (PR = 2.17 [1.24–3.82]), and sitting at the computer three or more days per week (PR = 4.00 [1.44–11.11]). Widowed or divorced participants were more likely to report LBP, in both men (PR = 3.06 [1.40–6.66]) and women (PR = 2.11 [1.15–3.88]).

Conclusion

This study reveals high prevalence of low back pain in a seven day period. Older age, low education, hypertension, and smoking were associated with LBP in men. Occupational and ergonomic factors were associated with LBP in women. Marital status was associated with LBP in both genders.



中文翻译:

腰痛和一些相关因素:性别之间有区别吗?

目的

在以人群为基础的20岁以上成年人和7天以上人群的样本中,比较腰痛的男性和女性,并确定患病率及其一些相关因素。

方法

基于人口调查的横断面研究。下列人员接受了600个人的访问:(1)参与者的特征(即人口,社会经济和劳动方面);(2)身体活动水平(IPAQ);(3)肌肉骨骼症状(北欧问卷)。进行了描述性,双变量和泊松回归分析。

结果

LBP的总体患病率为28.8%,男性为39.0%,女性为60.9%。测量出的男性相关因素为年龄在36至59岁之间(PR = 3.00 [1.31–6.88])和60岁以上(PR = 4.52 [2.02–10.12]),吸烟(PR = 2.47 [1.20–5.11]),较少正规教育学年(0–4年)(PR = 6.37 [2.15-18.62])和高血压(PR = 2.27 [1.15-4.50])。对于女性而言,相关因素是涉及大量举重的职业活动(PR = 1.80 [1.03-3.16]),向前站立的姿势(PR = 2.04 [1.20–3.44]),向前站立的姿势(PR = 2.17 [1.24–1.2] [3.82]),并且每周坐在计算机上三天或以上(PR = 4.00 [1.44-11.11])。丧偶或离婚的参与者在男性(PR = 3.06 [1.40–6.66])和女性(PR = 2.11 [1.15-3.88])中更可能报告LBP。

结论

这项研究表明,在七天的时间内,腰痛的患病率很高。年龄大,文化程度低,高血压和吸烟与男性LBP相关。职业和人体工程学因素与女性LBP相关。男女的婚姻状况都与LBP有关。

更新日期:2019-02-13
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