Risk Factors Associated with Pain Severity in Patients with Non-specific Low Back Pain in Southern China

다국어 초록 (Multilingual Abstract)

Study Design: A prospective cross-sectional study.
Purpose: To evaluate the risk factors associated with the severity of pain intensity in patients with non-specific low back pain (NSLBP) in Southern China.
Overview of Literature: Low back pain (LBP) is the leading cause of activity limitation and work absence throughout the world, so a firm understanding of the risk factor associated with NSLBP can provide early and prompt interventions that are aimed at attaining long-term results.
Methods: Participants were recruited from January 2014 to January 2016 and were surveyed using a self-designed questionnaire.
Anonymous assessments included Short Form 36-Item Health Survey (SF-36) and Visual Analogue Scale (VAS). The association between the severity of NSLBP and these potential risk factors were evaluated.
Results: A total of 1,046 NSLBP patients were enrolled. The patients with primary school education, high body mass index (BMI), those exposed to sustained durations of driving and sitting, smoking, recurrent LBP had increased VAS and Oswestry Disability Index (ODI) scores with lower SF-36 scores (p <0.01). Workers and drivers compared with waiters and patients who lifted >10 kg objects in a quarter of their work time for >10 years had higher VAS and ODI scores with lower SF-36 scores (p <0.01). Multiple logistic regression showed lower levels of education, LBP for 1–7 days, long-lasting LBP in last year, smoking, long duration driving, and higher BMI were associated with more severe VAS score.
Conclusions: The severity of NSLBP is associated with lower levels of education, poor standards of living, heavy physical labor, long duration driving, and sedentary lifestyle. Patients with recurrent NSLBP have more severe pain. Reducing rates of obesity, the duration of heavy physical work, driving or riding, and attenuating the prevalence of sedentary lifestyles and smoking may reduce the prevalence of NSLBP.

참고문헌 (Reference)

1 Shiri R, "The association between smoking and low back pain: a meta-analysis" 123 : 87.e7-87.e35, 2010

2 Chen SM, "Sedentary lifestyle as a risk factor for low back pain: a systematic review" 82 : 797-806, 2009

3 Karunanayake AL, "Risk factors for chronic low back pain in a sample of suburban Sri Lankan adult males" 16 : 203-210, 2013

4 Korshoj M, "Prolonged sitting at work is associated with a favorable time course of low-back pain among blue-collar workers: a prospective study in the DPhacto cohort" 2018

5 Yoichi Iizuka, "Prevalence of Chronic Nonspecific Low Back Pain and Its Associated Factors among Middle-Aged and Elderly People: An Analysis Based on Data from a Musculoskeletal Examination in Japan" 대한척추외과학회 11 (11): 989-997, 2017

6 Landry MD, "Prevalence and risk factors associated with low back pain among health care providers in a Kuwait hospital" 33 : 539-545, 2008

7 Webb R, "Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population" 28 : 1195-1202, 2003

8 Power C, "Predictors of low back pain onset in a prospective British study" 91 : 1671-1678, 2001

9 Noda M, "Occupational risk factors for low back pain among drivers of threewheelers in Sri Lanka" 21 : 216-224, 2015

10 Prado-Leon LR, "Occupational driving as a risk factor in low back pain: a case-control study in a Mexican population" 31 : 387-396, 2008

11 Zhang TT, "Obesity as a risk factor for low back pain: a metaanalysis" 31 : 22-27, 2018

12 Balague F, "Nonspecific low back pain" 379 : 482-491, 2012

13 Minghelli B, "Non-specific low back pain in adolescents from the south of Portugal: prevalence and associated factors" 19 : 883-892, 2014

14 Macedo LG, "Motor control exercise for acute non-specific low back pain" 2 : 2016

15 Demblans-Dechans B, "Lumbar biomechanics and sports: spondylolysis of L5" 55 : 405-410, 1988

16 Mikkonen P, "Is smoking a risk factor for low back pain in adolescents?: a prospective cohort study" 33 : 527-532, 2008

17 Hoogendoorn WE, "Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study" 25 : 3087-3092, 2000

18 Henchoz Y, "Exercise and nonspecific low back pain: a literature review" 75 : 533-539, 2008

19 Manchikanti L, "Epidemiology of low back pain in adults" 17 (17): 3-10, 2014

20 Roffey DM, "Causal assessment of workplace manual handling or assisting patients and low back pain: results of a systematic review" 10 : 639-651, 2010

21 Roffey DM, "Causal assessment of occupational standing or walking and low back pain: results of a systematic review" 10 : 262-272, 2010

22 Wai EK, "Causal assessment of occupational lifting and low back pain: results of a systematic review" 10 : 554-566, 2010

23 Yang H, "Behavior-related factors associated with low back pain in the US adult population" 43 : 28-34, 2018

24 Corlett EN, "Background to sitting at work: researchbased requirements for the design of work seats" 49 : 1538-1546, 2006

25 Schmidt CO, "Back pain in the German adult population: prevalence, severity, and sociodemographic correlates in a multiregional survey" 32 : 2005-2011, 2007

26 Schmidt CO, "Back pain and social status among the working population: what is the association?: results from a German general population survey" 25 : 306-314, 2011

27 Hershkovich O, "Associations of body mass index and body height with low back pain in 829,791 adolescents" 178 : 603-609, 2013

28 Pakpour AH, "Association of pain and depression in those with chronic low back pain: the mediation effect of patient sexual functioning" 31 : 44-51, 2015

29 Leboeuf-Yde C, "Alcohol and low-back pain: a systematic literature review" 23 : 343-346, 2000

30 Stanton TR, "After an episode of acute low back pain, recurrence is unpredictable and not as common as previously thought" 33 : 2923-2928, 2008

31 Min A Kwon, "A Correlation between Low Back Pain and Associated Factors: A Study Involving 772 Patients who Had Undergone General Physical Examination" 대한의학회 21 (21): 1086-1091, 2006