scholarly journals A Study from a Country with High Number Population: Risk Factors Associated with Low Back Pain among Middle-Aged Adults

Author(s):  
Tashya Anggraeni Sinaga ◽  
Feda Anisah Makkiyah ◽  
Namira Khairunnisa

Abstract BACKGROUND: Low back pain is a global health problem that affects the productivity of the patients. Several factors such as individual, occupational, and psychosocial factors increase the risk of low back pain. However, only a few studies investigated those factors, especially in middle adulthood in Indonesia.AIM: This study was conducted to find out the factors associated with low back pain in middle adulthood. METHODS: This study is a cross sectional- observational analytic study using a convenience sampling method with a total sample of 3005 respondents. Data were collected using a questionnaire which was then analyzed using the Chi-square test, Kolmogorov Smirnov, Spearman’s Rank, and logistic regression test. RESULTS: From the result of this study, it was found that the 12-month prevalence of low back pain in middle-aged adults was 44,29%. Female (p-value=0,002; OR=1,3; 95% Cl=1,098–1,545), lack of physical exercises (p-value= 0,005; OR=0,87; 95% Cl=0,794–0,959), high body mass index (p-value=0,002; OR=1,09; 95% Cl= 1,009–1,187), stress level (p-value=0,002; OR=1,26; 95% Cl=1,088–1,458), and working time (p-value=0,047; OR=1,1; 95% Cl= 1,001–1,225) were determined as risk factors that significantly associated with low back pain.CONCLUSION: Middle-aged adults in Indonesia have a quite high prevalence of LBP. The possible risk factors associated with LBP among middle-aged adults were female gender, higher body mass index, lack of physical exercise, stress level and working time. Middle-aged adults in Indonesia should be aware of LBP by identifying risk factors that might potentially worsen LBP in the future and avoid disabilities.

2021 ◽  
Vol 8 (04) ◽  
pp. 208-212
Author(s):  
Ushnish Mukherjee ◽  
Sourav Kundu ◽  
Rachit Gulati ◽  
Prabir Mandal

BACKGROUND Chronic low back pain (CLBP) is one of the common debilitating condition in middle-age population. Often the pain is "non-specific" or related to mechanical origin; so, often it is termed as chronic mechanical low back pain. Among the various predisposing factors, abnormal lumber lordosis is more often seen. Radiographic assessment of lumbar lordosis can be done by measuring lumbosacral angle (LSA). Therefore, study of variations in LSA among these patients can give important clues in both pathogenesis and management. The aim of the study is to determine different factors leading to the variations of lumbosacral angle amongst the middle-aged patients presenting with chronic mechanical low back pain. METHODS This retrospective study was conducted by analysing records of 105 CLBP patients of both sex (male = 32, female = 73) in the age group of 45 - 65 years. LSA was directly measured digitally by Ferguson technique from the selected patients’ lateral lumbosacral radiographs. Data was collected in Microsoft Excel 2016 and analysis was done with International Business Machines Statistical Package for the Social Sciences (IBM SPSS) Statistics version 23. RESULTS The difference in median of LSA of male [Median (IQR) = 37.00 (10.00)] and female [Median (IQR) = 45.00 (8.50)] patients was statistically significant (p-value 0.000). Significant positive correlation was also found between LSA and BMI for both sexes, but more in case of female (Spearman’s rho 0.806 p = 0.000) than male (Spearman’s rho 0.680 p-value 0.000). CONCLUSIONS Variation of LSA was found to have significant relations with sex and body mass index (BMI), but not with the age. Statistically significant positive correlation between LSA and BMI alongside higher BMI of the females in the study group suggested that they are more prone to develop CLBP. To formulate proper rehabilitation protocol for middle aged CLBP patients, LSA variations and related factors can be kept in mind. KEYWORDS Chronic Low Back Pain (CLBP), Lumbosacral Angle (LSA), Lordosis, Rehabilitation, Body Mass Index, Lordosis, Spine, Radiography, Rehabilitation


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e032297 ◽  
Author(s):  
Takahiko Yoshimoto ◽  
Hiroyuki Oka ◽  
Shuhei Ishikawa ◽  
Akatsuki Kokaze ◽  
Shingo Muranaga ◽  
...  

ObjectivesLow back pain (LBP) is a common cause of disability among nursing personnel. Although many studies regarding the risk factors for LBP among nursing staff have focused on the physical load at work, multidimensional assessments of risk factors are essential to identify appropriate preventive strategies. We aimed to investigate the association of multidimensional factors (individual, physical, psychological and occupational) with disabling LBP among nursing personnel in Japan.DesignObservational study with comparative cross-sectional design.SettingData were collected using the self-administered questionnaire at a tertiary medical centre.ParticipantsAfter excluding participants with missing variables, 718 nursing personnel were included in the analysis.Outcome measuresA self-administered questionnaire assessed individual characteristics, rotating night shift data, severity of LBP, previous episode of LBP, sleep problem, kinesiophobia (Tampa Scale for Kinesiophobia), depressive condition (K6), physical flexibility and frequency of lifting at work. A logistic regression model was used to evaluate the factors associated with disabling LBP (LBP interfering with work) among nursing personnel.ResultsOf all participants, 110 (15.3%) reported having disabling LBP. The multivariable logistic regression analysis after adjustment for several confounding factors showed that kinesiophobia (highest tertile, adjusted OR (aOR): 6.13, 95% CI : 3.34 to 11.27), previous episode of LBP (aOR: 4.31, 95% CI: 1.50 to 12.41) and insomnia (aOR: 1.66, 95% CI: 1.05 to 2.62) were significantly associated with disabling LBP.ConclusionsThe present study indicated that kinesiophobia, a previous episode of LBP, and sleep problems were associated with disabling LBP among nursing personnel. In the future, workplace interventions considering assessments of these factors may reduce the incidence of disabling LBP in nursing staff, although further prospective studies are needed.


Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 172
Author(s):  
Antonio Cejudo ◽  
Angélica Ginés-Díaz ◽  
Olga Rodríguez-Ferrán ◽  
Fernando Santonja-Medina ◽  
Pilar Sainz de Baranda

Low back pain (LBP) is the most common overuse musculoskeletal injury suffered by child equestrian athletes (CEA). Despite this, little is known about the risk factors related to LBP in these athletes, and very limited research has been conducted on this topic. This study was designed to investigate predictive risk factors for LBP in CEA. The purposes of this research were to determine whether anthropometric, range of motion (ROM), core endurance and sagittal spinal morphotype measures are risk factors for LBP and to establish a diagnostic cutoff value for those factors associated with LBP. Nineteen CEA between the ages of 12 and 17 years were voluntarily recruited. Potential risk factors evaluated included corporal composition, lower limb ROM, core endurance and sagittal spinal measures. Associations and predictions were calculated between these risk factors and the LBP during the last 12 months. Almost half of the CEA have suffered at least one episode of LBP. Two risk factors and cutoff values were identified as predictors of LBP in CEA: having a high body fat higher than 23% (p = 0.01) and trunk lateral flexor endurance lower to 65 s (p = 0.021), body fat being the strongest predictor.


2016 ◽  
Vol 59 ◽  
pp. e146 ◽  
Author(s):  
Khalil Ghoussoub ◽  
Alain El Asmar ◽  
Gaby Kreichati ◽  
Sawma Wakim ◽  
Mayla Bakhache ◽  
...  

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Martina Wulandari ◽  
Dwi Setyawan ◽  
Alfan Zubaidi

Abstract : Risk factors, Low Back Pain, Prosthetics and Orthotics Students of Health Polytechnic of Surakarta. Low Back Pain (LBP) or lower back pain is a common health problem that found in many people, not only in older people but also in younger nowadays. Low Back Pain associated with many kind of conditions and also risk factors. The etiology of LBP is widely accepted to be multi-factorial. The objectives of this study were to determine the risk factors causing LBP on Prosthetics and Orthotics students of Health Polytechnic of Surakarta. The study is cross sectional design used a questionnaire instrument to all Prosthetics and Orthotics students. Data analysis was performed by Chi square. The results showed that the prevalence of LBP after being Prosthetics and Orthotics students of Health Polytechnic of Surakarta is 32,2%. Risk factors associated with Low Back Pain were exercise (p value 0,033), daily time spend standing (p value 0,046), lifting (p value 0,027) and perceived stress (p value 0,008). Gender, body mass index and daily time spend sitting were not associate with Low Back Pain.


2015 ◽  
Vol 5 (4) ◽  
pp. 110 ◽  
Author(s):  
MohammadSalem Alhalabi ◽  
Hassan Alhaleeb ◽  
Sarah Madani

2014 ◽  
Vol 27 (3) ◽  
pp. 281-289 ◽  
Author(s):  
Markus Melloh ◽  
Achim Elfering ◽  
Tasha R. Stanton ◽  
Thomas Barz ◽  
Emin Aghayev ◽  
...  

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