Factors associated with chronic and acute back pain in Wales, a cross-sectional study

BMC Musculoskeletal Disorders

Haroon Ahmed¹  Ben Carter²  Kristinn Tómasson³  Steinthora Jonsdottir³ 

[1]0000 0001 0807 5670, grid.5600.3, Division of Population Medicine, Cardiff University School of Medicine, Heath Park, CF14 4YS, Cardiff, UK

[2]0000 0001 2322 6764, grid.13097.3c, Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, SE5 8AF, London, UK

[3]0000 0004 0643 5996, grid.413315.1, Administration of Occupational Safety and Health, Dvergshofdi 2, 110, Reykjavik, Iceland

关键词: Chronic Back pain;    Acute back pain;    Risk factors;    Physical activity;    Prevention;   

DOI  :  10.1186/s12891-019-2477-4

来源: publisher

【 摘 要 】

BackgroundBack pain is one of the most common causes for disability in the working population. Some risk factors for back pain are well known, however little is known about factors uniquely associated with acute or chronic back pain.This study aimed to elucidate patterns uniquely associated with acute or chronic back pain.MethodsThis study performed secondary analysis of data from the Welsh Health Survey 2012, a nationwide cross-sectional survey.A multivariable analysis was carried out for risk factors found to be significantly associated with acute and chronic back pain.ResultsWe found that increased BMI (aOR 1.20, 95% Cis 1.08, 1.33; BMI > 30), mental health score below average (aOR 1.59, 95% CIs 1.47, 1.72), having a degree (aOR 1.28, 95% CIs 1.12, 1.47) and being older than 24 years (P < 0.001) were associated with increased prevalence of acute back pain.Higher prevalence of chronic back pain was seen in individuals characterised by increased deprivation (WIMD) (aOR 1.61, 95% CIs 1.32, 1.96); increased age (aOR 7.34, 95% CIs 5.25, 10.26; for 65+); being female (aOR = 1.43, 95% CIs 1.27, 1.61); lower educational attainment (aOR 0.44, 95% CIs 0.36, 0.55) higher BMI (aOR = 1.60 95% CIs 1.38, 1.85; BMI > 30); poorer mental health score (aOR = 3.11 95% CIs 2.76, 3.51), and a sedentary lifestyle (aOR = 0.58, 95% CIs 0.49, 0.69; 3–5 days of light exercise).ConclusionIncreased deprivation, female gender, and little exercise were uniquely associated with chronic back pain. These characteristics may help clinicians to intervene to prevent acute backpain resulting in chronic cases.

【 授权许可】

CC BY