Moderate or severe low back pain is associated with body mass index amongst community-dwelling older Australians
•Approximately one in six community-dwelling Australians aged 70 years or older report moderate or severe low back pain experienced on most days.•About half of those reporting moderate or severe low back pain take regular analgesic medication, approximately one-third report regular interference with...
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| Vydané v: | Archives of gerontology and geriatrics Ročník 91; s. 104231 |
|---|---|
| Hlavní autori: | , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Netherlands
Elsevier B.V
01.11.2020
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| ISSN: | 0167-4943, 1872-6976, 1872-6976 |
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| Abstract | •Approximately one in six community-dwelling Australians aged 70 years or older report moderate or severe low back pain experienced on most days.•About half of those reporting moderate or severe low back pain take regular analgesic medication, approximately one-third report regular interference with sleep or walking, and almost half report regular interference with day to day activities.•Moderate or severe low back pain is associated with either an overweight or obese body mass index among community-dwelling older Australians.
Low back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI).
Cross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline.
Of 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27−1.76) or obese (males: OR = 2.23, 95 %CI = 1.77−2.80 and females: OR = 2.91, 95 %CI = 2.48−3.42).
Moderate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years. |
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| AbstractList | Low back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI).OBJECTIVELow back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI).Cross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline.METHODSCross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline.Of 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27-1.76) or obese (males: OR = 2.23, 95 %CI = 1.77-2.80 and females: OR = 2.91, 95 %CI = 2.48-3.42).RESULTSOf 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27-1.76) or obese (males: OR = 2.23, 95 %CI = 1.77-2.80 and females: OR = 2.91, 95 %CI = 2.48-3.42).Moderate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years.CONCLUSIONModerate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years. Low back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI). Cross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline. Of 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27-1.76) or obese (males: OR = 2.23, 95 %CI = 1.77-2.80 and females: OR = 2.91, 95 %CI = 2.48-3.42). Moderate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years. •Approximately one in six community-dwelling Australians aged 70 years or older report moderate or severe low back pain experienced on most days.•About half of those reporting moderate or severe low back pain take regular analgesic medication, approximately one-third report regular interference with sleep or walking, and almost half report regular interference with day to day activities.•Moderate or severe low back pain is associated with either an overweight or obese body mass index among community-dwelling older Australians. Low back pain is prevalent in older populations and modifiable risk factors may include being overweight or obese. This study aimed to describe the prevalence and impact of moderate or severe low back pain in community-dwelling older adults and its association with body mass index (BMI). Cross-sectional study involving 16,439 Australians aged ≥70 years. Logistic regression was used to describe associations between the presence or absence of moderate or severe low back pain experienced on most days with BMI. Analyses were conducted separately for males and females, and controlled for age and depression at baseline. Of 14,155 pain question respondents, 11 % of males (n = 710/6475) and 18 % of females (n = 1391/7680) reported moderate or severe low back pain (total 15 %, n = 2101/14,155). Of those reporting moderate or severe low back pain (n = 2101), 55 % reported taking pain-relieving medication regularly, and 29 % reported that the pain regularly interfered with sleep, 37 % with walking, and 47 % with day to day activities. When age and depression were controlled for, there was a statistically significant (p < 0.001) association between moderate or severe low back pain and being overweight (females: odds ratio OR = 1.50, 95 % confidence interval CI = 1.27−1.76) or obese (males: OR = 2.23, 95 %CI = 1.77−2.80 and females: OR = 2.91, 95 %CI = 2.48−3.42). Moderate or severe low back pain is common, has a significant impact, and is associated with either an overweight or obese BMI among community-dwelling Australians aged ≥70 years. |
| ArticleNumber | 104231 |
| Author | Lockery, Jessica Britt, Carlene Murray, Anne Ernst, Michael E. Gilmartin-Thomas, Julia FM Cicuttini, Flavia M Owen, Alice J Nelson, Mark R Liew, Danny McNeil, John J Workman, Barbara Woods, Robyn L Wolfe, Rory Ward, Stephanie A |
| AuthorAffiliation | e Centre for Healthy Brain Ageing, University of New South Wales d Berman Center for Outcomes & Clinical Research, Minneapolis a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia b Department of Pharmacy Practice and Science, College of Pharmacy, Department of Family Medicine, Carver College of Medicine, The University of Iowa c Menzies Institute for Medical Research, University of Tasmania |
| AuthorAffiliation_xml | – name: c Menzies Institute for Medical Research, University of Tasmania – name: b Department of Pharmacy Practice and Science, College of Pharmacy, Department of Family Medicine, Carver College of Medicine, The University of Iowa – name: a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – name: d Berman Center for Outcomes & Clinical Research, Minneapolis – name: e Centre for Healthy Brain Ageing, University of New South Wales |
| Author_xml | – sequence: 1 givenname: Julia FM orcidid: 0000-0002-1783-0161 surname: Gilmartin-Thomas fullname: Gilmartin-Thomas, Julia FM email: julia.gilmartin-thomas@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 2 givenname: Flavia M surname: Cicuttini fullname: Cicuttini, Flavia M organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 3 givenname: Alice J surname: Owen fullname: Owen, Alice J email: Alice.Owen@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 4 givenname: Rory surname: Wolfe fullname: Wolfe, Rory email: Rory.Wolfe@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 5 givenname: Michael E. orcidid: 0000-0003-0267-4888 surname: Ernst fullname: Ernst, Michael E. email: michael-ernst@uiowa.edu organization: Department of Pharmacy Practice and Science, College of Pharmacy, Department of Family Medicine, Carver College of Medicine, The University of Iowa – sequence: 6 givenname: Mark R surname: Nelson fullname: Nelson, Mark R email: Mark.Nelson@utas.edu.au organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 7 givenname: Jessica orcidid: 0000-0001-6664-1239 surname: Lockery fullname: Lockery, Jessica email: jessica.lockery@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 8 givenname: Robyn L surname: Woods fullname: Woods, Robyn L email: Robyn.Woods@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 9 givenname: Carlene orcidid: 0000-0002-9429-6054 surname: Britt fullname: Britt, Carlene email: Carlene.Britt@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 10 givenname: Danny surname: Liew fullname: Liew, Danny email: danny.liew@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 11 givenname: Anne surname: Murray fullname: Murray, Anne email: amurray@bermancenter.org organization: Berman Center for Outcomes & Clinical Research, Minneapolis – sequence: 12 givenname: Barbara orcidid: 0000-0001-6520-9276 surname: Workman fullname: Workman, Barbara email: Barbara.Workman@monashhealth.org organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 13 givenname: Stephanie A surname: Ward fullname: Ward, Stephanie A email: stephanie.ward@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia – sequence: 14 givenname: John J orcidid: 0000-0002-1049-5129 surname: McNeil fullname: McNeil, John J email: John.McNeil@monash.edu organization: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004 Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32861954$$D View this record in MEDLINE/PubMed |
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| Keywords | Back Analgesia Body mass index Pain Geriatric Weight |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 JG-T, FC, AO, RW, and JM had significant involvement in study conception/design. AO, RW, ME, MN, JL, RW, CB, DL, AM, BW, SW and JM had significant involvement in data collection. All authors (JG-T, FC, AO, RW, ME, MN, JL, RW, CB, DL, AM, BW, SW and JM) had significant involvement in data analysis/interpretation, were involved in drafting and/or revising the manuscript, approved the final version of the manuscript for publication, and take responsibility for the accuracy and integrity of all aspects of research. Author contributions |
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| Title | Moderate or severe low back pain is associated with body mass index amongst community-dwelling older Australians |
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