Chronic low-back pain in adult with diabetes: NHANES 2009–2010

Hassoon, Ahmed; Bydon, Mohamad; Kerezoudis, Panagiotis; Maloney, Patrick R.; Rinaldo, Lorenzo; Yeh, Hsin Chieh

doi:10.1016/j.jdiacomp.2016.10.025

Cited by 41 publications

(53 citation statements)

References 33 publications

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“…A 2–4 years’ follow-up of Spanish twins did not provide evidence that type 2 diabetes increases the risk of back pain, although higher OR estimates were found in men when diabetes was investigated as a risk factor for severe chronic LBP 3. A cross-sectional study in the USA using data from the National Health and Nutrition Examination Survey found higher prevalence of chronic LBP among participants with diabetes 18. Other kinds of studies have found mixed results concerning possible associations between diabetes and back pain.…”

Section: Discussionmentioning

confidence: 95%

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Does diabetes influence the probability of experiencing chronic low back pain? A population-based cohort study: the Nord-Trøndelag Health Study

Heuch

Hagen

et al. 2019

BMJ Open

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ObjectiveLow back pain (LBP) is a major problem in modern society and it is important to study possible risk factors for this disorder. People with diabetes are often affected by LBP, but whether diabetes represents a risk factor for LBP has not been studied in detail. The aim of this study was to explore the association between diabetes and subsequent risk of chronic LBP.DesignAn 11-year follow-up study.SettingThe Nord-Trøndelag Health Study (HUNT2; 1995–1997) and HUNT3 (2006–2008) surveys of Nord-Trøndelag County in Norway.Main outcome measureChronic LBP, defined as LBP persisting at least 3 months continuously during the last year.ParticipantsA total of 18 972 persons without chronic LBP at baseline in HUNT2, and 6802 persons who reported chronic LBP at baseline in HUNT2.MethodsAssociations between diabetes and risk of chronic LBP among individuals aged 30–69 years were examined by generalised linear modelling.ResultsMen without chronic LBP at baseline showed a significant association between diabetes and risk of chronic LBP (relative risk (RR) 1.43, 95% CI 1.04 to 1.96, p=0.043). In women, no association was found (RR 1.01, 95% CI 0.69 to 1.48, p=0.98). No association could be established between diabetes and recurrence or persistence of chronic LBP after 11 years in either sex.ConclusionsMen with a diagnosis of diabetes may have a higher risk of subsequently experiencing chronic LBP.

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Section: Discussionmentioning

confidence: 95%

“…Very few studies have considered diabetes as a risk factor for LBP. An association between prevalence of chronic LBP and diabetes was observed in a large cross-sectional study 18. In a 4-year longitudinal study, a higher risk of back, neck and/or shoulder pain was found among individuals with diabetes 19.…”

Section: Introductionmentioning

confidence: 91%

Does diabetes influence the probability of experiencing chronic low back pain? A population-based cohort study: the Nord-Trøndelag Health Study

Heuch

Hagen

et al. 2019

BMJ Open

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“…Despite a high disease burden [17], the structural origin of most back pain episodes is unknown, with a poor correlation between symptoms and structural abnormalities [18,19], and often considered non-specific [20]. Risk factors associated with LBP include; female sex [21], older age [17], smoking [22], psychological stress [23], depression [24], education, occupation, income [25], high body weight [22], physical inactivity [26], coronary artery disease (CAD) [27], dyslipidemia [28], diabetes mellitus [29], disc degeneration (DD) [30], history of back injury [31], previous episodes [32], bone mineral density (BMD) disorders [33], spinal stenosis [34], and spondylolisthesis [30].…”

Section: Risk Factors Of Lbpmentioning

confidence: 99%

A prediction model of low back pain risk: a population based cohort study in Korea

Mukasa

Sung

2020

Korean J Pain

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Background: Well-validated risk prediction models help to identify individuals at high risk of diseases and suggest preventive measures. A recent systematic review reported lack of validated prediction models for low back pain (LBP). We aimed to develop prediction models to estimate the 8-year risk of developing LBP and its recurrence. Methods: A population based prospective cohort study using data from 435,968 participants in the National Health Insurance Service-National Sample Cohort enrolled from 2002 to 2010. We used Cox proportional hazards models. Results: During median follow-up period of 8.4 years, there were 143,396 (32.9%) first onset LBP cases. The prediction model of first onset consisted of age, sex, income grade, alcohol consumption, physical exercise, body mass index (BMI), total cholesterol, blood pressure, and medical history of diseases. The model of 5-year recurrence risk was comprised of age, sex, income grade, BMI, length of prescription, and medical history of diseases. The Harrell's C-statistic was 0.812 (95% confidence interval [CI], 0.804-0.820) and 0.916 (95% CI, 0.907-0.924) in validation cohorts of LBP onset and recurrence models, respectively. Age, disc degeneration, and sex conferred the highest risk points for onset, whereas age, spondylolisthesis, and disc degeneration conferred the highest risk for recurrence. Conclusions: LBP risk prediction models and simplified risk scores have been developed and validated using data from general medical practice. This study also offers an opportunity for external validation and updating of the models by incorporating other risk predictors in other settings, especially in this era of precision medicine.

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“…These originate from injuries, trauma or fractures to the anatomical structure [ 19 , 20 , 21 ]; lumbar spine degeneration [ 22 , 23 ]; and disc herniation or nerve entrapment [ 24 , 25 , 26 ]. Other causes associated with an increased risk of LBP, include infections, autoimmune diseases, orthopedic diseases or tumours [ 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. LBP results also from occupational ergonomic factors related to heavy physical work, repetitive actions due to occupational requirements [ 1 , 2 , 34 , 35 , 36 , 37 , 38 , 39 ]; as well as sports activities or sports-related injuries [ 40 , 41 ]; sedentary lifestyle, prolonged sitting or inactivity and lack of exercises [ 42 , 43 , 44 ]; post operation or surgery-induced [ 45 , 46 ]; secondary from other medical conditions [ 47 , 48 , 49 ]; lifestyle factors [ 50 ]; poor trunk control and postural impairment [ 51 ]; psychosocial and behavior-related factors from smoking, alcohol abuse, obesity, depression and stress [ 1 , 6 , 14 , 52 , 53 , 54 , 55 , 56 , 57 ]; socio-economic factors [ 58 ]; and ageing […”

Section: Causes and Risk Factors Of Lower Back Painmentioning

confidence: 99%

Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

et al. 2018

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Within the last 10 years, the percentage of low back pain (LBP) prevalence increased by 18%. The management and high cost of LBP put a tremendous burden on the healthcare system. Many risk factors have been identified, such as lifestyle, trauma, degeneration, postural impairment, and occupational related factors; however, as high as 95% of the cases of LBP are non-specific. Currently, LBP is treated pharmacologically. Approximately 25 to 30% of the patients develop serious side effects, such as drowsiness and drug addiction. Spinal surgery often does not result in a massive improvement of pain relief. Therefore, complementary approaches are being integrated into the rehabilitation programs. These include chiropractic therapy, physiotherapy, massage, exercise, herbal medicine and acupuncture. Acupuncture for LBP is one of the most commonly used non-pharmacological pain-relieving techniques. This is due to its low adverse effects and cost-effectiveness. Currently, many randomized controlled trials and clinical research studies have produced promising results. In this article, the causes and incidence of LBP on global health care are reviewed. The importance of treatment by acupuncture is considered. The efforts to reveal the link between acupuncture points and anatomical features and the neurological mechanisms that lead to acupuncture-induced analgesic effect are reviewed.

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Chronic low-back pain in adult with diabetes: NHANES 2009–2010

Cited by 41 publications

References 33 publications

Does diabetes influence the probability of experiencing chronic low back pain? A population-based cohort study: the Nord-Trøndelag Health Study

Does diabetes influence the probability of experiencing chronic low back pain? A population-based cohort study: the Nord-Trøndelag Health Study

A prediction model of low back pain risk: a population based cohort study in Korea

Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

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