Factors associated with chronic back pain in adults in Brazil

Abstract

OBJECTIVE To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex.METHODS We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence intervals (95%CI) of chronic back pain, according to selected variables and performed adjustment by age and education.RESULTS 18.5% of the Brazilian population reported chronic back pain, 15.5% (95%CI 14.7–16.4) of them being men and 21.1% (95%CI 20.2–22.0) being women. The characteristics that remained associated and statistically significant (p < 0.05) after adjustment, in men, were: age group, higher in men with 65 years or older (ORa = 6.06); low education level; living in rural area; history of smoking, high salt intake, increase in the time of heavy physical activity at work and at home; being overweight (ORa = 1.18) or obese (ORa = 1.26); diagnostic of hypertension (ORa = 1.42), high cholesterol (ORa = 1.60); and worse health assessment in comparison with very good (good [ORa = 1.48]; regular [ORa = 3.22]; poor [ORa = 5.00], very poor [ORa = 8.60]). Among women, they were: increase with age, higher among women with 55-64 years (ORa = 3.64); low education level; history of smoking, regular candy consumption, high salt intake, heavy physical activity at work and at home and increase in the time of these activities; being overweight (ORa = 1.23) or obese (ORa = 1.32); diagnosis of hypertension (ORa = 1.50), high cholesterol (ORa = 1.84); and worse health assessment than very good (good [ORa = 1.43]; regular [ORa = 3.16]; poor [ORa = 5.44], very poor [ORa = 8.19]).CONCLUSIONS Our findings point out differences by sex and contribute to the knowledge of the panorama of chronic back pain, which, besides affecting individuals, generate negative socioeconomic impacts, by causing work-related disabilities and hindering everyday activities.

Prevalence of low back pain and associated factors among physiotherapy students

“…Another factor favoring this prevalence is the fact that females have some functional anatomy characteristics (lower stature, lower muscle mass, lower bone mass, more fragile joints and less adapted to physical exertion, greater fat weight) and linked to the modulation of the nervous system, which may contribute to the onset and greater intensity of pain [32][33][34][35] . A study conducted in Brazil by Malta et al 18 found a prevalence of chronic back pain of 15.5% (CI95% 14.7-16.4) in men and 21.1% (CI95% 20.2-22.0) in women. In relation to social class, one can notice that the prevalence of LBP increased 25% in classes A and B when compared to classes C and D, contrary to Almeida et al 29 that identified the social class as a protective factor for low back pain.…”

“…However, Oliveira, Salgueiro and Alfieri 36 state that this type of activity would be a preventive factor since it would strengthen the muscles in general, which contradicts the research conducted by Dijken et al 37 that showed that the association of low back pain with practitioners of physical activity is more common in individuals who have physically demanding jobs. To Malta et al 18 the variable practice of physical activity at work, intense or heavy, and also, the heavy physical activity at home, were associated with the prevalence of chronic back pain. Ferreira et al 31 even say that heavy physical activity is not considered beneficial to the health, because it causes fatigue, muscle and joint overload, leading to a series of musculoskeletal problems.…”

“…Since LBP is be defined as a symptom, and not a disease, investigative studies heavily rely on the subject's information and memory. The frequency of the outcomes may present different results depending on the accepted definitions since the data collection varied in different studies 11,[18][19][20][21] . The recent interest in studying the prevalence of LBP in the Brazilian population may be due to the financial cost generated by this condition, in the last years, to the healthcare system and social security 20,22 .…”

Nível De Dor, Ansiedade E Depressão Em Pacientes Com Dor Lombar Atendidos Em Um Centro De Fisioterapia

“…As mulheres apresentaram maior nível de incapacidade devido à dor lombar do que os homens e também apresentaram estado de saúde mais comprometido, tendo a hipertensão arterial sistêmica como comprometimento mais frequente, dados também observados em outro estudo 16 .…”

Efeito da dança circular comparada aos exercícios de estabilização segmentar lombar na lombalgia crônica inespecífica: ensaio clínico controlado aleatório

“…DISCUSSÃOEste estudo pretendeu verificar se as danças circulares apresentavam a mesma eficácia terapêutica que os exercícios de estabilização segmentar lombar no tratamento de pacientes com dor lombar crônica inespecífica. Os dados encontrados mostraram que em todas as variáveis estudadas, não houve diferenças significativa entre os grupos experimentais, exceto na variável dor no questionário de qualidade de vida na 24ª semana de follow-up.Este estudo é o primeiro que avalia o efeito da Dança Circular na dor lombarcrônica inespecífica e tem sua importância, uma vez que esta prática terapêutica pode ser oferecida aos usuários do SUS para tratamento desta disfunção na atenção primária à saúde, visto que a prevalência da dor lombar é grande entre a população e os usuários dos sistemas de saúde 4,23,24. Porque pensar na dança circular como um instrumento terapêutico na abordagem desta patologia?…”