Risk Factors for Low Back Pain: A Population‐Based Longitudinal Study

Shiri, Rahman; Falah‐Hassani, Kobra; Heliövaara, Markku; Solovieva, Svetlana; Amiri, Sohrab; Lallukka, Tea; Burdorf, Alex; Husgafvel‐Pursiainen, Kirsti; Viikari‐Juntura, Eira

doi:10.1002/acr.23710

Cited by 142 publications

(161 citation statements)

References 37 publications

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“…Obesity has a strong positive association with chronic pain through a physiologic mechanism of increasing the risk and severity of painful conditions, such as arthritis and low back pain. [14][15][16][17] A psychosocial pathway also exists via depression and disrupted sleep, which may lead to fatigue, inactivity, decreased mobility, and amplification of pain through pain sensitization. [18][19][20][21] A recent analysis of the National Health and Nutrition Examination Survey found evidence of a cross-sectional association between obesity and prescription opioid use.…”

Section: Introductionmentioning

confidence: 99%

Association of Obesity With Prescription Opioids for Painful Conditions in Patients Seeking Primary Care in the US

et al. 2020

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IMPORTANCE Prior studies have identified an association between obesity and prescription opioid use in the US. However, the pain conditions that are factors in this association remain unestablished. OBJECTIVE To investigate the association between obesity and pain diagnoses recorded by primary care clinicians as reasons for prescription of opioids. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional study including 565 930 patients aged 35 to 64 years with a body mass index (BMI) measurement recorded in 2016 was conducted.

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Section: Introductionmentioning

confidence: 99%

Association of Obesity With Prescription Opioids for Painful Conditions in Patients Seeking Primary Care in the US

et al. 2020

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“…Studies9–11 have reported that many factors could contribute to LBP, including individual, psychosocial, physical and organisational work factors. Psychosocial factors, including low job support, job dissatisfaction and occupational stress, and individual factors, such as high BMI and being female, could contribute to musculoskeletal disorders of the back region, as revealed by a systematic review with strong evidence 12.…”

Section: Introductionmentioning

confidence: 99%

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

et al. 2019

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ObjectiveLow back pain (LBP) could cause serious consequences and has been shown to be prevalent among emergency ambulance workers. Studies on the prevalence of and risk factors for LBP among emergency ambulance workers are scarce in China. The study aimed to determine the prevalence of LBP among ambulance workers, including doctors, nurses and drivers, and to explore the risk factors for ambulance nurses’ chronic LBP (lasting for at least 3 months).DesignCross-sectional study.SettingEmergency ambulance systems from 38 tertiary hospitals in Shandong, China were selected by random cluster sampling.ParticipantsA total of 1560 ambulance workers completed the study.Outcome measuresA paper-based questionnaire that included the Nordic Musculoskeletal Questionnaire, which evaluated LBP, the Dutch Musculoskeletal Questionnaire, which assessed ergonomic factors, and the Job Content Questionnaire, which assessed stress, was used. Multivariate logistic regression analysis was conducted to quantify the association of potential risk factors with chronic LBP among ambulance nurses.ResultsThe 1 year prevalence of LBP lasting for at least 24 hours, 7 days and 3 months was 86.1%, 50.6% and 21.1%, respectively, among 498 ambulance nurses; 70.5%, 36.4% and 15.8% among 519 doctors; and 57.5%, 23.8% and 12.3% among 543 drivers. The factors contributing to chronic LBP among ambulance nurses were the frequent bending of the trunk, heavy or awkward lifting, shift work, low job satisfaction, high psychological fatigue, high psychological job demand, low job control, low supervisor support, older age, female sex and obesity.ConclusionsLBP was more prevalent among ambulance nurses than among ambulance doctors and drivers. Many factors, especially psychosocial and ergonomic factors, contributed to ambulance nurses’ chronic LBP. Comprehensive measures might be needed to control LBP.

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“…Obesity (body mass index ≥ 30 vs. others), was included as it has been shown to be linked to both pain (Shiri et al 2013(Shiri et al , 2014(Shiri et al , 2019 and work disability Korpela et al 2013), hence we considered it mainly as a confounding factor. Other health-related measures (potential confounders) included: self-reported long-standing illness and self-reported physician diagnosed chronic illnesses that were potentially pain-related (arthrosis, rheumatoid disease, migraine and cancer).…”

Section: Covariatesmentioning

confidence: 99%

Recurrent pain and work disability: a record linkage study

Lallukka

Hiilamo

Oakman

et al. 2019

Int Arch Occup Environ Health

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Purpose We examined the associations between recurrent single-and multisite pain and incident sickness absence (SA) of different lengths and the risk of disability pension (DP). Methods The data were derived from the Finnish Helsinki Health Study. Pain measures were recorded for panel 1 in 2000/2 and 2007, and for panel 2 in 2007 and 2012 (altogether 3191 employees). SA data were obtained from the employer's personnel register and DP events from the Finnish Centre for Pensions. Negative binomial regression models with generalized estimation equations were used to model the incidence of self-certified short-(1-3 days), and medically certified medium-(4-14 days) and long-term (more than 14 days) SA episodes. Cox regression models were fitted for the associations between pain and all-cause DP and competing risk models for DP by diagnostic groups. Social and health-related covariates were adjusted for. Results Recurrent pain was associated with short-, medium-and long-term SA. Additionally, recurrent single-and multisite pain increased the risk of long-term SA. Recurrent single or multisite pain was further associated with an increased risk of DP, while a single instance of pain did not increase the risk. Conclusions These results suggest that recurrent pain is a robust determinant of subsequent SA and DP risk. Improved understanding of determinants of recurrent pain is needed to inform the development of targeted measures to reduce SA and premature exit from employment.

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Risk Factors for Low Back Pain: A Population‐Based Longitudinal Study

Abstract: Lifestyle and physical workloads increase the risk of LBP and lumbar radicular pain. Walking and cycling may have preventive potential for LBP. This article is protected by copyright. All rights reserved.

Cited by 142 publications

References 37 publications

Association of Obesity With Prescription Opioids for Painful Conditions in Patients Seeking Primary Care in the US

Association of Obesity With Prescription Opioids for Painful Conditions in Patients Seeking Primary Care in the US

Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study

Recurrent pain and work disability: a record linkage study

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