Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake
Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association betwe...
Ausführliche Beschreibung
Autor*in: |
Yutaka Yabe [verfasserIn] Yoshihiro Hagiwara [verfasserIn] Yumi Sugawara [verfasserIn] Ichiro Tsuji [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2022 |
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In: BMC Geriatrics - BMC, 2003, 22(2022), 1, Seite 8 |
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Übergeordnetes Werk: |
volume:22 ; year:2022 ; number:1 ; pages:8 |
Links: |
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DOI / URN: |
10.1186/s12877-022-03655-7 |
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Katalog-ID: |
DOAJ083652221 |
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520 | |a Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. | ||
650 | 4 | |a Low back pain | |
650 | 4 | |a Low physical function | |
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10.1186/s12877-022-03655-7 doi (DE-627)DOAJ083652221 (DE-599)DOAJ61639cb8ac7c432e8610b2da06444658 DE-627 ger DE-627 rakwb eng RC952-954.6 Yutaka Yabe verfasserin aut Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. Low back pain Low physical function Natural disaster Great East Japan earthquake Longitudinal study Cohort duration frequency Geriatrics Yoshihiro Hagiwara verfasserin aut Yumi Sugawara verfasserin aut Ichiro Tsuji verfasserin aut In BMC Geriatrics BMC, 2003 22(2022), 1, Seite 8 (DE-627)335488994 (DE-600)2059865-8 14712318 nnns volume:22 year:2022 number:1 pages:8 https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/article/61639cb8ac7c432e8610b2da06444658 kostenfrei https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/toc/1471-2318 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 8 |
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10.1186/s12877-022-03655-7 doi (DE-627)DOAJ083652221 (DE-599)DOAJ61639cb8ac7c432e8610b2da06444658 DE-627 ger DE-627 rakwb eng RC952-954.6 Yutaka Yabe verfasserin aut Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. Low back pain Low physical function Natural disaster Great East Japan earthquake Longitudinal study Cohort duration frequency Geriatrics Yoshihiro Hagiwara verfasserin aut Yumi Sugawara verfasserin aut Ichiro Tsuji verfasserin aut In BMC Geriatrics BMC, 2003 22(2022), 1, Seite 8 (DE-627)335488994 (DE-600)2059865-8 14712318 nnns volume:22 year:2022 number:1 pages:8 https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/article/61639cb8ac7c432e8610b2da06444658 kostenfrei https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/toc/1471-2318 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 8 |
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10.1186/s12877-022-03655-7 doi (DE-627)DOAJ083652221 (DE-599)DOAJ61639cb8ac7c432e8610b2da06444658 DE-627 ger DE-627 rakwb eng RC952-954.6 Yutaka Yabe verfasserin aut Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. Low back pain Low physical function Natural disaster Great East Japan earthquake Longitudinal study Cohort duration frequency Geriatrics Yoshihiro Hagiwara verfasserin aut Yumi Sugawara verfasserin aut Ichiro Tsuji verfasserin aut In BMC Geriatrics BMC, 2003 22(2022), 1, Seite 8 (DE-627)335488994 (DE-600)2059865-8 14712318 nnns volume:22 year:2022 number:1 pages:8 https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/article/61639cb8ac7c432e8610b2da06444658 kostenfrei https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/toc/1471-2318 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 8 |
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10.1186/s12877-022-03655-7 doi (DE-627)DOAJ083652221 (DE-599)DOAJ61639cb8ac7c432e8610b2da06444658 DE-627 ger DE-627 rakwb eng RC952-954.6 Yutaka Yabe verfasserin aut Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. Low back pain Low physical function Natural disaster Great East Japan earthquake Longitudinal study Cohort duration frequency Geriatrics Yoshihiro Hagiwara verfasserin aut Yumi Sugawara verfasserin aut Ichiro Tsuji verfasserin aut In BMC Geriatrics BMC, 2003 22(2022), 1, Seite 8 (DE-627)335488994 (DE-600)2059865-8 14712318 nnns volume:22 year:2022 number:1 pages:8 https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/article/61639cb8ac7c432e8610b2da06444658 kostenfrei https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/toc/1471-2318 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 8 |
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10.1186/s12877-022-03655-7 doi (DE-627)DOAJ083652221 (DE-599)DOAJ61639cb8ac7c432e8610b2da06444658 DE-627 ger DE-627 rakwb eng RC952-954.6 Yutaka Yabe verfasserin aut Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. Low back pain Low physical function Natural disaster Great East Japan earthquake Longitudinal study Cohort duration frequency Geriatrics Yoshihiro Hagiwara verfasserin aut Yumi Sugawara verfasserin aut Ichiro Tsuji verfasserin aut In BMC Geriatrics BMC, 2003 22(2022), 1, Seite 8 (DE-627)335488994 (DE-600)2059865-8 14712318 nnns volume:22 year:2022 number:1 pages:8 https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/article/61639cb8ac7c432e8610b2da06444658 kostenfrei https://doi.org/10.1186/s12877-022-03655-7 kostenfrei https://doaj.org/toc/1471-2318 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 8 |
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Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. 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Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake |
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Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. |
abstractGer |
Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. |
abstract_unstemmed |
Abstract Background Functional disability is a major health issue in an aging population. Low back pain (LBP) is a common health concern that can lead to functional disability in the elderly; nonetheless, their association has not yet been clarified. This study aimed to examine the association between LBP and functional disability in the elderly, with a focus on its dose-dependent effects. Methods This study used the 4-year longitudinal data of people living in disaster-affected areas after the Great East Japan Earthquake (aged ≧65, n = 914). LBP and physical function were assessed at 2, 4, and 6 years after the disaster. Multivariate logistic regression analyses were performed to assess the association between LBP and low physical function, as well as the effect of preceding LBP on the onset of low physical function. Results LBP was significantly associated with low physical function, and the association became stronger as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. Therefore, prevention and treatment of LBP are important for preventing functional disability. |
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Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake |
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Adjusted odds ratios (95% confidence intervals) were 1.27 (0.79–2.06) in “< 2 years,” 1.95 (1.01–3.77) in “≥2 years and <4 years,” and 2.34 (1.35–4.06) in “≥4 years” (p for trend = 0.009). Additionally, preceding LBP was significantly associated with the onset of low physical function, and the effect became prominent as the duration of LBP increased. Adjusted odds ratios (95% confidence intervals) were 2.28 (1.19–4.37) in “< 2 years” and 2.82 (1.35–5.90) in “≥2 years” (p for trend = 0.003). Conclusions LBP is associated with physical disability among the elderly in a dose-dependent manner. 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