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Risk factors for low back pain and sciatica in elderly men-the MrOS Sweden study

Kherad, Mehrsa LU ; Rosengren, Björn E. LU ; Hasserius, Ralph LU ; Nilsson, Jan Åke LU ; Redlund-Johnell, Inga LU ; Ohlsson, Claes; Mellström, Dan; Lorentzon, Mattiaz; Ljunggren, Östen and Karlsson, Magnus K. LU (2017) In Age and Ageing 46(1). p.64-71
Abstract

Introduction: the aim of this study was to identify whether factors beyond anatomical abnormalities are associated with low back pain (LBP) and LBP with sciatica (SCI) in older men. Material and methods: Mister Osteoporosis Sweden includes 3,014 men aged 69-81 years. They answered questionnaires on lifestyle and whether they had experienced LBP and SCI during the preceding 12 months. About 3,007 men answered the back pain (BP) questions, 258 reported BP without specified region. We identified 1,388 with no BP, 1,361 with any LBP (regardless of SCI), 1,074 of those with LBP also indicated if they had experienced LBP (n = 615), LBP+SCI (n = 459).Results: about 49% of those with LBP and 54% of those with LBP+SCI rated their health as... (More)

Introduction: the aim of this study was to identify whether factors beyond anatomical abnormalities are associated with low back pain (LBP) and LBP with sciatica (SCI) in older men. Material and methods: Mister Osteoporosis Sweden includes 3,014 men aged 69-81 years. They answered questionnaires on lifestyle and whether they had experienced LBP and SCI during the preceding 12 months. About 3,007 men answered the back pain (BP) questions, 258 reported BP without specified region. We identified 1,388 with no BP, 1,361 with any LBP (regardless of SCI), 1,074 of those with LBP also indicated if they had experienced LBP (n = 615), LBP+SCI (n = 459).Results: about 49% of those with LBP and 54% of those with LBP+SCI rated their health as poor/very poor (P < 0.001). Men with any LBP to a greater extent than those without BP had poor self-estimated health, depressive symptoms, dizziness, fall tendency, serious comorbidity (diabetes, stroke, coronary heart disease, pulmonary disease and/or cancer) (all P < 0.001), foreign background, were smokers (all P < 0.01), had low physical activity and used walking aids (all P < 0.05). Men with LBP+SCI to a greater extent than those with LBP had lower education, lower self-estimated health, comorbidity, dizziness and used walking aids (all P < 0.001). Conclusions: in older men with LBP and SCI, anatomical abnormalities such as vertebral fractures, metastases, central or lateral spinal stenosis or degenerative conditions may only in part explain prevalent symptoms and disability. Social and lifestyle factors must also be evaluated since they are associated not only with unspecific LBP but also with LBP with SCI.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cross-sectional study, Low back pain, Men, Older people, Sciatica
in
Age and Ageing
volume
46
issue
1
pages
8 pages
publisher
Oxford University Press
external identifiers
  • scopus:85018332571
  • wos:000398086600014
ISSN
0002-0729
DOI
10.1093/ageing/afw152
language
English
LU publication?
yes
id
a83a923d-4ee7-4ba7-a0bd-625d5d27406c
date added to LUP
2017-05-19 10:16:11
date last changed
2017-09-20 10:26:20
@article{a83a923d-4ee7-4ba7-a0bd-625d5d27406c,
  abstract     = {<p>Introduction: the aim of this study was to identify whether factors beyond anatomical abnormalities are associated with low back pain (LBP) and LBP with sciatica (SCI) in older men. Material and methods: Mister Osteoporosis Sweden includes 3,014 men aged 69-81 years. They answered questionnaires on lifestyle and whether they had experienced LBP and SCI during the preceding 12 months. About 3,007 men answered the back pain (BP) questions, 258 reported BP without specified region. We identified 1,388 with no BP, 1,361 with any LBP (regardless of SCI), 1,074 of those with LBP also indicated if they had experienced LBP (n = 615), LBP+SCI (n = 459).Results: about 49% of those with LBP and 54% of those with LBP+SCI rated their health as poor/very poor (P &lt; 0.001). Men with any LBP to a greater extent than those without BP had poor self-estimated health, depressive symptoms, dizziness, fall tendency, serious comorbidity (diabetes, stroke, coronary heart disease, pulmonary disease and/or cancer) (all P &lt; 0.001), foreign background, were smokers (all P &lt; 0.01), had low physical activity and used walking aids (all P &lt; 0.05). Men with LBP+SCI to a greater extent than those with LBP had lower education, lower self-estimated health, comorbidity, dizziness and used walking aids (all P &lt; 0.001). Conclusions: in older men with LBP and SCI, anatomical abnormalities such as vertebral fractures, metastases, central or lateral spinal stenosis or degenerative conditions may only in part explain prevalent symptoms and disability. Social and lifestyle factors must also be evaluated since they are associated not only with unspecific LBP but also with LBP with SCI.</p>},
  author       = {Kherad, Mehrsa and Rosengren, Björn E. and Hasserius, Ralph and Nilsson, Jan Åke and Redlund-Johnell, Inga and Ohlsson, Claes and Mellström, Dan and Lorentzon, Mattiaz and Ljunggren, Östen and Karlsson, Magnus K.},
  issn         = {0002-0729},
  keyword      = {Cross-sectional study,Low back pain,Men,Older people,Sciatica},
  language     = {eng},
  number       = {1},
  pages        = {64--71},
  publisher    = {Oxford University Press},
  series       = {Age and Ageing},
  title        = {Risk factors for low back pain and sciatica in elderly men-the MrOS Sweden study},
  url          = {http://dx.doi.org/10.1093/ageing/afw152},
  volume       = {46},
  year         = {2017},
}