Analysis of risk factors of recurring non-specific low back pain with particular emphasis on “new” predictive factors

Abstract

Background. non-specific low back pain (nSLBP) is one of the most frequent causes of medical consultations. the recurrence rate is high and estimated to be within the range from 25% to 70% in different populations. currently, the contribution of various predictive factors of nSLBP is being discussed. what seems to be interesting are studies on the impact of chronic diseases on the occurrence of nSLBP. Objectives. the purpose of this paper is to assess the frequency and analyse the risk factors of recurring nSLBP with a particular emphasis on "new" predictive factors. Material and methods. 609 people (medical staff) aged 30-55 participated in the study. the study was conducted by means of a random employee survey supervised by the authors of this paper. Results. 253 subjects (41.54%) complained of recurring nSLBP. recurrences of nSLBP occurred in 48.34% of the respondents aged between 30 and 40. in the multivariate logistic regression, the following factors had, inter alia, a significant influence on the occurrence of recurring nSLBP: excessive coffee consumption (≥ 6 cups a day), smoking, hyperlipidemia, occurrence of low back pain in the respondent's family (p < 0.001; p < 0.001; p < 0.01; p < 0.01, respectively). Conclusions. 1. Prevention measures aimed at prevention of nSLBP recurrences should include young adults. 2. an important element in the diagnostic and therapeutic process is a holistic approach of the family doctor to a patient with recurring nSLBP, taking into account not only the nature of the professional work connected with biomechanical load on the spine, but also the patient's lifestyle and their concurrent diseases. 3. it is necessary to conduct further research on the impact of chronic diseases on the occurrence of recurring nSLBP. Evidence showing the existence of new predictive factors may be a basis for the implementation of better prevention strategies aimed at the prevention of nSLBP recurrence. Key words: predictors, low back pain, recurring. Summary ISSN 1734-3402, eISSN 2449-8580this is an open access article distributed under the terms of the creative commons attribution-noncommercial-Sharealike 4.0 international (cc BY-nc-Sa 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/). citko a, Górski S, marcinowicz L, Górska a. analysis of risk factors of recurring non-specific low back pain with particular emphasis on "new" predictive factors.

Sedentary Lifestyle and Nonspecific Low Back Pain in Medical Personnel in North-East Poland

“…Numerous studies and analyses focused on the excessive strain of the spine and its consequences to health. It was demonstrated that even 2/3 of people below 40 years of age suffered from at least one episode of low back pain and over 60% of them experience a recurrence of pain within the same year [ 2 , 12 , 15 ].…”

“…An acute pain episode which had occurred ≥ 3 times in the last 12 months was considered “recurring” low back pain [ 1 , 12 ]. Chronic back pain is defined as pain that persists for 12 weeks or longer [ 1 ].…”

“…Trace or low physical activity (below 600 MET · min/week) justified a description of the sedentary lifestyle [ 12 , 13 ].…”

“…The maximum number of points amounted to 50. This questionnaire was composed of closed questions to choose from (disjunctive question) [ 12 , 14 ].…”

Factores de riesgo asociados a la lumbalgia en marinos atendidos por consultorio externo del centro médico naval

“…Este resultado es compatible con un estudio realizado en Finlandia, pues los resultados dieron positivos tras un análisis de triglicéridos y colesterol séricos en pacientes con lumbalgia crónica localizada o difusa (20) Años previos, hallazgo fue igualmente referido en un estudio prospectivo en Estados Unidos, en el que documentan asociación positiva entre la concentración de triglicéridos y el dolor lumbar referido por pacientes pensionados que han trabajado como oficinistas (21) . Citko et al encontraron que la hiperlipidemia aumentaba hasta 8 veces el riesgo de padecer lumbago en personal médico (22) .…”