Cardiovascular risk factors for physician-diagnosed lumbar disc herniation

Jhawar, Balraj S.; Fuchs, Charles S.; Colditz, Graham A.; Stampfer, Meir J.

doi:10.1016/j.spinee.2006.04.016

Cited by 96 publications

(73 citation statements)

References 41 publications

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“…In occupational LBP, smoking, frequent analgesic use, presence of other chronic diseases, and years of education were associated with disability pensions due to lower back disorders [16]. A prospective study reported that the incidence of lumbar disc herniation was associated with smoking, suggesting that atherosclerosis might be involved in spinal disc degeneration [17]. In the current study, smoking was associated with chronic disabling back pain, but the magnitude of increased odds was not high compared to other variables.…”

Section: Discussioncontrasting

confidence: 43%

Prevalence of low back pain and factors associated with chronic disabling back pain in Japan

2012

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Purpose This study aimed to report lifetime and 4-week low back pain (LBP) prevalence and examine factors associated with chronic LBP and back pain disability over a lifetime in a Japanese adult population. Methods In February 2011, 1,063,083 adults aged 20-79 years registered as internet research volunteers were randomly selected to participate in a questionnaire survey. The data from 65,496 respondents were analyzed to calculate age-standardized lifetime and 4-week prevalence. Chronic LBP and back pain disability were defined as LBP lasting for C3 months and a consecutive C4-day-long absence, respectively. Factors associated with chronic disabling back pain over a lifetime were examined by multiple logistic regression modeling. Results The lifetime LBP prevalence was 83 % and 4-week prevalence was 36 %; majority of the respondents had disability-free LBP. (aOR: 3.84; 95 % CI: 3.36, 4.40) were associated with chronic disabling back pain over a lifetime. Conclusions LBP is common in Japan as in other industrialized countries. The association between the advice to rest and chronic disabling back pain supports recent treatment guidelines emphasizing continuation of daily activities.

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Section: Discussioncontrasting

confidence: 43%

Prevalence of low back pain and factors associated with chronic disabling back pain in Japan

2012

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“…After reviewing the titles and abstracts, we excluded 600 records and selected 99 studies for further evaluation by reading the full text. Finally, 12 studies were identified as suitable for inclusion in this systematic review; these included six cohort studies [9,10,[13][14][15][16] and [8,11,12,[17][18][19]. The general characteristics of the included studies are presented in Table 1.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Subsequent to this review, a number of emerging studies were published on the risk factors of LDH. However, results of these studies are inconsistent [8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Therefore, we conducted a systematic review to access the evidence examining the association between tobacco smoking and LDH.…”

Section: Introductionmentioning

confidence: 99%

Is smoking a risk factor for lumbar disc herniation?

et al. 2015

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“…However, non-operative therapy is more acceptable to patients. It has been found that the degrees of lumbar disk herniation and its compression on nerve roots were not always consistent with the clinical symptoms and signs [2][3][4][5][6] . A number of clinical data showed that CT and MRI scans found herniated disks in the cured cases by non-operative therapy, which suggested that the treatment of lumbar disk herniation does not aim to remove or return the protruded nucleus pulposus.…”

Section: Discussionmentioning

confidence: 98%

Electroacupuncture and waist-building exercise in treating lumbar disk herniation

Cai¹,

Wang²,

Chen³

et al. 2010

J. Acupunct. Tuina. Sci.

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【摘要】目的：探讨电针结合健腰操防治腰椎间盘突出症的临床效果。方法：采用多中心随机对照的方法，将 300 例腰椎间盘突出症患者随机分为两组，观察组 149 例，对照组 151 例，均行电针治疗，观察组增加健腰操锻炼，观察两组治疗后恢复情况并进行远期复发率的对比。结果：观察组治愈 80 例，显效 57 例，无效 12 例，复发 4 例，治愈率 53.7%，总有效率 91.9%，复发率 5.0％；对照组治愈 74 例，显效 51 例，无效 26 例，复发 12 例，治愈率 49.0%，总有效率 82.8%，复发率 16.2%，两组有效率、复发率比较，差异有统计学意义(P<0.05)。结论：电针结合健腰操防治腰椎间盘突出症疗效优于单纯电针治疗。【关键词】电针；椎间盘移位；腰痛【Abstract】Objective:To observe the clinical efficacy of electroacupuncture and waist-building exercise in treating lumbar disk herniation. Methods: A multi-center, randomized controlled trial was adopted. Three hundred cases of lumbar disk herniations were divided into two groups, an observation group in which 149 cases were treated by electroacupuncture and waist-building exercise, and a control group in which 151 cases were treated by electroacupuncture alone. The clinical efficacy and long-term relapse rate were observed and compared between the two groups. Results: Among 149 cases in the observation group, 80 cases were cured, 57 cases improved, 12 cases failed and 4 cases relapsed; the cure rate was 53.7%, the total effective rate was 91.9% and the relapse rate was 5.0%. Among 151 cases in the control group, 74 cases were cured, 51 cases improved, 26 cases failed and 12 cases relapsed; the cure rate was 49.0%, the total effective rate was 82.8% and the relapse rate was 16.2%. There were significant differences in the cure rate and the total effective rate between the two groups (P<0.05). Conclusion: Combined electroacupuncture and waist-building exercise had better effects than electroacupuncture in treating lumbar disk herniation. 【Key Words】Electroacupuncture; Intervertebral Disk Displacement；Low Back Pain 【CLC Number】R246.2 【Document Code】ALumbar disk herniation (LDH) is a common and frequent disorder in clinical practice, and is also the cardinal cause of lower back and leg pain. Nonoperative treatments are more acceptable to patients with LDH. Electroacupuncture can obtain significant effect for LDH. In addition, excise targeting back, psoas or abdominal muscles can help substantially to strengthen the muscles, alleviate the lower back pian, improve the quality of life and reduce the recurrence risks of LDH. This observation combined electroacupuncture with

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Cardiovascular risk factors for physician-diagnosed lumbar disc herniation

Cited by 96 publications

References 41 publications

Prevalence of low back pain and factors associated with chronic disabling back pain in Japan

Prevalence of low back pain and factors associated with chronic disabling back pain in Japan

Is smoking a risk factor for lumbar disc herniation?

Electroacupuncture and waist-building exercise in treating lumbar disk herniation

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