Prevalence of low back pain in the elderly population: a systematic review

Souza, Ingred Merllin Batista de; Sakaguchi, Tina Fujii; Yuan, Susan Lee King; Matsutani, Luciana Akemi; Espírito-Santo, Adriana de Sousa do; Pereira, Carlos Alberto de Bragança; Marques, Amélia Pasqual

doi:10.6061/clinics/2019/e789

Cited by 116 publications

(87 citation statements)

References 68 publications

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“…Several cross-sectional and longitudinal studies conducted in European countries have also provided very similar results, indicating a strong association between low back pain and HR-QoL [ 7 , 117 , 118 ]. Finally, a recent systematic reviews of 35 research paper published from 1985 to 2018 with a total sample of 135,059 older adults aged between 60 and 102 years confirmed a high prevalence of low back pain in older adults and functional disability that affects quality of life and factors important for independence [ 119 ]. It is important to note that this systematic review found a significant absence of studies among older Latino and African Americans.…”

Section: Discussionmentioning

confidence: 99%

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Bazargan

Loeza

Ekwegh

et al. 2021

IJERPH

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Chronic low back pain is one of the most common, poorly understood, and potentially disabling chronic pain conditions from which older adults suffer. The existing low back pain research has relied almost exclusively on White/Caucasian participant samples. This study examines the correlates of chronic low back pain among a sample of underserved urban African American and Latino older adults. Controlling for age, gender, race/ethnicity, education, living arrangement, and number of major chronic conditions, associations between low back pain and the following outcome variables are examined: (1) healthcare utilization, (2) health-related quality of life (HR-QoL) and self-rated quality of health; and (3) physical and mental health outcomes. Methods: We recruited nine hundred and five (905) African American and Latino older adults from the South Los Angeles community using convenience and snowball sampling. In addition to standard items that measure demographic variables, our survey included validated instruments to document HR-QoL health status, the Short-Form McGill Pain Questionnaire-2, Geriatric Depression Scale, sleep disorder, and healthcare access. Data analysis includes bivariate and 17 independent multivariate models. Results: Almost 55% and 48% of the Latino and African American older adults who participated in our study reported chronic low back pain. Our data revealed that having low back pain was associated with three categories of outcomes including: (1) a higher level of healthcare utilization measured by (i) physician visits, (ii) emergency department visits, (iii) number of Rx used, (iv) a higher level of medication complexity, (v) a lower level of adherence to medication regimens, and (vi) a lower level of satisfaction with medical care; (2) a lower level of HR-QoL and self-assessment of health measured by (i) physical health QoL, (ii) mental health QoL, and (iii) a lower level of self-rated health; and (3) worse physical and mental health outcomes measured by (i) a higher number of depressive symptoms, (ii) a higher level of pain, (iii) falls, (iv) sleep disorders, (v) and being overweight/obese. Discussion: Low back pain remains a public health concern and significantly impacts the quality of life, health care utilization, and health outcomes of underserved minority older adults. Multi-faceted and culturally sensitive interventional studies are needed to ensure the timely diagnosis and treatment of low back pain among underserved minority older adults. Many barriers and challenges that affect underserved African American and Latino older adults with low back pain simply cannot be addressed in over-crowded EDs. Our study contributes to and raises the awareness of healthcare providers and health policymakers on the necessity for prevention, early diagnosis, proper medical management, and rehabilitation policies to minimize the burdens associated with chronic low back pain among underserved older African American and Latino patients in an under-resourced community such as South Los Angeles.

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Section: Discussionmentioning

confidence: 99%

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Bazargan

Loeza

Ekwegh

et al. 2021

IJERPH

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“…A systematic review [ 10 ], with data from the international literature on the prevalence of LBP in the older adult population (in developing or developed countries), indicates a high prevalence of LBP among older people, ranging from 21.7 to 75%. In the first nationwide meta-analysis that investigated the prevalence of LBP in older people in Brazil, Leopoldino et al [ 11 ] provided moderate-quality evidence that the punctual prevalence of LBP in older Brazilians was 25.0% (95% CI: 18.0–32.0%).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Low Back Pain and Associated Factors in Older Adults: Amazonia Brazilian Community Study

et al. 2021

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To investigate the prevalence of low back pain (LBP) and associated factors in the older adult Amazonia Brazilian community, a cross-sectional study was conducted to evaluate 700 participants that were ≥60 years old. Pain intensity and functional disability were assessed using the Numerical Pain Scale and the Roland Morris Questionnaire, respectively, and their sociodemographic, clinical, and behavior variables were collected, i.e., age, sex, education level, socioeconomic level, anthropometric measurements, physical activity, health perception, and emotional state. The punctual prevalence rates of LBP were 42.4% (95% CI: 38.2–46.6%), and for the last 365 days, these prevalence rates were 93.7% (95% CI: 91.3–95.6%), the mean pain and functional disability scores were 6.17 ± 2.13 and 11.30 ± 6.07, and the moderate-to-severe disability was 39.7%. Pain and functional disability were associated with sex, chronic diseases, body mass index (BMI), physical activity level, health perception, and emotional level. In conclusion, the prevalence of LBP was high (for both punctual and the last 365 days), but the variables associated with being female, fewer years of schooling, sedentary behavior, diseases related to diet and the cardiovascular system, and impaired emotional levels had a higher level LBP, even though they considered themselves in good health. These findings can aid with coordinated efforts from government and health professionals to help manage and promote the prevention of LBP by considering the older adult population’s needs in the state of Amazonas.

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“…In the French portion of the World Mental Health Survey, the chronic back pain prevalence was reported 21.3% [30]. Another study reported the prevalence of LBP ranged from 21% to 75% in elderlies [31]. A study showed that 70-85% of the population will have an episode of LBP at some point and 90% of them will experience more than one episode [32].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Low Back Pain among University Students in King Abdulaziz University, Saudi Arabia

Althakafi¹,

Abduljabbar²,

Mugharbel³

et al. 2021

Int j pharm phytopharm res

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Background: Low back pain (LBP) is considered to affect both young and elderly adults. Med students appear to provide time-consuming curricula, likely perpetuating sedentary habits and a significant burden of LBP among med students. The primary aim of the present study was to evaluate the prevalence of LBP and to see if there is any association between LBP and sedentary lifestyle or (to identify the associated factors) among medical students in King Abdulaziz University. Methodology: A quantitative cross-sectional study included 380 out of 2000 medical students from all years using a self-administered questionnaire in English distributed to a targeted sample adapted from previously published research by AlShayhan et al. Results: 52.4% were females and 47.6% males. 26.3% of participants were 20 years or less, 37.3% were 21-22 years. 19.3% were smokers. 34.6% practice exercises currently. The number of hours using computers or tablets was reported as 2-4 hours in 15.9%, 4-6 hours in 22.4%, 6-8 hours in 18.1%, and 8-10 hours in 12.7%. 7.9% reported a history of surgery or trauma to the back, 44.2% reported a history of back pain in family members and treated by a doctor, 49% had a history of low back trouble since joined the college (ache, pain, discomfort), 54.7% had a history of low back trouble once in life (ache, pain, discomfort), 3.7% reported a history of hospitalization because of low back pain and 9.3% reported skipping a day because of low back pain. Conclusion: Lower back pain is common among med school students in King Abdulaziz University, Saudi Arabia. It is significantly associated with age and the number of hours using computers or tablets. University students should be advised to avoid risk factors as much as possible.

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Prevalence of low back pain in the elderly population: a systematic review

Cited by 116 publications

References 68 publications

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Prevalence of Low Back Pain and Associated Factors in Older Adults: Amazonia Brazilian Community Study

Prevalence of Low Back Pain among University Students in King Abdulaziz University, Saudi Arabia

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