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首页> 外文期刊>International Journal of Environmental Research and Public Health >Associations between Obesity and Spinal Diseases: A Medical Expenditure Panel Study Analysis
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Associations between Obesity and Spinal Diseases: A Medical Expenditure Panel Study Analysis

机译：肥胖与脊柱疾病之间的关联：医疗支出小组研究分析

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Background: The link between body weight status and spinal diseases has been suggested by a number of cross-sectional and cohort studies with a limited range of patient populations. No population-representative samples have been used to examine the link between obesity and spinal diseases. The present study is based on a nationally representative sample drawn from the Medical Expenditure Panel Survey. Methods: Using the cross-sectional sample of the 2014 Medical Expenditure Panel Study, we built four weighted logistic regression analyses of the associations between body weight status and the following four spinal diseases: low back pain, spondylosis, other cervical disorders and intervertebral disc disorder (IDD). Each respondent’s body weight status was used as the key independent variable with three categories: normal/underweight, overweight, and obese. We controlled for marital status, gender, age, smoking status, household income, health insurance coverage, educational attainment and the use of health services for other major categories of diseases. Results: A total sample of 23,048 respondents was used in our analysis. Overweight and obese respondents, as compared to normal/underweight respondents, were more likely to develop lower back problems (Overweight: logged odds = 0.218, p < 0.01; Obese: logged odds = 0.395, p < 0.001) and IDD (Overweight: logged odds = 0.441, p < 0.05; Obese: logged odds = 0.528, p < 0.001). The associations between bodyweight status and spondylitis were statistically insignificant (Overweight: logged odds = 0.281, p = 0.442; Obese: logged odds = 0.680, p = 0.104). The associations between body weight status and other cervical disorders (Overweight: logged odds = ?0.116, p = 0.304; Obese: logged odds = ?0.160, p = 0.865) were statistically insignificant. Conclusions: As the first study using a national sample to study bodyweight and spinal diseases, our paper supports the hypothesis that obesity adds to the burden of low back pain and IDD. Longitudinal and interventional studies are needed to understand the specific mechanisms behind these positive associations.
机译：背景：大量的横断面研究和队列研究表明，体重状况与脊柱疾病之间存在联系，而患者群体的范围有限。没有人口代表性的样本已被用来检查肥胖和脊柱疾病之间的联系。本研究基于从医疗支出小组调查中抽取的具有全国代表性的样本。方法：使用2014年医疗支出小组研究的横截面样本，我们对体重状况与以下四种脊椎疾病之间的关联进行了四次加权逻辑回归分析：下腰痛，脊椎病，其他宫颈疾病和椎间盘疾病（IDD）。每个受访者的体重状况均被用作关键的独立变量，分为三类：正常/体重不足，超重和肥胖。我们控制了婚姻状况，性别，年龄，吸烟状况，家庭收入，医疗保险，教育程度以及对其他主要疾病的医疗服务使用。结果：我们的分析中总共使用了23,048名受访者。与正常/体重不足的受访者相比，超重和肥胖的受访者更有可能出现下背部问题（超重：记录的几率= 0.218，p <0.01;肥胖：记录的几率= 0.395，p <0.001）和IDD（超重：记录的）赔率= 0.441，p <0.05;肥胖：已记录赔率= 0.528，p <0.001）。体重状态与脊柱炎之间的关联在统计学上不显着（超重：对数比= 0.281，p = 0.442;肥胖：对数比= 0.680，p = 0.104）。体重状况与其他宫颈疾病之间的关联（超重：记录的几率= 0.116，p = 0.304;肥胖：记录的几率= 0.160，p = 0.865）在统计学上不显着。结论：作为第一个使用国家样本研究体重和脊柱疾病的研究，我们的论文支持肥胖增加腰痛和IDD负担的假说。需要进行纵向和干预研究以了解这些积极关联背后的具体机制。

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