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首页> 外文期刊>Psychosomatics >Epidemiology of Back Pain in Young and Middle-Aged Adults: A Longitudinal Population Cohort Survey From Age 27–50 Years
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Epidemiology of Back Pain in Young and Middle-Aged Adults: A Longitudinal Population Cohort Survey From Age 27–50 Years

机译：年轻人和中年成年人背痛的流行病学：27 - 50岁年龄的纵向人口队列调查

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Background Back pain is extremely common and a huge burden for both individuals and health care services. Objective The aim was to determine the prevalence and incidence of lumbar and cervical back pain over 23 years and to quantify associations with concomitant disorders. Methods Data on lumbar and cervical back pain, and mental disorders from the Zurich study, collected between 1986 (age men: 27/women: 28 years) and 2008 (age 49/50) were analyzed. Epidemiological parameters were representative rates for the general population. Associations were quantified by odds ratios (ORs). Results Of 499 subjects, 68.9% ever experienced lumbar pain and 60.7% ever experienced cervical back pain; the 23-year prevalences were 66.9% and 54.9% and the 23-year incidences 52.3% and 48.9% for lumbar and cervical back pain, respectively. Annual prevalences varied between 28.4% and 47.2% for lumbar and 18.3% and 54.7% for cervical back pain; the corresponding annual incidences varied by 5.8–13.3% (lumbar) and 7.8–12.6% (cervical). Lumbar back pain was significantly associated with cardiovascular disease (OR = 4.58), obesity (OR = 3.99), asthma spectrum (OR = 5.76), tranquillizer dependence (OR = 5.84), and other comorbidities (ORs = 1.47–3.27). Significant associations with cervical back pain were observed for specific phobia (OR = 5.10), panic attacks (OR = 4.79), and other comorbidities (ORs = 1.61–2.62). Conclusions This study contributes to the refinement of epidemiological data on lumbar and cervical back pain. Some associations with treatable disorders were high, which may offer hope for the indirect management of lumbar and cervical back pain.
机译：背景背痛非常常见，对个人和医疗服务都是一个巨大的负担。目的确定23年来腰椎和颈椎背痛的患病率和发病率，并量化与伴随疾病的相关性。方法对1986年（男性27岁/女性28岁）至2008年（49/50岁）苏黎世研究中收集的腰椎和颈椎背痛以及精神障碍的数据进行分析。流行病学参数是普通人群的代表性比率。相关性通过优势比（OR）进行量化。结果在499名受试者中，68.9%的人曾经历过腰痛，60.7%的人曾经历过颈背部疼痛；腰椎和颈背部疼痛的23年患病率分别为66.9%和54.9%，23年发病率分别为52.3%和48.9%。腰椎疼痛的年患病率在28.4%到47.2%之间，颈背部疼痛的年患病率在18.3%到54.7%之间；相应的年发病率分别为5.8-13.3%（腰椎）和7.8-12.6%（颈椎）。腰背痛与心血管疾病（OR=4.58）、肥胖（OR=3.99）、哮喘谱（OR=5.76）、镇静剂依赖（OR=5.84）和其他共病（OR=1.47–3.27）显著相关。在特定恐惧症（OR=5.10）、惊恐发作（OR=4.79）和其他共病（OR=1.61–2.62）中观察到与颈背部疼痛显著相关。结论本研究有助于完善腰椎和颈椎背部疼痛的流行病学数据。一些与可治疗疾病的相关性很高，这可能为腰椎和颈椎背痛的间接治疗带来希望。

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