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Gender Differences in Relating Factors of Low Back Pain and Sciatica in Community-dwelling Korean Elderly

지역사회 거주 노인의 성별에 따른 요통 및 좌골신경통 관련 요인

  • Kim, Bo Hye (Division of Nursing, Ewha Womans University) ;
  • Kim, Oksoo (Division of Nursing, Ewha Womans University) ;
  • Kim, Ahrin (Department of Nursing, Daegu Health College)
  • 김보혜 (이화여자대학교 간호학부) ;
  • 김옥수 (이화여자대학교 간호학부) ;
  • 김아린 (대구보건대학교 간호학과)
  • Received : 2012.09.13
  • Accepted : 2012.11.21
  • Published : 2012.12.31

Abstract

Purpose: The aim of this study was to investigate gender differences in risk factors and sleep, depression, and mobility of Korean elderly with and without low back pain and sciatica. Methods: Data were derived from the 2011 Korean National Survey on Older Adults. Participants included 10,674 community-dwelling elderly. The group of elderly subjects with low back pain and sciatica and the group of elderly subjects without low back pain and sciatica were compared according to gender. Result: Age, monthly income, exercise, arthritis, osteoporosis, and providing caring support were significant risk factors for low back pain and sciatica in elderly male subjects. On the other hand, monthly income, living arrangement, arthritis, osteoporosis, providing caring support, and television watching time were significant risk factors in elderly female subjects. Significant differences in depression and mobility according to low back pain and sciatica were observed in both genders. Conclusion: Risk factors for low back pain and sciatica in elderly differed according to gender. Low back pain and sciatica showed an association with depression and mobility. These findings should be considered in planning for nursing intervention for low back pain and sciatica.

Keywords

References

  1. Baek, S. R., Lim, J. Y., Lim, J. Y., Park, J. H., Lee, J. J., Lee, S. B., Kim, K. W., & Paik, N, J. (2010). Prevalence of musculoskeletal pain in an elderly Korean population: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA). Archives of Gerontology and Geriatrics, 51(3), e46-e51. https://doi.org/10.1016/j.archger.2009.11.011
  2. Bakker, E. W., Verhagen, A. P., van Trijffel, E., Lucas, C., & Koes, B. W. (2009). Spinal mechanical load as a risk factor for low back pain: A systematic review of prospective cohort studies. Spine, 34(8), E281-E293. https://doi.org/10.1097/BRS.0b013e318195b257
  3. Berthonnaud, E., Hilmi, R., Labelle, H., & Dimnet, J. (2011). Spino-pelvic postural changes between the standing and sitting human position: Proposal of a method for its systematic analysis. Computerized Medical Imaging and Graphics, 35(6), 451-459. https://doi.org/10.1016/j.compmedimag.2011.02.004
  4. Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., & Kang, M. H. (1999). A diagnostic validation study on the translated Korean version of DSM-M-R major depression. Journal of Korean Neuropsychiatric Association, 38(1), 48-63.
  5. Coenen, P., Kingma, I., Boot, C. R., Twisk, J. W., Bongers, P. M., & van Dieen, J. H. (2012). Cumulative low back load at work as a risk factor of low back pain: A prospective cohort study. Journal of Occupational Rehabilitation. Retrieved July 16, 2012, from http://www.springerlink.com/ontent/c5215401l0580560
  6. Dagenais, S., Caro, J., & Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. The Spine Journal, 8(1), 8-20. https://doi.org/10.1016/j.spinee.2007.10.005
  7. Docking, R. E., Fleming, J., Brayne, C., Zhao, J., Macfarlane, G. J., & Jones, G. T. (2011). Epidemiology of back pain in older adults: Prevalence and risk factors for back pain onset. Rheumatology, 50(9), 1645-1653. https://doi.org/10.1093/rheumatology/ker175
  8. Fernandez-de-las-Penas, C., Hernandez-Barrera, V., Alonso-Blanco, C., Palacios-Cena, D., Carrasco-Garrido, P., Jiménez-Sanchez, S., & Jiménez-García, R. (2011). Prevalence of neck and low back pain in community -dwelling adults in Spain: A population -based national study. Spine, 36(3), E213-E219. https://doi.org/10.1097/BRS.0b013e3181d952c2
  9. Griffin, D. W., Harmon, D. C., & Kennedy, N. M. (2012). Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature. Physiotherapy, 98(1), 13-23. https://doi.org/10.1016/j.physio.2011.04.350
  10. Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., Woolf, A., Vos, T., & Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis and Rheumatism, 64(6), 2028-2037. https://doi.org/10.1002/art.34347
  11. Karahan, A., Kav, S., Abbasoglu, A., & Dogan, N. (2009). Low back pain: Prevalence and associated risk factors among hospital staff. Journal of Advanced Nursing, 65(3), 516-524. https://doi.org/10.1111/j.1365-2648.2008.04905.x
  12. Kelly, G. A., Blake, C., Power, C. K., O'keeffe, D., & Fullen, B. M. (2011). The association between chronic low back pain and sleep: A systematic review. The Clinical Journal of Pain, 27(2), 169-181. https://doi.org/10.1097/AJP.0b013e3181f3bdd5
  13. Kil, S. Y., Oh, W. O., & Suk, M. H. (2006). The relationship between pain and psychosocial factors of patients with arthritis. Journal of Korean Public Health Nursing, 20(1), 79-86.
  14. Koes, B. W., van Tulder, M. W., & Thomas, S. (2006). Diagnosis and treatment of low back pain. British Medical Journal, 332(17), 1430-1434. https://doi.org/10.1136/bmj.332.7555.1430
  15. Lariviere, C., Bilodeau, M., Forget, R., Vadeboncoeur, R., & Mecheri, H. (2010). Poor back muscle endurance is related to pain catastrophizing in patients with chronic low back pain. Spine, 35(22), E1178-E1186. https://doi.org/10.1097/BRS.0b013e3181e53334
  16. Leboeuf-Yde, C., Nielsen, J., Kyvik, K. O., Fejer, R., & Hartvigsen, J. (2009). Pain in the lumbar, thoracic or cervical regions: Do age and gender matter? A population -based study of 34,902 Danish twins 20-71 years of age. BMC Musculoskeletal Disorders. 10, 39. Retrieved July 19, 2012 from http://www.biomedcentral.com/1471-2474/10/39 https://doi.org/10.1186/1471-2474-10-39
  17. Lee, S. H. (2012). Health behaviors and health status according to socioeconomic status of the elderly in Daegu. Journal of Korean Public Health Nursing, 26(1), 113-125. https://doi.org/10.5932/JKPHN.2012.26.1.113
  18. Lee, Y., Lee, K. J., Han, G. S., Yoon, S. J., Lee, Y. K., Kim, C. H., & Kim, J. L. (2002). The development of physical functioning scale for community-dwelling older persons. Journal of Preventive Medicine and Public Health, 35(4), 359-374.
  19. Lee, Y. R., Lee, S. H., & Kim, J. H. (2004). The effect of aqua-exercise program on back pain, flexibility, time of exercise and self-efficacy in the women with chronic back pain. Journal of Korean Public Health Nursing, 18(1), 167-177.
  20. Lunde, L. H., Pallesen, S., Krangnes, L., & Nordhus, I. H. (2010). Characteristics of sleep in older persons with chronic pain: A study based on actigraphy and self-reporting. The Clinical Journal of Pain, 26(2), 132-137. https://doi.org/10.1097/AJP.0b013e3181b61923
  21. McCarthy, L. H., Bigal, M. E., Katz, M., Derby, C., & Lipton, R. B. (2009). Chronic pain and obesity in elderly people: Results from the Einstein aging study. Journal of the American Geriatrics Society, 57(1), 115-119. https://doi.org/10.1111/j.1532-5415.2008.02089.x
  22. Ministry for Health, Welfare and Family Affair. (2009). 2008 Korean National Survey on Older Adults. Retrieved Jul 10, 2012, from http://www.mw.go.kr/
  23. Moon, S. M. (2012). Physical activities and related factors among low-income middle-aged people. Journal of Korean Public Health Nursing, 26(1), 38-50. https://doi.org/10.5932/JKPHN.2012.26.1.038
  24. Morone, N. E., Karp, J. F., Lynch, C. S., Bost, J. E., El Khoudary, S. R., & Weiner, D. K. (2009). Impact of chronic musculoskeletal pathology on older adults: A study of differences between knee OA and low back pain. Pain Medicine, 10(4), 693-701. https://doi.org/10.1111/j.1526-4637.2009.00565.x
  25. Ribeiro, S. B., Cardia, M. C. G., & Almeida, L. C. (2012). Biomechanical and organizational risk and prevalence of low back pain in the old adults caregivers of a nursing home in Joao Pessoa/PB. Work: A Journal of Prevention, Assessment and Rehabilitation, 41(1), 1933-1939.
  26. Rudy, T. E., Weiner, D. K., Lieber, S. J., Slaboda, J., & Boston, J. R. (2007). The impact of chronic low back pain on older adults: A comparative study of patients and controls. Pain, 131(3), 293-301. https://doi.org/10.1016/j.pain.2007.01.012
  27. Sheikh, J. I., & Yesavage, J. A. (1985). A knowledge assessment test for geriatric psychiatry. Hospital & Community Psychiatry, 36(11), 1160-1166.
  28. Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2009). The association between obesity and low back pain: A meta-analysis. American Journal of Epidemiology, 171(2), 135-154.
  29. Stupar, M., Cote, P., French, M. R., & Hawker, G. A. (2010). The association between low back pain and osteoarthritis of the hip and knee: A population-based cohort study. Journal of Manipulative and Physiological Therapeutics, 33(5), 349-354. https://doi.org/10.1016/j.jmpt.2010.05.008
  30. van de Water, A. T., Eadie, J., & Hurley, D. A. (2011). Investigation of sleep disturbance in chronic low back pain: An age- and gender-matched case-control study over a 7-night period. Manual Therapy, 16(6), 550-556. https://doi.org/10.1016/j.math.2011.05.004

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