Browse > Article
http://dx.doi.org/10.3340/jkns.2014.56.6.482

Chronic Low Back Pain in Young Korean Urban Males : The Life-Time Prevalence and Its Impact on Health Related Quality of Life  

Shim, Jae-Hyun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
Lee, Kyeong-Seok (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
Yoon, Sang-Young (Department of Physical Education, Kyonggi University)
Lee, Chang-Hoon (Department of Orthopedic Surgery, Hanyang University College of Medicine)
Doh, Jae-Won (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
Bae, Hack-Gun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.56, no.6, 2014 , pp. 482-487 More about this Journal
Abstract
Objective : We assessed the life-time prevalence (LTP) of chronic low back pain (LBP) in young Korean males. We also evaluated the relationship between lumbar spinal lesions and their health related quality-of-life (HRQOL). Methods : A cross-sectional, self-reported survey was conducted in Korean males (aged 19-year-old) who underwent physical examinations for the conscript. We examined 3331 examinees in November 2014. We included 2411 subjects, who accepted to participate this study without any comorbidities. We interviewed using simple binary questions for their LBP experience and chronicity. HRQOL was assessed by Short-Form Health-Survey-36 (SF-36) in chronic LBP and healthy control groups. Radiological assessment was performed in chronic LBP group to determine whether there were any pathological causes of their symptoms. Results : The LTP of chronic LBP was 13.4%. Most (71.7%) of them didn't have any lumbar spinal lesions (i.e., non-specific chronic LBP). The SF-36 subscale and summary scores were significantly lower in subjects with chronic LBP. Between specific and non-specific chronic LBP group, all physical and mental subscale scores were significantly lower in specific chronic LBP group, except mental health (MH) subscale score. In MH subscale and mental component summary score, statistical significant differences didn't appear between two groups (p=0.154, 0.126). Conclusion : In Korean males 19 years of age, the LTP of chronic LBP was 13.4%, and more than two-thirds were non-specific chronic LBP. Chronic LBP had a significant impact on HRQOL. The presence of lumbar spinal pathoanatomical lesions affected mainly on the physical aspect of HRQOL. It influenced little on the mental health.
Keywords
Chronic low back pain; Public health; Quality of life; Health surveys;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. : Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 15 Suppl 2 : S192-S300, 2006   DOI   ScienceOn
2 Balague F, Ferrer M, Rajmil L, Pont Acuna A, Pellise F, Cedraschi C : Assessing the association between low back pain, quality of life, and life events as reported by schoolchildren in a population-based study. Eur J Pediatr 171 : 507-514, 2012   DOI
3 Balague F, Mannion AF, Pellise F, Cedraschi C : Non-specific low back pain. Lancet 379 : 482-491, 2012   DOI   ScienceOn
4 Balague F, Troussier B, Salminen JJ : Non-specific low back pain in children and adolescents : risk factors. Eur Spine J : 429-438, 1999
5 Boone D, Parsons D, Lachmann SM, Sherwood T : Spina bifida occulta : lesion or anomaly? Clin Radiol 36 : 159-161, 1985   DOI
6 Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D : Survey of chronic pain in Europe : prevalence, impact on daily life, and treatment. Eur J Pain 10 : 287-333, 2006   DOI   ScienceOn
7 Buchbinder R, Underwood M : Prognosis in people with back pain. CMAJ 184 : 1229-1230, 2012   DOI
8 Carey TS, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker DR : The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Engl J Med 333 : 913-917, 1995   DOI
9 Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. : The rising prevalence of chronic low back pain. Arch Intern Med 169 : 251-258, 2009   DOI   ScienceOn
10 Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC : The biopsychosocial approach to chronic pain : scientific advances and future directions. Psychol Bull 133 : 581-624, 2007   DOI
11 Han CW, Lee EJ, Iwaya T, Kataoka H, Kohzuki M : Development of the Korean version of Short-Form 36-Item Health Survey : health related QOL of healthy elderly people and elderly patients in Korea. Tohoku J Exp Med 203 : 189-194, 2004   DOI   ScienceOn
12 Harreby M, Neergaard K, Hesselsøe G, Kjer J : Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children. Spine (Phila Pa 1976) 20 : 2298-2302, 1995   DOI
13 Hart BL : Biological basis of the behavior of sick animals. Neurosci Biobehav Rev 12 : 123-137, 1988   DOI
14 Hays RD, Woolley JM : The concept of clinically meaningful difference in health-related quality-of-life research. How meaningful is it? Pharmacoeconomics 18 : 419-423, 2000   DOI   ScienceOn
15 Kim GM, Yi CH, Cynn HS : Factors influencing disability due to low back pain using the Oswestry Disability Questionnaire and the Quebec Back Pain Disability Scale. Physiother Res Int, 2014 May 1 [Epub]. http://dx.doi.org/10.1002/pri.1591
16 Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C : The course of low back pain from adolescence to adulthood : eight-year follow-up of 9600 twins. Spine (Phila Pa 1976) 31 : 468-472, 2006   DOI
17 Jhun HJ, Park JY : Estimated number of Korean adults with back pain and population-based associated factors of back pain : data from the fourth Korea national health and nutrition examination survey. J Korean Neurosurg Soc 46 : 443-450, 2009   DOI
18 Katz JN : Lumbar disc disorders and low-back pain : socioeconomic factors and consequences. J Bone Joint Surg Am 88 Suppl 2 : 21-24, 2006   DOI   ScienceOn
19 Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project : Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol 21 : 77-91, 2007   DOI   ScienceOn
20 Leboeuf-Yde C, Kyvik KO : At what age does low back pain become a common problem? A study of 29,424 individuals aged 12-41 years. Spine (Phila Pa 1976) 23 : 228-234, 1998   DOI   ScienceOn
21 Leonard BE : The immune system, depression and the action of antidepressants. Prog Neuropsychopharmacol Biol Psychiatry 25 : 767-780, 2001   DOI   ScienceOn
22 Loney PL, Stratford PW : The prevalence of low back pain in adults : a methodological review of the literature. Phys Ther 79 : 384-396, 1999
23 Manchikanti L, Singh V, Datta S, Cohen SP, Hirsch JA; American Society of Interventional Pain Physicians : Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician 12 : E35-E70, 2009
24 Marty M, Rozenberg S, Duplan B, Thomas P, Duquesnoy B, Allaert F; Section Rachis de la Société Française de Rhumatologie : Quality of sleep in patients with chronic low back pain : a case-control study. Eur Spine J 17 : 839-844, 2008   DOI
25 Soler T, Calderón C : The prevalence of spondylolysis in the Spanish elite athlete. Am J Sports Med 28 : 57-62, 2000   DOI
26 O'Sullivan PB, Beales DJ, Smith AJ, Straker LM : Low back pain in 17 year olds has substantial impact and represents an important public health disorder : a cross-sectional study. BMC Public Health 12 : 100, 2012   DOI
27 Pellise F, Balague F, Rajmil L, Cedraschi C, Aguirre M, Fontecha CG, et al. : Prevalence of low back pain and its effect on health-related quality of life in adolescents. Arch Pediatr Adolesc Med 163 : 65-71, 2009   DOI   ScienceOn
28 Samsa G, Edelman D, Rothman ML, Williams GR, Lipscomb J, Matchar D : Determining clinically important differences in health status measures : a general approach with illustration to the Health Utilities Index Mark II. Pharmacoeconomics 15 : 141-155, 1999   DOI   ScienceOn
29 Strouse TB : The relationship between cytokines and pain/depression : a review and current status. Curr Pain Headache Rep 11 : 98-103, 2007   DOI
30 van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, et al. : Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 15 Suppl 2 : S169-S191, 2006   DOI   ScienceOn
31 van Tulder M, Koes B : Low back pain (chronic). Clin Evid : 1634-1653, 2006
32 van Tulder M, Koes B, Bombardier C : Low back pain. Best Pract Res Clin Rheumatol 16 : 761-775, 2002   DOI
33 Walker BF : The prevalence of low back pain : a systematic review of the literature from 1966 to 1998. J Spinal Disord 13 : 205-217, 2000   DOI   ScienceOn
34 Ware JE Jr : SF-36 health survey update. Spine (Phila Pa 1976) 25 : 3130-3139, 2000   DOI   ScienceOn
35 Watkins LR, Maier SF : Immune regulation of central nervous system func-tions : from sickness responses to pathological pain. J Intern Med 257 : 139-155, 2005   DOI
36 Yao W, Mai X, Luo C, Ai F, Chen Q : A cross-sectional survey of nonspecific low back pain among 2083 schoolchildren in China. Spine (Phila Pa 1976) 36 : 1885-1890, 2011   DOI
37 Watson KD, Papageorgiou AC, Jones GT, Taylor S, Symmons DP, Silman AJ, et al. : Low back pain in schoolchildren : occurrence and characteristics. Pain 97 : 87-92, 2002   DOI   ScienceOn