Prevalence and predictors of low back pain among the Iranian population: Results from the Persian cohort study.

BMI, body mass index Iran LBP, low back pain Low back pain PERSIAN Prevalence YLD, years of healthy life lost due to disability

Journal

Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 29 10 2021
revised: 03 01 2022
accepted: 06 01 2022
entrez: 11 2 2022
pubmed: 12 2 2022
medline: 12 2 2022
Statut: epublish

Résumé

Low back pain (LBP) is a common health condition in populations. Limited large-scale population-based studies evaluated the prevalence and predictors of LBP in developing countries. This study aimed to evaluate the prevalence and factors associated with LBP among the Iranian population. We used baseline information from the Prospective Epidemiological Research Studies in Iran (PERSIAN), including individuals from 16 provinces of Iran. LBP was defined as the history of back pain interfering with daily activities for more than one week during an individual's lifetime. Various factors hypothesized to affect LBP, such as age, sex, marital status, educational status, ethnicity, living area, employment status, history of smoking, body mass index (BMI), physical activity, sleep duration, wealth score, history of joint pain, and history of morning stiffness in the joints were evaluated. In total, 163770 Iranians with a mean age of 49.37 (SD = 9.15) were included in this study, 44.8% of whom were male. The prevalence of LBP was 25.2% among participants. After adjusting for confounders, the female gender [OR:1.244(1.02-1.50)], middle and older ages [OR:1.23(1.10-1.33) and OR:1.13(1.07-1.42), respectively], being overweight or obese [OR:1.13(1.07-1.19) and OR:1.21(1.16-1.27), respectively], former and current smokers (OR:1.25(1.16-1.36) and OR:1.28(1.17-1.39), respectively], low physical activity [OR:1.07(1.01-1.14)], and short sleep duration [OR: 1.09(1.02-1.17)] were significantly associated with LBP. In this large-scale study, we found the lifetime prevalence of LBP to be lower among the Iranian population in comparison to the global prevalence of LBP; further studies are warranted to evaluate the causality of risk factors on LBP.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Low back pain (LBP) is a common health condition in populations. Limited large-scale population-based studies evaluated the prevalence and predictors of LBP in developing countries. This study aimed to evaluate the prevalence and factors associated with LBP among the Iranian population.
METHODS METHODS
We used baseline information from the Prospective Epidemiological Research Studies in Iran (PERSIAN), including individuals from 16 provinces of Iran. LBP was defined as the history of back pain interfering with daily activities for more than one week during an individual's lifetime. Various factors hypothesized to affect LBP, such as age, sex, marital status, educational status, ethnicity, living area, employment status, history of smoking, body mass index (BMI), physical activity, sleep duration, wealth score, history of joint pain, and history of morning stiffness in the joints were evaluated.
RESULTS RESULTS
In total, 163770 Iranians with a mean age of 49.37 (SD = 9.15) were included in this study, 44.8% of whom were male. The prevalence of LBP was 25.2% among participants. After adjusting for confounders, the female gender [OR:1.244(1.02-1.50)], middle and older ages [OR:1.23(1.10-1.33) and OR:1.13(1.07-1.42), respectively], being overweight or obese [OR:1.13(1.07-1.19) and OR:1.21(1.16-1.27), respectively], former and current smokers (OR:1.25(1.16-1.36) and OR:1.28(1.17-1.39), respectively], low physical activity [OR:1.07(1.01-1.14)], and short sleep duration [OR: 1.09(1.02-1.17)] were significantly associated with LBP.
CONCLUSION CONCLUSIONS
In this large-scale study, we found the lifetime prevalence of LBP to be lower among the Iranian population in comparison to the global prevalence of LBP; further studies are warranted to evaluate the causality of risk factors on LBP.

Identifiants

pubmed: 35145656
doi: 10.1016/j.amsu.2022.103243
pii: S2049-0801(22)00003-6
pmc: PMC8801351
doi:

Types de publication

Journal Article

Langues

eng

Pagination

103243

Informations de copyright

© 2022 The Authors.

Références

J Pediatr Orthop. 2007 Mar;27(2):126-9
pubmed: 17314634
Eur Spine J. 2018 Sep;27(Suppl 6):796-801
pubmed: 29480409
Curr Pain Headache Rep. 2019 Mar 11;23(3):23
pubmed: 30854609
Occup Med (Lond). 2006 Oct;56(7):455-60
pubmed: 16837536
Am J Epidemiol. 2018 Apr 1;187(4):647-655
pubmed: 29145581
BMC Musculoskelet Disord. 2018 Jun 21;19(1):196
pubmed: 30037323
Br Med Bull. 2007;81-82:21-37
pubmed: 17284541
Pain Med. 2003 Sep;4(3):277-94
pubmed: 12974827
Pain Res Treat. 2012;2012:653060
pubmed: 23024861
J Environ Public Health. 2012;2012:918368
pubmed: 22649464
Physiother Theory Pract. 2010 Jan;26(1):40-8
pubmed: 20067352
Menopause. 2009 Jan-Feb;16(1):3-4
pubmed: 19002014
Lancet. 2012 Feb 4;379(9814):482-91
pubmed: 21982256
J Adv Nurs. 2009 Mar;65(3):516-24
pubmed: 19222649
Med Arch. 2015 Apr;69(2):114-6
pubmed: 26005262
BMC Musculoskelet Disord. 2009 Oct 02;10:122
pubmed: 19799778
Spine (Phila Pa 1976). 1997 Aug 1;22(15):1747-54
pubmed: 9259786
Pak J Med Sci. 2017 Mar-Apr;33(2):280-284
pubmed: 28523022
Med Sci Sports Exerc. 2000 Sep;32(9 Suppl):S498-504
pubmed: 10993420
Pain Res Manag. 2018 Feb 6;2018:8317906
pubmed: 29623146
Clin J Pain. 2017 Feb;33(2):181-187
pubmed: 27258995
Lancet. 2016 Oct 8;388(10053):1545-1602
pubmed: 27733282
J Clin Invest. 1952 Mar;31(3):245-52
pubmed: 14917737
Pain. 2013 Sep;154(9):1613-1621
pubmed: 23707287
J Epidemiol Community Health. 2000 Mar;54(3):215-20
pubmed: 10746116
Arthritis Rheum. 2012 Jun;64(6):2028-37
pubmed: 22231424
Obes Rev. 2016 Jan;17 Suppl 1:62-7
pubmed: 26879114
Br J Nurs. 2006 Sep 28-Oct 11;15(17):914-7
pubmed: 17077782
Life Sci. 2019 Nov 15;237:116926
pubmed: 31614148
Quant Imaging Med Surg. 2016 Apr;6(2):199-206
pubmed: 27190772
Int J Epidemiol. 2006 Feb;35(1):83-92
pubmed: 16339600
Clin Spine Surg. 2018 Feb;31(1):22-27
pubmed: 27875413
Chest. 2018 Nov;154(5):1249-1259
pubmed: 30059677
BMC Public Health. 2017 May 25;17(1):504
pubmed: 28545420
Int J Surg. 2021 Dec;96:106165
pubmed: 34774726
J Behav Med. 2001 Feb;24(1):93-114
pubmed: 11296472
Br J Med Psychol. 1954 Mar 9;27(1-2):48-60
pubmed: 13160300
Int J Surg. 2019 Dec;72:156-165
pubmed: 31704426
Pain. 2014 Aug;155(8):1547-1554
pubmed: 24793909
Health Aff (Millwood). 2002 Mar-Apr;21(2):60-76
pubmed: 11900187
Spine J. 2009 Oct;9(10):795-801
pubmed: 19574106
Am J Public Health. 2002 Jul;92(7):1151-7
pubmed: 12084700
J Health Commun. 2013;18 Suppl 1:172-84
pubmed: 24093354
Arch Intern Med. 2000 Nov 27;160(21):3265-9
pubmed: 11088088
Med Sci Sports Exerc. 2003 Jul;35(7):1196-202
pubmed: 12840642

Auteurs

Mohammad Ghafouri (M)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Azin Teymourzadeh (A)

Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Amin Nakhostin-Ansari (A)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran.

Sadaf G Sepanlou (SG)

Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

Sahar Dalvand (S)

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

Farhad Moradpour (F)

Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Amir Hooshang Bavarsad (AH)

Department of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Shahrokh Sadeghi Boogar (SS)

Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Morteza Dehghan (M)

Department of Orthopedics, School of Medicine, And Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Alireza Ostadrahimi (A)

Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Javad Aghazadeh-Attari (J)

Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Mahmood Kahnooji (M)

Department of Internal Medicine, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Ali Hosseinipour (A)

Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

Ali Gohari (A)

Department of Clinical Biochemistry and Nutrition, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Seyed Vahid Hosseini (SV)

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Masoud Mirzaei (M)

Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Alireza Khorram (A)

Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Mehdi Shahmoradi (M)

Endocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Farhad Pourfarzi (F)

Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

Mahmood Moosazadeh (M)

Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

Fariborz Mansour-Ghanaei (F)

Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Hossein Marioryad (H)

Yasuj University of Medical Sciences, Yasuj, Iran.

Farid Najafi (F)

Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Stephane Genevay (S)

Division of Rheumatology, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.

Navid Moghadam (N)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Ramin Kordi (R)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Classifications MeSH