دورية أكاديمية
High baseline fat mass, but not lean tissue mass, is associated with high intensity low back pain and disability in community-based adults.
العنوان: | High baseline fat mass, but not lean tissue mass, is associated with high intensity low back pain and disability in community-based adults. |
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المؤلفون: | Brady SRE; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia., Urquhart DM; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia. donna.urquhart@monash.edu., Hussain SM; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia., Teichtahl A; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia., Wang Y; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia., Wluka AE; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia., Cicuttini F; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia. |
المصدر: | Arthritis research & therapy [Arthritis Res Ther] 2019 Jul 05; Vol. 21 (1), pp. 165. Date of Electronic Publication: 2019 Jul 05. |
نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101154438 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-6362 (Electronic) Linking ISSN: 14786354 NLM ISO Abbreviation: Arthritis Res Ther Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : BioMed Central, 2003- |
مواضيع طبية MeSH: | Body Mass Index* , Disability Evaluation* , Surveys and Questionnaires*, Adipose Tissue/*metabolism , Body Composition/*physiology , Low Back Pain/*physiopathology , Obesity/*physiopathology, Absorptiometry, Photon ; Adult ; Cohort Studies ; Cross-Sectional Studies ; Female ; Humans ; Logistic Models ; Low Back Pain/diagnosis ; Low Back Pain/metabolism ; Male ; Middle Aged ; Obesity/metabolism ; Pain Measurement/methods ; Population Surveillance/methods ; Risk Factors |
مستخلص: | Objectives: Low back pain is the largest contributor to disability worldwide. The role of body composition as a risk factor for back pain remains unclear. Our aim was to examine the relationship between fat mass and fat distribution on back pain intensity and disability using validated tools over 3 years. Methods: Participants (aged 25-60 years) were assessed at baseline using dual-energy X-ray absorptiometry (DXA) to measure body composition. All participants completed the Chronic Pain Grade Scale at baseline and 3-year follow-up. Of the 150 participants, 123 (82%) completed the follow-up. Results: Higher baseline body mass index (BMI) and fat mass (total, trunk, upper limb, lower limb, android, and gynoid) were all associated with high intensity back pain at either baseline and/or follow-up (total fat mass: multivariable OR 1.05, 95% CI 1.01-1.09, p < 0.001). There were similar findings for all fat mass measures and high levels of back disability. A higher android to gynoid ratio was associated with high intensity back pain (multivariable OR 1.04, 95% CI 1.01-1.08, p = 0.009). There were no associations between lean mass and back pain. Conclusions: This cohort study provides evidence for the important role of fat mass, specifically android fat relative to gynoid fat, on back pain and disability. |
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معلومات مُعتمدة: | Strategic Grant Scheme ECD049 International Faculty of Medicine, Nursing and Health Sciences, Monash University |
فهرسة مساهمة: | Keywords: Android; Body composition; Fat mass; Lean tissue mass; Low back pain |
تواريخ الأحداث: | Date Created: 20190707 Date Completed: 20200810 Latest Revision: 20200810 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC6612201 |
DOI: | 10.1186/s13075-019-1953-4 |
PMID: | 31277706 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1478-6362 |
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DOI: | 10.1186/s13075-019-1953-4 |