Acute and chronic back pain in adults and elderly in southern Brazil
A population-based study
Aims: to determine the prevalence of acute and chronic back pain and associated factors and identify the consequences of this pain in adults and the elderly in southern Brazil.
Methods: cross-sectional study conducted in 2019, in Criciúma, Santa Catarina, in individuals aged 18 and over. Acute back pain was pain in the cervical, thoracic, or lumbar regions not exceeding 3 months and chronic pain as pain for 3 months or more. Bivariate analyzes and multinomial logistic regression were performed.
Results: among the 820 participants, the prevalence of back pain was 67.0%, acute pain 39.3% (95% CI: 35.5% to 43.3%) and chronic pain 27.4% (95% CI: 24.5% to 30.4%). Acute back pain was associated with women, overweight, obesity, and with WMSD/RSI, while chronic pain chronic pain was found mostly in women, being related to leisure inactivity ...were female, leisure inactivity, falls, Work-related musculoskeletal disorder/repetitive strain injury, and arthritis/rheumatism.
Conclusions: acute pain was greater among overweight/obese and chronic pain contribute to absenteeism and demand for health services.
Merskey N. Classificaiton of chronic pain; Description of chronic pain syndromes and definitions of pain Terms. Task force on taxonomy of the IASP. 1994:41-3.
Walker J. Back pain: pathogenesis, diagnosis and management. Nurs Stand. 2012;27(14):49–56. https://doi.org/10.7748/ns2012.12.27.14.49.c9478
Meziat Filho N, Silva GA. Invalidez por dor nas costas entre segurados da Previdência Social do Brasil. Rev Saude Publica. 2011;45(3):494-502. https://doi.org/10.1590/S0034-89102011000300007
Waters H, Graf M. The Costs of Chronic Disease in the US. United States: Milken Institute; 2018.
Brasil. Ministério da Saúde - Sistema de Informações Ambulatoriais do SUS (SIA/SUS). Departamento de informática do Sistema Único de Saúde do Brasil: DATASUS [Internet]. [accessed 2020 Oct 19]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sia/cnv/qauf.def
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 Korean Neurosurg Soc. 2009; 46(5):443-50. https://doi.org/10.3340/jkns.2009.46.5.443
Jonsdottir S, Ahmed H, Tómasson K, Carter B. Factors associated with chronic and acute back pain in Wales, a cross-sectional study. BMC Musculoskelet Disord. 2019;20(1):1-8. https://doi.org/10.1186/s12891-019-2477-4
Schmidt CO, Raspe H, Pfingsten M, Hasenbring M, Basler HD, Eich W, et al. Back pain in the German adult population: Prevalence, severity, and sociodemographic correlates in a multiregional survey. Spine (Phila Pa 1976). 2007; 32(18):2005-11. https://doi.org/10.1097/BRS.0b013e318133fad8
Martini L, Hoffmann F. Comorbidity of chronic back pain and depression in Germany: Results from the GEDA study, 2009 and 2010. Z Evid Fortbild Qual Gesundhwes. 2018;137/138:62-8. https://doi.org/10.1016/j.zefq.2018.10.003
Ferreira GD, Silva MC, Rombaldi AJ, Wrege ED, Siqueira FV, Hallal PC. Prevalência de dor nas costas e fatores associados em adultos do Sul do Brasil: estudo de base populacional. Rev Bras Fisioter. 2011;15(1):31-6. https://doi.org/10.1590/S1413-35552011005000001
Malta DC, Oliveira MM, Andrade SSCA, Caiaffa WT, Souza MFM, Bernal RTI. Factors associated with chronic back pain in adults in Brazil. Rev Saude Publica. 2017;51:9S. https://doi.org/10.1590/S1518-8787.2017051000052
Depintor JDP, Bracher ESB, Cabral DMC, Eluf- Neto J. Prevalência de dores de coluna crônicas e identificação de fatores associados em uma amostra da população da cidade de São Paulo, Brasil: Estudo transversal. São Paulo Med J. 2016;134(5):375-84. https://doi.org/10.1590/1516-3180.2016.0091310516
Candotti CT, Noll M, Marchetti BV, Rosa BN, Medeiros MGS, Vieira A, et al. Prevalence of back pain, functional disability, and spinal postural changes. Fisioter em Mov. 2015;28(4):711-22. https://doi.org/10.1590/0103-5150.028.004.AO08
Instituto Brasileiro de Geografia e Estatística [Internet]. Censo demográfico 2010 [Cited 2020 Jul 17]. Available from: https://cidades.ibge.gov.br/brasil/sc/criciuma/panorama
Associação Brasileira das Empresas de Pesquisa [Internet]. Critério de Classificação Econômica Brasil: Dados com base no Levantamento Sócio Econômico 2019 [cited 2020 Jul 17]. Available from: http://www.abep.org/criterio-brasil.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
World Health Organization. Expert Committee on Physical Status: the Use and Interpretation of Anthropometry: report of a WHO Expert Committee. Geneva, Switzerland: WHO. 1995;854(9):329. Available from: http://apps.who.int/iris/bitstream/handle/10665/37003/WHO_TRS_854.pdf?sequence=1
Victora CG, Huttly SR, Fuchs SC, Olinto MTA. The role of conceptual frameworks in epidemiological analysis: A hierarchical approach. Int J Epidemiol. 1997;26(1):224-7. https://doi.org/10.1093/ije/26.1.224
Maurer E, Klinger C, Lorbeer R, Rathmann W, Peters A, Schlett CL, et al. Long-term effect of physical inactivity on thoracic and lumbar disc degeneration — an MRIbased analysis of 385 individuals from the general population. Spine J. 2020 Sep;20(9):1386-96. https://doi.org/10.1016/j.spinee.2020.04.016
Fransen M, Woodward M, Norton R, Coggan C, Dawe M, Sheridan N. Risk factors associated with the transition from acute to chronic occupational back pain. Spine (Phila Pa 1976). 2002;27(1):92-8. https://doi.org/10.1097/00007632-200201010-00022
Talbot LA, Musiol RJ, Witham EK, Metter EJ. Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury. BMC Public Health. 2005;18:5-86. https://doi.org/10.1186/1471-2458-5-86
Khow KSF, Visvanathan R. Falls in the Aging Population. Clin Geriatr Med. 2017;33(3):357-68. http://doi.org/10.1016/j.cger.2017.03.002
Oliveira MM, Andrade SSCA, Souza CAV, Ponte JN, Szwarcwald CL, Malta DC. Problema crônico de coluna e diagnóstico de distúrbios osteomusculares relacionados ao trabalho (DORT) autorreferidos no Brasil: Pesquisa Nacional de Saúde, 2013. Epidemiol e Serv Saúde. 2015;24(2):287-96. http://doi.org/10.5123/S1679-49742015000200011.
Inanır A, Sogut E, Ayan M, Inanır S. Evaluation of Pain Intensity and Oxidative Stress Levels in Patients with Inflammatory and Non-Inflammatory Back Pain. Eur J Gen Pract. 2013;10(4):185-190. https://www.ejgm.co.uk/download/evaluation-of-pain-intensity-and-oxidativestresslevels-in-patients-with-inflammatory-7069.pdf
Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95(5):986-995.e1. https://doi.org/10.1016/j.apmr.2013.10.032
Kopec JA, Sayre EC, Esdaile JM. Predictors of back pain in a general population cohort. Spine (Phila Pa 1976). 2004;29(1):70-7. https://doi.org/10.1097/01.BRS.0000103942.81227.7F
Stubbs B, Koyanagi A, Thompson T, Veronese N, Carvalho AF, Solomi M, et al. The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: Data from 43 low- and middle-income countries. Gen Hosp Psychiatry. 2016;43:63-70. https://doi.org/10.1016/j.genhosppsych.2016.09.008
Currie SR, Wang JL. Chronic back pain and major depression in the general Canadian population. Pain. 2004;107(1–2):54-60. https://doi.org/10.1016/j.pain.2003.09.015
Rubin DI. Epidemiology and Risk Factors for Spine Pain. Neurol Clin. 2007;25(2):353-71.https://doi.org/10.1016/j.ncl.2007.01.004
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