Dor aguda e crônica nas costas em adultos e idosos no sul do Brasil

Um estudo de base populacional

Autores

DOI:

https://doi.org/10.15448/1980-6108.2021.1.39824

Palavras-chave:

dor nas costas, dor crônica, dor aguda, epidemiologia

Resumo

Objetivos: determinar a prevalência de dores aguda e crônica nas costas e fatores associados e identificar as consequências dessas dores em adultos e idosos no Sul do Brasil.
Métodos: estudo transversal realizado em 2019, em Criciúma, Santa Catarina, em indivíduos com 18 anos ou mais. Dor aguda foi a dor nas regiões cervical, torácica ou lombar não superior a três meses e dor crônica como dor por três meses ou mais. Foram realizadas análises bivariadas e regressão logística multinomial.
Resultados: entre os 820 participantes, a prevalência de dor nas costas foi de 67,0%, dor aguda 39,3% (IC 95%: 35,5% a 43,3%) e dor crônica 27,4% (IC 95%: 24,5% a 30,4%). A dor aguda nas costas foi associada a mulheres, sobrepeso, obesidade e a distúrbio musculoesquelético relacionado ao trabalho/lesão por esforço repetitivo, enquanto a dor crônica, foi constatada majoritariamente em mulheres, tendo relação com sedentarismo, quedas, distúrbio musculoesquelético relacionado ao trabalho/lesão por esforço repetitivo e artrite/reumatismo.
Conclusões: a dor aguda mais associada a excesso de peso/obesidade e a dor crônica contribuiu para o absenteísmo e procura pelos serviços de saúde.

Downloads

Não há dados estatísticos.

Biografia do Autor

Elizabet Saes-Silva, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.

Master in Public Health from the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil. Doctoral student of the postgraduate program in Health Sciences at the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil.

Vanise dos Santos Ferreira Viero, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.

Master in Public Health from the University of the Extreme South of Santa Catarina (UNESC), in Criciúma, SC, Brazil. Doctoral student in the postgraduate program in Health Sciences at the Federal University of Rio Grande (FURG), in Rio Grande, RS, Brazil.

Fernanda de Oliveira Meller, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.

PhD in Epidemiology from Federal University of Pelotas (UFPel), in Pelotas, RS, Brazil. Professor at the Postgraduate Program in Public Health at the University of Southern Santa Catarina (UNESC), in Criciúma, SC, Brazil.

Antônio Augusto Schäfer, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.

PhD in Epidemiology from Federal University of Pelotas (UFPel), RS, Brazil. Professor at the Postgraduate Program in Public Health at the University of Southern Santa Catarina (UNESC), in Criciúma, SC, Brazil.

Michele Vaz Canena, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.

Master in Neurosciences from the Federal University of Santa Catarina (UFSC), in Florianópolis, SC, Brazil. Doctoral student of the postgraduate program in Health Sciences at the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil.

Mirelle de Oliveira Saes, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.

PhD in Health Sciences from the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil. Professor at the Faculty of Medicine and the Postgraduate Program in Health Sciences at the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil.

Samuel Carvalho Dumith, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.

PhD in Epidemiology from Federal University of Pelotas (UFPel), in Pelotas, RS, Brazil. Professor at the Faculty of Medicine and the Postgraduate Program in Health Sciences at the Federal University of the Rio Grande (FURG), in Rio Grande, RS, Brazil.

Referências

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

Downloads

Publicado

2021-08-30

Como Citar

Saes-Silva, E., Viero, V. dos S. F., Meller, F. de O. ., Schäfer, A. A. ., Canena, M. V., Saes, M. de O., & Dumith, S. C. (2021). Dor aguda e crônica nas costas em adultos e idosos no sul do Brasil: Um estudo de base populacional. Scientia Medica, 31(1), e39824. https://doi.org/10.15448/1980-6108.2021.1.39824

Edição

Seção

Artigos Originais

Artigos mais lidos pelo mesmo(s) autor(es)