DO SMOKERS GET MORE BACK PAIN

被引:74
作者
BOSHUIZEN, HC [1 ]
VERBEEK, JHAM [1 ]
BROERSEN, JPJ [1 ]
WEEL, ANH [1 ]
机构
[1] UNIV AMSTERDAM,CORONEL LAB,MEIBERGDREEF 15,1105 AZ AMSTERDAM,NETHERLANDS
关键词
BACK PAIN; SMOKING; MUSCULOSKELETAL SYMPTOMS; OCCUPATION;
D O I
10.1097/00007632-199301000-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Recently smoking has been increasingly implicated as a possible risk factor for low-back pain. One explanation for this finding is confounding by occupation. To investigate this possibility, the relationship between smoking and self-reported back pain was studied within 13 occupations. A relationship between smoking and back pain was observed only in occupations that require physical exertion. The relationship between smoking and other musculoskeletal pain also was explored. Pain in the extremities turned out to be related more clearly to smoking than to pain in the neck or the back. This suggests confounding or a general influence of smoking on pain. It is concluded that prevention of back pain could be a beneficial side-effect of anti-smoking campaigns. However, the prime target for prevention of low-back pain would have to be other factors.
引用
收藏
页码:35 / 40
页数:6
相关论文
共 27 条
  • [1] Anderson J.J., Felson D.T., Factors associated with osteoarthritis of the knee in the first national health and nutrition examination survey (Hanes I): Evidence for an association with overweight, race and physical demands of work, Am J Epidemiol, 128, pp. 179-189, (1988)
  • [2] Battie M.C., Bigos S.J., Fisher L.D., Hansson T.H., Et al., A prospective study of the role of cardiovascular risk factors and fitness in industrial back pain complaints, Spine, 14, pp. 141-147, (1989)
  • [3] Battie M.C., Videman T., Gill K., Et al., Smoking and lumbar intervertebral disc degeneration: An MRI study of identical twins, Spine, 16, pp. 1015-1021, (1991)
  • [4] Bergenudd H., Nilsson B.E., Uden A., Willner S., Bone mineral, gender, body posture, body build in relation to back pain in middle age, Spine, 14, pp. 577-579, (1989)
  • [5] Biering-Sфrensen F., Thomsen C., Medical, social and occupational history as risk indicators for low-back trouble in a general population, Spine, 11, pp. 720-725, (1986)
  • [6] Brackbill R., Frazier T., Shilling S., Smoking characteristics of US Workers 1978-1980, Am J Indust Med, 14, pp. 5-41, (1988)
  • [7] Deyo R.A., Bass J.E., Lifestyle and low-back pain. The influence of smoking and obesity, Spine, 14, pp. 501-506, (1989)
  • [8] Felson D.T., Erson J.J., Naimark A., Et al., Does smoking protect against osteoarthritis, Arthritis Rheum, 32, pp. 166-172, (1989)
  • [9] Frymoyer J.W., Pope M.H., Costanza M.C., Et al., Epidemiologic studies of low-back pain, Spine, 5, pp. 419-423, (1980)
  • [10] Frymoyer J.W., Pope M.H., Clements J.H.A.M., Et al., Risk factors in low-back pain, J Bone Joint Surgery (A), 64, pp. 213-218, (1983)