Obesity and low back pain - Biology, biomechanics and epidemiology

被引：19

作者：

Flamme C.H. ^{[1
,2
]}

机构：

[1] Orthopädische Klinik, MHH im Annastift, Hannover

[2] Orthopädische Klinik, Annastift, 30625 Hannover

来源：

Der Orthopäde | 2005年 / 34卷 / 7期

关键词：

Biomechanics; Epidemiology; Low back pain; Obesity;

D O I：

10.1007/s00132-005-0817-6

中图分类号：

学科分类号：

摘要：

Aim of the following paper is to describe the impact of obesity on low back pain. The mature disc is one of the most sparsely cellular tissues in the body, water content and concentration of proteoglycan decreases with increasing age. Both, static compressive loading and increased pressures, may result in damage of the integrity of the disc like tears of the anulus, followed by mechanical compression or chemical damage of the nerve roots. The intradiscal pressure is dependant on the body position and increases in the following order: prone, standing, upright sitting. In addition, bending and weight lifting increases the intradiscal pressure. For asymptomatic subjects, reported prevalences of disc degenerations in MRI studies are often quite high. Several studies report a significant association between body weight and low back pain, some do not. Recent research indicates that heredity has a dominant role in disc degeneration and low back pain, although the complex distributions and interactions of genetic factors are currently unknown. © Springer Medizin Verlag 2005.

引用

页码：652 / 657

页数：5

共 16 条

[1]

Andersson G.B.J., Ortengren R., Nachemson A., Intradiscal pressure, intra-abdominal pressure and myoelectric back muscle activity related to posture and loading, Clin Orthop, 129, pp. 156-164, (1977)

[2]

Baron R., Binder A., Wie neuropathisch ist die Lumboischialgie?, Orthopäde, 33, pp. 568-575, (2004)

[3]

Battie M.C., Videman T., Parent E., Lumbar disc degeneration, Spine, 29, pp. 2679-2690, (2004)

[4]

Bostmann O.M., Prevalence of obesity among patients admitted for elektive orthopaedis surgery, Int J Obes, 18, pp. 709-713, (1994)

[5]

Han T.S., Schouten J.S.A.G., Lean M.E.J., Seidell J.C., The prevalence of low back pain and associations with body fatness, fat distribution and height, Int J Obes, 21, pp. 600-607, (1997)

[6]

Isihara H., Warensjo K., Robert S., Protheoglycan synthesis in the intervertebral disc nucleus: The role of extracellular osmolality, Am J Physiol Cell Physiol, 272, (1997)

[7]

Kaila-Kangas L., Leino-Arja P., Riihimaki H., Luukonen R., Kirjonen J., Smoking and overweight as predictors of hospitalization for back disorders, Spine, 28, pp. 1860-1868, (2003)

[8]

Leboeuf-Yde C., Body weight and low back pain, Spine, 25, pp. 226-237, (2000)

[9]

Miller J.A., Schmatz C., Schultz A.B., Lumbar disc degeneration: Correlation with age, sex, and spine level in 600 autopsy specimen, Spine, 13, pp. 173-178, (1988)

[10]

Nachemson A., In vivo measurements of intradiscal pressure, J Bone Joint Surg Am, 46, pp. 1077-1092, (1964)

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