New research presented at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) identifies nicotine dependence, obesity, alcohol abuse and depressive disorders as risk factors for low back pain, a common condition causing disability, missed work, high medical costs and diminished life quality.
According to the U.S. Centers for Disease Control and Prevention's (CDC)
2012 National Health Survey, nearly one-third of U.S. adults reported
that they had suffered from low back pain during the previous three
months. For many adults, low back pain is debilitating and chronic.
Determining modifiable risk factors for low back pain could help avoid
or diminish the financial and emotional costs of this condition.
Researchers reviewed electronic records of more than 26 million patients
from 13 health care systems across the U.S., including 1.2 million
patients diagnosed with low back pain (approximately 4.54 percent of the
patient records).
The review found that 19.3 percent of the patients diagnosed with a
depressive disorder reported lower back pain, as did 16.75 percent of
patients diagnosed as obese (a body mass index, or BMI,
>30kg/m²), 16.53 percent of the patients diagnosed with nicotine
dependence, and 14.66 percent with reported alcohol abuse. Patients with
nicotine dependence, obesity, depressive disorders, and alcohol abuse
were had "statistically significant" relative risks of 4.489, 6.007,
5.511 and 3.326 for low back pain, respectively, when compared to other
patients.
"This study used an electronic health care database to identify
modifiable risk factors--obesity, depressive disorders, alcohol and
tobacco use--in patients with low back pain," said lead study author and
orthopaedic surgeon Scott Shemory, MD. "The findings will allow
physicians to better counsel and more closely follow their high-risk
patients."
Read more: http://www.aaos.org/
Keywords: Dr Pietsch, "The-Expert-witness.de", "Low back pain""
