50세 이상 한국인에서 요통과 비만 및 복부 비만과의 관련성
The Association of Low Back Pain with Obesity and Abdominal Obesity among Koreans Aged 50 Years or More
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초록
연구배경: 요통과 비만은 보건학적으로 중요한 문제이지만, 아직 그 관련성에 대해서는 논란의 소지가 있다. 본 연구는 요통과 비만 및 복부비만과의 관련성을 조사하기 위하여 시행되었다. 방법:2010년도부터 2013년까지 시행된 국민건강영양조사에 참여한 50세 이상의 성인 남녀 중 키, 몸무게, 허리둘레를 모두 측정하고 요통 여부에 관한 질문에 응답한 총11,941명을 대상으로 하였다. 모든 분석은 가중치를 고려하였으며, 인구사회학적 요인과 생활습관요인을 보정하여 다중 로지스틱 회귀분석을 시행하였다. 결과: 요통의 유병률은 남성에서 13.1% (SE, 0.6), 여성에서 31.0% (SE, 0.8)로 여성이 남성보다 유의하게 높았다(P<0.001). 여성에서 복부비만은 다른 요인을 보정한 후에도 요통의 교차비가 1.20 (95% CI, 1.01-1.44)으로 요통의 유병률 증가와 관련이 있었으며, 허리둘레 1사분위인 여성에비하여 4사분위에서 요통의 교차비가 1.30 (95% CI, 1.02-1.66)으로 유의하게 높았다. 남성에서는 복부비만은 요통과 관련이 없었으며, 여성과 남성 모두 비만은 요통과 관련이 없었다. 결론:50세 이상의 한국 여성에서 복부비만은 요통의 위험 증가와 관련이 있었다.
Abstract
Background:Both low back pain (LBP) and obesity are important public issues, but the association between them is controversial. This study was conducted to investigate the association of LBP with obesity and abdominal obesity among Koreans aged 50 years or more. Methods:This cross-sectional study analyzed data from participants aged 50 years or more (n=11,941) who measured height, weight and waist circumference and answered the questions about low back pain in the Korean National Health and Nutrition Examination Survey 2010-2013. To investigate the association of LBP with obesity and abdominal obesity, weighted univariate and multivariate logistic regression analyses were done after adjusting for socioeconomic variables and lifestyle variables. Results:The prevalence of LBP in men and women was 13.1% (standard error [SE], 0.6)and 31.0% (SE, 0.8), respectively, higher in women than men (P<0.001). For women only, abdominal obesity was significantly associated with an increased prevalence of LBP (odds ratio [OR] 1.20, 95% confidence interval [CI] 1.01-1.44) after adjustment of confounding variables, and the odds ratio of LBP in the highest quartile of waist circumference was higher compared to the lowest quartile of waist circumference (OR 1.30, 95% CI 1.02-1.66). For men abdominal obesity was not associated with an increased prevalence of LBP. There were no associations between obesity and LBP in both men and women. Conclusions:This population-based, nationally representative study suggests that abdominal obesity increases the risk of LBP in women aged 50 years or more.
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