성인의 신체조성과 만성 요통과의 관련성: 2009년 국민건강영양조사 자료를 토대로
Associations Between Body Composition and Chronic Low Back Pain in Adults: Data from the 2009 Korea National Health and Nutrition Examination Survey
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초록
연구배경: 체지방 및 근육과 만성 요통과의 상관성은 불분명하며, 이에 관한 연구는 매우 미흡하다. 이에 본 연구는청년층과 중년층 한국인의 신체조성과 만성 요통 위험과의관련성을 파악하는 것을 목적으로 하였다방법: 제4기 2009년 국민건강영양조사에 참가한 19세에서 64세의 남자 1807명과 여자 1810명의 자료를 분석하였다. 3개월 이상 통증이 지속된 경우를 만성요통으로 정의하였다. 사회인구학적, 생활습관, 신체계측 및 신체조성 변인들과 만성요통 위험과의 관계를 로지스틱 회귀분석을 이용하여 분석하였다. 결과: 여자(11.5%)가 남자(6.4%)보다 만성요통 유병률이 더 유의하게 높았다. 남자의 경우 만성요통 여부는 교육수준과 음주와 유의한 관련이 있었다. 여자의 경우 만성요통 위험요인들은 연령, 교육수준, 직업, 규칙적인 운동습관,폐경여부, 체질량지수와 허리둘레인 것으로 나타났다. 이러한 요인들을 공변량으로 통제하여 다중 로지스틱 회귀 분석한 결과, 남녀 모두에서 만성요통 위험은 총 체지방, 복부지방, 총 제지방 및 사지 제지방과 유의한 관련이 없었다. 결론: 청년층과 중년층 한국인의 체지방과 근육량은 만성 요통 위험과의 관련이 없는 것으로 사료된다.
Abstract
Background: The relationship between fat mass, muscle mass and chronic low back pain is unclear and little is known about it. The aim of this study was to investigate the association between body composition and the risk of chronic low back pain in young and middle-aged Korean adults. Methods: Data from 1807 men and 1810 women aged 19 to 64 years who participated in the fourth Korea National Health and Nutrition Examination Survey in 2009 were evaluated. Chronic low back pain was defined as pain lasting for more than three months. Sociodemographic, lifestyle, anthropometric and body composition variables were analyzed using logistic regression. Results: The prevalence of chronic low back pain was higher in women (11.5%) than in men (6.4%). In men, the risk for chronic low back pain was significantly associated with education level and alcohol use. In women, the risk factors were age, education level, occupation, physical activity, menopausal status, body mass index and waist circumference. After adjusting for covariates, total and trunk fat mass and total and appendicular lean body mass were not associated as risk for chronic low back pain in both genders. Conclusions: Fat mass and muscle mass may not be associated with chronic low back pain in young and middle-aged Korean adults.
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