Abdominal fat accumulation as a potential risk factor for low back pain in adult men
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The purposes of this study were twofold: (a) to examine role of body mass index in incidence of low back pain and (b) to investigate more relevant causes of low back pain in body composition. Of the 250 initial subjects, 188 subjects were included for the first analysis and divided into quartiles based on the scores of Japan Low Back Pain Evaluation Questionnaire which was adopted to assess low back pain. We selected 51 subjects (body mass index: 27.4±5.0 kg/m2; age: 47.4±10.9 years) in 1st quartile as a control group and 45 subjects (body mass index: 27.1±2.8 kg/m2; age: 56.4±7.1 years) in 4th quartile as a low back pain group for the final analysis. Assessments of anthropometric characteristics and body composition (by whole-body dual-energy X-ray absorptiometry) were carried out and body composition was evaluated as absolute and relative values. No difference in body mass index between the two groups was detected and waist hip ratio and percentage of trunk fat mass per weight in low back pain group was significantly greater than those in the control group. While low back pain was significantly related to abdominal fat related variables including waist, waist hip ratio and percentage of trunk fat mass per weight, it was not linked to other variables such as weight and body mass index. Abdominal fat accumulation may be a potential risk factor for low back pain in adult men.
Abstract
The purposes of this study were twofold: (a) to examine role of body mass index in incidence of low back pain and (b) to investigate more relevant causes of low back pain in body composition. Of the 250 initial subjects, 188 subjects were included for the first analysis and divided into quartiles based on the scores of Japan Low Back Pain Evaluation Questionnaire which was adopted to assess low back pain. We selected 51 subjects (body mass index: 27.4±5.0 kg/m2; age: 47.4±10.9 years) in 1st quartile as a control group and 45 subjects (body mass index: 27.1±2.8 kg/m2; age: 56.4±7.1 years) in 4th quartile as a low back pain group for the final analysis. Assessments of anthropometric characteristics and body composition (by whole-body dual-energy X-ray absorptiometry) were carried out and body composition was evaluated as absolute and relative values. No difference in body mass index between the two groups was detected and waist hip ratio and percentage of trunk fat mass per weight in low back pain group was significantly greater than those in the control group. While low back pain was significantly related to abdominal fat related variables including waist, waist hip ratio and percentage of trunk fat mass per weight, it was not linked to other variables such as weight and body mass index. Abdominal fat accumulation may be a potential risk factor for low back pain in adult men.
참고문헌 (15)
- Andersson, G. B., "Epidemiological features of chronic low-back pain", Lancet, 354(9178), pp.581~585 (1999)
- Beavers, K. M., "Fat mass loss predicts gain in physical function with intentional weight loss in older adults", The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 68(1), pp.80~86 (2013)
- Bigaard, J., "Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women", International Journal of Obesity, 29(7), pp.778~784 (2005)
- Frymoyer, J. W., "An overview of the incidences and costs of low back pain", The Orthopedic clinics of North America, 22(2), pp.263~271 (1991)
- Janssen, I., "Waist circumference and not body mass index explains obesity-related health risk", The American Journal of Clinical Nutrition, 79(3), pp.379~384 (2004)
- Kim, B., "Changes in lower extremity muscle mass and muscle strength after weight loss in obese men : A prospective study", Obesity Research and Clinical Practice, 9(4), pp.365~373 (2015)
- Kim, B., "Changes in muscle strength after dietinduced weight reduction in adult men with obesity:A prospective study", Diabetes, Metabolic Syndrome and Obesity, 10, pp.187~194 (2017)
- 김보건, "Weight reduction does not induce an undesirable decrease in muscle mass, muscle strength, or physical performance in men with obesity: a pilot study", Physical Activity and Nutrition, 21(4), pp.37~44 (2017), 한국운동영양학회[DOI]
- Leboeuf-Yde, C., "Low back pain and lifestyle Part II: Obesity. information from a population-based sample of 29,424 twin subjects", Spine, 24(8), pp.779~783 (1999)
- Lementowski, P. W., "Obesity and osteoarthritis", American Journal of Orthopedics, 37(3), pp.148~151 (2008)
- Melissas, J., "The effect of surgical weight reduction on functional status in morbidly obese patients with low back pain", Obesity Surgery, 15(3), pp.378~381 (2005)
- Roubenoff, R., "Humoral mediation of changing body composition during aging and chronic inflammation", Nutrition Reviews, 51(1), pp.1~11 (1993)
- Toda, Y., "Lean body mass and body fat distribution in participants with chronic low back pain", Archives of Internal Medicine, 160(21), pp.3265~3269 (2000)
- Vincent, H. K., "Obesity and weight loss in the treatment and prevention of osteoarthritis", Physical Medicine and Rehabilitation, 4(5 Suppl), pp.S59~S67 (2012)
- WHO, "International classification of impairments, disabilities, and handicaps", ~ (1980)
