Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys
Abstract Background Many factors associated with chronic low back pain (CLBP) have been proposed, including individual, psychosocial, and physical factors. However, these associated factors are still controversial. Purpose (1) To determine the prevalence of CLBP and (2) to analyze factors associated...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03509-x |
| _version_ | 1797952438912679936 |
|---|---|
| author | Hyun-Jin Park Jun-Young Choi Woo Myung Lee Sang-Min Park |
| author_facet | Hyun-Jin Park Jun-Young Choi Woo Myung Lee Sang-Min Park |
| author_sort | Hyun-Jin Park |
| collection | DOAJ |
| description | Abstract Background Many factors associated with chronic low back pain (CLBP) have been proposed, including individual, psychosocial, and physical factors. However, these associated factors are still controversial. Purpose (1) To determine the prevalence of CLBP and (2) to analyze factors associated with CLBP in the general population using a nationally representative sample of South Koreans. Study design Cross-sectional study. Patient sample Data from versions IV-1, -2, and -3 of the Korea National Health and Nutrition Examination Survey (KNHANES), which were performed in 2007, 2008, and 2009, respectively (n = 24,871). Outcome measures Multiple logistic regression analysis was performed to determine the association between several factors (age, gender, alcohol consumption, household income, education level, mid-intensity physical activity, depressive symptoms, vitamin D level, and comorbidities [stroke, ischemic heart disease, knee osteoarthritis, asthma, COPD, cancer history]) and CLBP. Methods CLBP status was surveyed using a self-reported questionnaire. Demographic, socioeconomic status, comorbidities, and other factors were evaluated from health questionnaires, health and physical examinations, and laboratory tests. To analyze the association between these factors and CLBP, we used multiple logistic regression analysis. Results Data from 17,038 participants were included in the final analysis, including 2,693 with CLBP and 14,345 without. The prevalence of CLBP was 15.8% in South Korean subjects, with a prevalence of 11.8% in men and 24.5% in women. After regression analysis, we found advanced age, female gender, mid-intensity physical activity, depressive symptoms, stroke, ischemic heart disease, knee arthritis, asthma, COPD, and cancer history were positively associated with CLBP. In contrast, alcohol consumption ≥ 1 drink per month, increased household income, higher education level, and vitamin D insufficiency were negatively associated with CLBP. Conclusions Our study showed that CLBP was most common in the elderly and women in the general South Korean population. Several individual, socioeconomic, lifestyle, and health-related factors were associated with CLBP. These results demonstrate the influence of these factors on CLBP in the general population and suggest that consideration of these factors may improve the management of CLBP. |
| first_indexed | 2024-04-10T22:47:27Z |
| format | Article |
| id | doaj.art-b79379f1753a47478a720c70ed3164aa |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-10T22:47:27Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b79379f1753a47478a720c70ed3164aa2023-01-15T12:16:46ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-01-0118111210.1186/s13018-023-03509-xPrevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination SurveysHyun-Jin Park0Jun-Young Choi1Woo Myung Lee2Sang-Min Park3Department of Orthopedic Surgery, Spine Center, Kangnam Sacred Heart Hospital, Hallym University College of MedicineSpine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang HospitalDepartment of Orthopedic Surgery, Spine Center, Kangnam Sacred Heart Hospital, Hallym University College of MedicineSpine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang HospitalAbstract Background Many factors associated with chronic low back pain (CLBP) have been proposed, including individual, psychosocial, and physical factors. However, these associated factors are still controversial. Purpose (1) To determine the prevalence of CLBP and (2) to analyze factors associated with CLBP in the general population using a nationally representative sample of South Koreans. Study design Cross-sectional study. Patient sample Data from versions IV-1, -2, and -3 of the Korea National Health and Nutrition Examination Survey (KNHANES), which were performed in 2007, 2008, and 2009, respectively (n = 24,871). Outcome measures Multiple logistic regression analysis was performed to determine the association between several factors (age, gender, alcohol consumption, household income, education level, mid-intensity physical activity, depressive symptoms, vitamin D level, and comorbidities [stroke, ischemic heart disease, knee osteoarthritis, asthma, COPD, cancer history]) and CLBP. Methods CLBP status was surveyed using a self-reported questionnaire. Demographic, socioeconomic status, comorbidities, and other factors were evaluated from health questionnaires, health and physical examinations, and laboratory tests. To analyze the association between these factors and CLBP, we used multiple logistic regression analysis. Results Data from 17,038 participants were included in the final analysis, including 2,693 with CLBP and 14,345 without. The prevalence of CLBP was 15.8% in South Korean subjects, with a prevalence of 11.8% in men and 24.5% in women. After regression analysis, we found advanced age, female gender, mid-intensity physical activity, depressive symptoms, stroke, ischemic heart disease, knee arthritis, asthma, COPD, and cancer history were positively associated with CLBP. In contrast, alcohol consumption ≥ 1 drink per month, increased household income, higher education level, and vitamin D insufficiency were negatively associated with CLBP. Conclusions Our study showed that CLBP was most common in the elderly and women in the general South Korean population. Several individual, socioeconomic, lifestyle, and health-related factors were associated with CLBP. These results demonstrate the influence of these factors on CLBP in the general population and suggest that consideration of these factors may improve the management of CLBP.https://doi.org/10.1186/s13018-023-03509-xGeneral populationChronic low back painKNHANESRisk factors |
| spellingShingle | Hyun-Jin Park Jun-Young Choi Woo Myung Lee Sang-Min Park Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys Journal of Orthopaedic Surgery and Research General population Chronic low back pain KNHANES Risk factors |
| title | Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys |
| title_full | Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys |
| title_fullStr | Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys |
| title_full_unstemmed | Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys |
| title_short | Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys |
| title_sort | prevalence of chronic low back pain and its associated factors in the general population of south korea a cross sectional study using the national health and nutrition examination surveys |
| topic | General population Chronic low back pain KNHANES Risk factors |
| url | https://doi.org/10.1186/s13018-023-03509-x |
| work_keys_str_mv | AT hyunjinpark prevalenceofchroniclowbackpainanditsassociatedfactorsinthegeneralpopulationofsouthkoreaacrosssectionalstudyusingthenationalhealthandnutritionexaminationsurveys AT junyoungchoi prevalenceofchroniclowbackpainanditsassociatedfactorsinthegeneralpopulationofsouthkoreaacrosssectionalstudyusingthenationalhealthandnutritionexaminationsurveys AT woomyunglee prevalenceofchroniclowbackpainanditsassociatedfactorsinthegeneralpopulationofsouthkoreaacrosssectionalstudyusingthenationalhealthandnutritionexaminationsurveys AT sangminpark prevalenceofchroniclowbackpainanditsassociatedfactorsinthegeneralpopulationofsouthkoreaacrosssectionalstudyusingthenationalhealthandnutritionexaminationsurveys |