Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake

Abstract Background Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on the development of LBP are not clear. The purpose of this study was to elucidat...

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Main Authors: Yutaka Yabe, Yoshihiro Hagiwara, Takuya Sekiguchi, Yumi Sugawara, Masahiro Tsuchiya, Shinichirou Yoshida, Yasuhito Sogi, Toshihisa Yano, Takahiro Onoki, Tadahisa Takahashi, Jun Iwatsu, Ichiro Tsuji, Eiji Itoi
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Musculoskeletal Disorders
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Online Access:http://link.springer.com/article/10.1186/s12891-020-03234-0
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author Yutaka Yabe
Yoshihiro Hagiwara
Takuya Sekiguchi
Yumi Sugawara
Masahiro Tsuchiya
Shinichirou Yoshida
Yasuhito Sogi
Toshihisa Yano
Takahiro Onoki
Tadahisa Takahashi
Jun Iwatsu
Ichiro Tsuji
Eiji Itoi
author_facet Yutaka Yabe
Yoshihiro Hagiwara
Takuya Sekiguchi
Yumi Sugawara
Masahiro Tsuchiya
Shinichirou Yoshida
Yasuhito Sogi
Toshihisa Yano
Takahiro Onoki
Tadahisa Takahashi
Jun Iwatsu
Ichiro Tsuji
Eiji Itoi
author_sort Yutaka Yabe
collection DOAJ
description Abstract Background Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on the development of LBP are not clear. The purpose of this study was to elucidate the association of musculoskeletal pain in other body sites with new-onset LBP among survivors of the Great East Japan Earthquake (GEJE). Methods A longitudinal study was conducted with survivors of the GEJE. The survivors who did not have LBP at the 3 year time period after the GEJE were followed up 1 year later (n = 1782). Musculoskeletal pain, such as low back, hand and/or foot, knee, shoulder, and neck pain, were assessed with self-reported questionnaires. The outcome of interest was new-onset LBP, which was defined as LBP absent at 3 years but present at 4 years after the disaster. The main predictor was musculoskeletal pain in other body sites 3 years after the GEJE, which was categorized according to the number of pain sites (0, 1, ≥ 2). Multiple regression analyses were performed to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset LBP due to musculoskeletal pain in other body sites. Results The incidence of new-onset LBP was 14.1% (251/1782). Musculoskeletal pain in other body sites was significantly associated with new-onset LBP. Including people without other musculoskeletal pain as a reference, the adjusted OR and 95% CI for new-onset LBP were 1.73 (1.16–2.57) for people with one musculoskeletal pain site and 3.20 (2.01–5.09) for people with ≥ 2 sites (p <  0.001). Conclusions Preexisting musculoskeletal pain in other body sites was associated with new-onset LBP among survivors in the recovery period after the GEJE.
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spelling doaj.art-cf9c8a266d9c4f71a6379d24665007612022-12-22T03:03:42ZengBMCBMC Musculoskeletal Disorders1471-24742020-04-012111810.1186/s12891-020-03234-0Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquakeYutaka Yabe0Yoshihiro Hagiwara1Takuya Sekiguchi2Yumi Sugawara3Masahiro Tsuchiya4Shinichirou Yoshida5Yasuhito Sogi6Toshihisa Yano7Takahiro Onoki8Tadahisa Takahashi9Jun Iwatsu10Ichiro Tsuji11Eiji Itoi12Department of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University Graduate School of Public HealthDepartment of Nursing, Faculty of Health Science, Tohoku Fukushi UniversityDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University Graduate School of Public HealthDepartment of Orthopaedic Surgery, Tohoku University School of MedicineAbstract Background Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on the development of LBP are not clear. The purpose of this study was to elucidate the association of musculoskeletal pain in other body sites with new-onset LBP among survivors of the Great East Japan Earthquake (GEJE). Methods A longitudinal study was conducted with survivors of the GEJE. The survivors who did not have LBP at the 3 year time period after the GEJE were followed up 1 year later (n = 1782). Musculoskeletal pain, such as low back, hand and/or foot, knee, shoulder, and neck pain, were assessed with self-reported questionnaires. The outcome of interest was new-onset LBP, which was defined as LBP absent at 3 years but present at 4 years after the disaster. The main predictor was musculoskeletal pain in other body sites 3 years after the GEJE, which was categorized according to the number of pain sites (0, 1, ≥ 2). Multiple regression analyses were performed to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset LBP due to musculoskeletal pain in other body sites. Results The incidence of new-onset LBP was 14.1% (251/1782). Musculoskeletal pain in other body sites was significantly associated with new-onset LBP. Including people without other musculoskeletal pain as a reference, the adjusted OR and 95% CI for new-onset LBP were 1.73 (1.16–2.57) for people with one musculoskeletal pain site and 3.20 (2.01–5.09) for people with ≥ 2 sites (p <  0.001). Conclusions Preexisting musculoskeletal pain in other body sites was associated with new-onset LBP among survivors in the recovery period after the GEJE.http://link.springer.com/article/10.1186/s12891-020-03234-0Great East Japan EarthquakeLow back painMusculoskeletal painNatural disaster
spellingShingle Yutaka Yabe
Yoshihiro Hagiwara
Takuya Sekiguchi
Yumi Sugawara
Masahiro Tsuchiya
Shinichirou Yoshida
Yasuhito Sogi
Toshihisa Yano
Takahiro Onoki
Tadahisa Takahashi
Jun Iwatsu
Ichiro Tsuji
Eiji Itoi
Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
BMC Musculoskeletal Disorders
Great East Japan Earthquake
Low back pain
Musculoskeletal pain
Natural disaster
title Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
title_full Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
title_fullStr Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
title_full_unstemmed Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
title_short Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake
title_sort musculoskeletal pain in other body sites is associated with new onset low back pain a longitudinal study among survivors of the great east japan earthquake
topic Great East Japan Earthquake
Low back pain
Musculoskeletal pain
Natural disaster
url http://link.springer.com/article/10.1186/s12891-020-03234-0
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