Journal of pain research · 2025
Severe Neck and Low Back Pain Predicts Severe Pain 5 Years Later in Older Men: A Cohort Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Damm Henrik, Rosengren Björn E, Jehpsson Lars, Ohlsson Claes, Ribom Eva L, Mellström Dan, Karlsson Magnus K
Аннотация
PURPOSE: To describe the prevalence of neck pain (NP) and low back pain (LBP) of varying severity in older community-dwelling men, identify associated factors, and evaluate whether prevalent NP/LBP are risk factors for experiencing pain 5 years later.
PATIENTS AND METHODS: MrOS Sweden is a prospective observational study that included 3014 community-dwelling men aged 69-81 years, of whom 1962 attended a 5-year follow-up. NP/LBP were assessed based on 1-year prevalence (yes/no), pain severity (none, mild, moderate, severe), and the presence of radicular pain with or without motor deficits (yes/no), at both baseline and follow-up.
RESULTS: At baseline, the 1-year prevalence for having either NP, LBP, or both was 55%. The 1-year prevalence for NP was 29% and for LBP 45%. Among men with NP, 18% reported severe pain, while 17% of men with LBP reported severe pain. Men with NP at baseline had a relative risk (RR) of 4.0 (95% CI: 3.4-4.6) for reporting NP 5 years later, compared to men without NP at baseline. Men with severe NP had an RR of 10.7 (95% CI: 7.5-15.1) for reporting severe NP 5 years later, compared to men without severe NP at baseline. The corresponding RRs for LBP were 2.8 (95% CI: 2.5-3.1) and 6.5 (95% CI: 4.9-8.6). Poor self-rated health and dizziness were associated with NP/LBP at both time points, while smoking was associated with lower risk of NP.
CONCLUSION: More than half of community-dwelling men aged 69-81 experience pain in the spinal region during a year (nearly one-third NP and just below half LBP). The majority experience only mild to moderate pain. Baseline pain, especially severe pain, strongly predicts pain 5 years later, and associated factors may help identify high-risk groups suitable for targeted interventions.
PATIENTS AND METHODS: MrOS Sweden is a prospective observational study that included 3014 community-dwelling men aged 69-81 years, of whom 1962 attended a 5-year follow-up. NP/LBP were assessed based on 1-year prevalence (yes/no), pain severity (none, mild, moderate, severe), and the presence of radicular pain with or without motor deficits (yes/no), at both baseline and follow-up.
RESULTS: At baseline, the 1-year prevalence for having either NP, LBP, or both was 55%. The 1-year prevalence for NP was 29% and for LBP 45%. Among men with NP, 18% reported severe pain, while 17% of men with LBP reported severe pain. Men with NP at baseline had a relative risk (RR) of 4.0 (95% CI: 3.4-4.6) for reporting NP 5 years later, compared to men without NP at baseline. Men with severe NP had an RR of 10.7 (95% CI: 7.5-15.1) for reporting severe NP 5 years later, compared to men without severe NP at baseline. The corresponding RRs for LBP were 2.8 (95% CI: 2.5-3.1) and 6.5 (95% CI: 4.9-8.6). Poor self-rated health and dizziness were associated with NP/LBP at both time points, while smoking was associated with lower risk of NP.
CONCLUSION: More than half of community-dwelling men aged 69-81 experience pain in the spinal region during a year (nearly one-third NP and just below half LBP). The majority experience only mild to moderate pain. Baseline pain, especially severe pain, strongly predicts pain 5 years later, and associated factors may help identify high-risk groups suitable for targeted interventions.