Back pain and restricted daily physical activity in the Spanish adult population
Keywords:
dolor de espalda, discapacidad, actividad física, Encuesta Nacional de SaludAbstract
Background. Low back pain is a widespread health problem that affects a great part of the Spanish adult population; it also places a constraint on developing activities of daily living. The aim of this paper is to estimate the association between daily physical activity and chronic back pain in Spain. Material and methods. This paper analyses data from the European Health Survey in Spain 2009; it presents a cross sectional epidemiological study designed to assess the health of the Spanish population, in which 22,188 people participated (10,876 men and 11,312 women over 16 years ), representative of the total Spanish population. The variables studied are: back pain indicators obtained from the European Health Status Module and the European Health Care Module included in this survey, and the daily physical activity pattern obtained from the European Module of Health Determinants. Results. The total volume of daily physical activity is similar in healthy people and those who have back pain, but a pattern of low or moderate intensity in people with chronic back pain in the last twelve months (p <0.01) was observed with greater frequency. Conclusions. People with chronic back pain do not show a lower volume of physical activity, but their physical activity pattern is often low or moderate. Developing a vigorous pattern of physical activity should be considered not only as a strategy to prevent this disease, but also as a therapeutic target in these patients.Downloads
References
1. SALVANS MM, GONZÁLEZ-VIEJO MA. Incapacidad laboral por dolor lumbar en España de 2000 a 2004. Med Clin (Barc) 2008; 131: 319.
https://doi.org/10.1016/S0025-7753(08)72267-X
2. RULL M. Abordaje multidisciplinar del dolor de espalda. Rev Soc Esp Dolor 2004; 11: 119-121.
3. GONZÁLEZ VIEJO MA, CONDÓN HUERTA MJ. Incapacidad por dolor lumbar en España. Med Clin (Barc) 2000; 114: 491-492.
https://doi.org/10.1016/S0025-7753(00)71342-X
4. BOSCH F, BAÑOS JE. Las repercusiones económicas del dolor en España. Med Clin (Barc) 2000; 115: 639.
https://doi.org/10.1016/S0025-7753(00)71646-0
5. VON KORFF M, SAUNDERS K. The course of back pain in primary care. Spine 1996; 21: 2833-2839.
https://doi.org/10.1097/00007632-199612150-00004
6. VAN WEERING M, VOLLENBROEK-HUTTEN MM, KOTTE EM, HERMENS HJ. Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil 2007; 21: 1007-1023.
https://doi.org/10.1177/0269215507078331
7. SITTHIPORNVORAKUL E, JANWANTANAKUL P, PUREPONG N, PENSRI P, VAN DER BEEK AJ. The association between physical activity and neck and low back pain: a systematic review. Eur Spine J 2011; 20: 677-689.
https://doi.org/10.1007/s00586-010-1630-4
8. HENEWEER H, STAES F, AUFDEMKAMPE G, VAN RIJN M, VANHEES L. PHYSICAL activity and low back pain: a systematic review of recent literature. Eur Spine J 2011; 20: 826-845.
https://doi.org/10.1007/s00586-010-1680-7
9. LIN CW, MCAULEY JH, MACEDO L, BARNETT DC, SMEETS RJ, VERBUNT JA. Relationship between physical activity and disability in low back pain: a systematic review and meta-analysis. Pain 2011; 152: 607-613.
https://doi.org/10.1016/j.pain.2010.11.034
10. HENDRICK P, MILOSAVLJEVIC S, HALE L, HURLEY DA, MCDONOUGH S, RYAN B, BAXTER GD. The relationship between physical activity and low back pain outcomes: a systematic review of observational studies. Eur Spine J 2011; 20 : 464-474.
https://doi.org/10.1007/s00586-010-1616-2
11. HALLAL PC, VICTORA CG. Reliability and validity of the International Physical Activity Questionnaire (IPAQ). Med Sci Sports Exerc 2004 Mar; 36: 556.
https://doi.org/10.1249/01.MSS.0000117161.66394.07
12. UNESCO International standard classification of education (ISCED). Paris: UNESCO; 1976.
13. VLAEYEN JWS, KOLE-SNIJDERS AMJ, BOEREN RGB, VAN EEK H. FEAR OF MOVEMENT/(RE)injury in chronic low back pain and its relation to behavioral performance. Pain 1995; 62: 363-372.
https://doi.org/10.1016/0304-3959(94)00279-N
14. BOUSEMA EJ, VERBUNT JA, SEELEN HA, VLAEYEN JW, KNOTTNERUS JA. Disuse and physical deconditioning in the first year after the onset of back pain. Pain 2007; 130: 279-286.
https://doi.org/10.1016/j.pain.2007.03.024
15. HENDRICK P, MILOSAVLJEVIC S, BELL ML, HALE L, HURLEY DA, MCDONOUGH SM, MELLOH M, BAXTER DG. Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study. BMC Musculoskelet Disord 2009; 10: 136
https://doi.org/10.1186/1471-2474-10-136
16. HUIJNEN IP, VERBUNT JA, ROELOFS J, GOOSSENS M, PETERS M. The disabling role of fluctuations in physical activity in patients with chronic low back pain. Eur J Pain 2009;13: 1076-1079.
https://doi.org/10.1016/j.ejpain.2008.12.008
17. VERBUNT JA. Reliability and validity of the PAD questionnaire: a measure to assess pain-related decline in physical activity. J Rehabil Med 2008; 40: 9-14.
https://doi.org/10.2340/16501977-0126
18. IZQUIERDO M, MARTÍNEZ-RAMÍREZ A, LARRIÓN JL, IRUJO-ESPINOSA M, GÓMEZ M. Valoración de la capacidad funcional en el ámbito domiciliario y en la clínica. Nuevas posibilidades de aplicación de la acelerometría para la valoración de la marcha, equilibrio y potencia muscular en personas mayores. An Sist Sanit Navar 2008; 31:159-170.
https://doi.org/10.4321/S1137-66272008000300006
19. GIBALA MJ, MCGEE SL. Metabolic adaptations to short-term high-intensity interval training: a little pain for a lot of gain? Exerc Sport Sci Rev 2008; 36: 58-63.
https://doi.org/10.1097/JES.0b013e318168ec1f
20. BAUMAN A, AINSWORTH BE, SALLIS JF, HAGSTRÖMER M, CRAIG CL, BULL FC, et al; IPS GROUP. The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med 2011; 41: 228-235.
https://doi.org/10.1016/j.amepre.2011.05.003
21. SALMON J, OWEN N, CRAWFORD D, BAUMAN A, SALLIS JF. Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference. Health Psychol 2003; 22: 178-188.
https://doi.org/10.1037/0278-6133.22.2.178
22. DE LA CRUZ-SÁNCHEZ E, MORENO-CONTRERAS MI, PINO-ORTEGA J, MARTÍNEZ-SANTOS R. Actividad física durante el tiempo libre y su relación con algunos indicadores de salud mental en España. Salud Mental 2011; 34: 45-52.
23. HUIJNEN IP, VERBUNT JA, PETERS ML, DELESPAUL P, KINDERMANS HP, ROELOFS J et al. Do depression and pain intensity interfere with physical activity in daily life in patients with Chronic Low Back Pain? Pain 2010; 150:161-166.
https://doi.org/10.1016/j.pain.2010.04.021
24. LECLERC A, GOURMELEN J, CHASTANG JF, PLOUVIER S, NIEDHAMMER I, LANOË JL. Level of education and back pain in France: the role of demographic, lifestyle and physical work factors. Int Arch Occup Environ Health 2009; 82: 643-652.
https://doi.org/10.1007/s00420-008-0375-4
25. HOOGENDOORN WE, VAN POPPEL MN, BONGERS PM, KOES BW, BOUTER LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine 2000; 25: 2114-2125.
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