國家衛生研究院 NHRI:Item 3990099045/7479
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/7479


    Title: Associations among low back pain, income, and body mass index in Taiwan
    Authors: Hu, HY;Chen, L;Wu, CY;Chou, YJ;Chen, RC;Huang, N
    Contributors: Division of Health Services and Preventive Medicine
    Abstract: Background context: There is a lack of literature on the association of obesity with low back pain (LBP) in oriental countries. Furthermore, no research has explored whether higher socioeconomic status cushions obesity-related risk of LBP. Purpose: This study aims to investigate the association between obesity and LBP and to investigate the effects of socioeconomic status on this association. Study design: This was a retrospective cohort study using data from Taiwan's 2001 National Health Interview Survey and 2002 to 2004 National Health Insurance claim records. Patient sample: The sample consisted of 12,862 adults who were aged 18 or older in 2001. Outcome measures: Persons with at least one outpatient or inpatient claim record including 724 as a diagnosis code were defined as LBP patients. Results: The estimated risk levels of being overweight (23.0≤body mass index [BMI]<25.0) and of being in Class I of obesity (25.0≤BMI<30.0) were the same (hazard ratio [HR]=1.31), and no statistically significant difference in risk level was detected among persons with different economic levels. Among people in Class II of obesity (BMI≥30.0), the LBP risk levels were different for persons with an economic level in the bottom quintile (defined as the poor) and their better-off counterparts (HR=1.77 vs. 1.24, p<.05). Conclusions: Obesity-related risk of LBP is substantially higher for poor people than for those with higher socioeconomic status. Weight reduction should be promoted as a way to reduce LBP. Because income may serve as a proxy for other variables, the mechanisms underlying the empirical observed associations need to be further explored.
    Date: 2013-11
    Relation: Spine Journal. 2013 Nov;13(11):1521-1526.
    Link to: http://dx.doi.org/10.1016/j.spinee.2013.06.049
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1529-9430&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000327431800022
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84889099036
    Appears in Collections:[Li-Kwang Chen] Periodical Articles

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