Thorsten Meyer1, James Cooper, Heiner Raspe. 1. Institute of Social Medicine, Medical University Schleswig-Holstein, Campus Luebeck, Luebeck, Germany. thorsten.meyer@sozmed.uni-luebeck.de
Abstract
STUDY DESIGN: Analytic cross-sectional and cohort study. OBJECTIVE: This study examines the prevalence and associations of low back pain (LBP) and depressive symptoms in a large population of elderly (65+), community-dwelling subjects. SUMMARY OF BACKGROUND DATA: In adults, depression has been identified as predictive for LBP, while depression has also been found to be a possible consequence of LBP. METHODS: Data of the Health Outcomes Survey that include a baseline (N = 91,347) and a follow-up survey (N = 55,690) after 2 years were analyzed cross-sectionally and prospectively. Degree of depressive symptoms and disabling LBP were described at both time points, as well as their interrelationships. An ordinal logistic regression analysis was performed to model the effects of different sociodemographic, clinical, and functional variables on LBP and depressive symptoms after 2 years. RESULTS: Depressive symptoms were found in about 20% of the sample. Baseline depression symptoms increased the odds of disabling LBP after 2 years independently of sociodemographic characteristics, medical, and functional status. Disabling LBP at baseline increased the odds of depressive symptoms after 2 years to a similar degree. CONCLUSION: Among community-dwelling elderly persons, depressive symptoms and disabling LBP are widespread. Depressive symptoms predict disabling LBP and vice versa. The set of predictors and their extent of contribution to the prognosis are strikingly similar. Research is warranted to identify possible common pathogenic mechanisms or mediating factors.
STUDY DESIGN: Analytic cross-sectional and cohort study. OBJECTIVE: This study examines the prevalence and associations of low back pain (LBP) and depressive symptoms in a large population of elderly (65+), community-dwelling subjects. SUMMARY OF BACKGROUND DATA: In adults, depression has been identified as predictive for LBP, while depression has also been found to be a possible consequence of LBP. METHODS: Data of the Health Outcomes Survey that include a baseline (N = 91,347) and a follow-up survey (N = 55,690) after 2 years were analyzed cross-sectionally and prospectively. Degree of depressive symptoms and disabling LBP were described at both time points, as well as their interrelationships. An ordinal logistic regression analysis was performed to model the effects of different sociodemographic, clinical, and functional variables on LBP and depressive symptoms after 2 years. RESULTS:Depressive symptoms were found in about 20% of the sample. Baseline depression symptoms increased the odds of disabling LBP after 2 years independently of sociodemographic characteristics, medical, and functional status. Disabling LBP at baseline increased the odds of depressive symptoms after 2 years to a similar degree. CONCLUSION: Among community-dwelling elderly persons, depressive symptoms and disabling LBP are widespread. Depressive symptoms predict disabling LBP and vice versa. The set of predictors and their extent of contribution to the prognosis are strikingly similar. Research is warranted to identify possible common pathogenic mechanisms or mediating factors.
Authors: Diogo Carvalho Felício; José E Filho; Túlio M D de Oliveira; Daniele S Pereira; Vitor T M Rocha; Juliana M M Barbosa; Marcella Guimarães Assis; Carla Malaguti; Leani S M Pereira Journal: Arch Orthop Trauma Surg Date: 2021-05-21 Impact factor: 3.067
Authors: Maria Carmen Viana; Carmen C W Lim; Flavia Garcia Pereira; Sergio Aguilar-Gaxiola; Jordi Alonso; Ronny Bruffaerts; Peter de Jonge; Jose Miguel Caldas-de-Almeida; Siobhan O'Neill; Dan J Stein; Ali Al-Hamzawi; Corina Benjet; Graça Cardoso; Silvia Florescu; Giovanni de Girolamo; Josep Maria Haro; Chiyi Hu; Viviane Kovess-Masfety; Daphna Levinson; Marina Piazza; José Posada-Villa; Daniel Rabczenko; Ronald C Kessler; Kate M Scott Journal: J Pain Date: 2017-10-12 Impact factor: 5.820
Authors: Timothy S Carey; Janet K Freburger; George M Holmes; Liana Castel; Jane Darter; Robert Agans; William Kalsbeek; Anne Jackman Journal: Spine (Phila Pa 1976) Date: 2009-04-01 Impact factor: 3.468