Low back pain and comorbidity in women
Objective. To assess association of low back pain (LBP) in women with hypertension (H), coronary heart disease (CHD), chronic heart failure (CHF), vascular incidents, carbohydrate metabolism disturbances, osteoarthritis (OA), osteoporosis (OP), digestive tract diseases, depression and anxiety. Material and methods. 1194 women aged 28 to 64 years (median 51 years |48;55] ) visited an outpatient department were included in the cross-sectional study. Diagnosis was done according to latest national guidelines. Odds ratio (OR) and 95% confidence intervals (Cl) were calculated. Results. 671 cases of LBP were revealed, 523 women did not have back pain. Age and menopausal status did not differ between these groups. LBP group had significantly higher body mass, waist and hips circumferences and more severe menopausal symptoms. LBP was associated with higher frequency of H (OR 1,40; Cl 1,10-1,79), CHD (OR 2,03; Cl 1,373,03), CHF (OR 1,74; Cl 1,35-2,25), OA (OR 2,43; Cl 1,91-3,09), chronic cholecystitis (OR 1,87; Cl 1,46-2,39), depression (OR 1,83; Cl 1,42-2,36) and anxiety (OR 1,69; Cl 1, 33-2,14). No association of LBP with OP was found. Conclusion. LBP is a marker of increased risk of socially important diseases. Pts visited the doctor due to LBP need timely diagnosis and management of comorbidity.