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Open Access 01-12-2016 | Research article

Prevalence of lumbar spondylosis and its association with low back pain among community-dwelling Japanese women

Authors: Ritsu Tsujimoto, Yasuyo Abe, Kazuhiko Arima, Takayuki Nishimura, Masato Tomita, Akihiko Yonekura, Takashi Miyamoto, Shohei Matsubayashi, Natsumi Tanaka, Kiyoshi Aoyagi, Makoto Osaki

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Abstract

Background

Lumbar spondylosis is more prevalent among the middle-aged and elderly, but few population-based studies have been conducted, especially in Japan. The purpose of this study was to explore the prevalence of lumbar spondylosis and its associations with low back pain among community-dwelling Japanese women.

Methods

Lateral radiographs of the lumbar spine were obtained from 490 Japanese women ≥ 40 years old, and scored for lumbar spondylosis using the Kellgren-Lawrence (KL) grade at lumbar intervertebral level from L1/2 to L5/S1. Height and weight were measured, and body mass index (BMI) was calculated. Low back pain in subjects was assessed using a self-administered questionnaire. Stiffness index (bone mass) was measured at the calcaneal bone using quantitative ultrasound.

Results

Prevalence of radiographic lumbar spondylosis for KL ≥ 2, KL ≥ 3 and low back pain were 76.7%, 38.8% and 20.0%, respectively. Age was positively associated with radiographic lumbar spondylosis (KL = 2, KL ≥ 3) and low back pain. Greater BMI was associated with lumbar spondylosis with KL = 2, but not with KL ≥ 3. Stiffness index was associated with neither radiographic lumbar spondylosis nor low back pain. Multiple logistic regression analysis identified radiographic lumbar spondylosis (KL ≥ 3) at L3/4, L4/5 and L5/S1 was associated with low back pain, independent of age, BMI and stiffness index.

Conclusion

Severe lumbar spondylosis at the middle or lower level may contribute to low back pain.

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Title: Prevalence of lumbar spondylosis and its association with low back pain among community-dwelling Japanese women
Authors: Ritsu Tsujimoto
Yasuyo Abe
Kazuhiko Arima
Takayuki Nishimura
Masato Tomita
Akihiko Yonekura
Takashi Miyamoto
Shohei Matsubayashi
Natsumi Tanaka
Kiyoshi Aoyagi
Makoto Osaki
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-016-1343-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Prevalence of lumbar spondylosis and its association with low back pain among community-dwelling Japanese women

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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