Association between Hypertension and the Prevalence of Low Back Pain and Osteoarthritis in Koreans: A Cross-Sectional StudyReport as inadecuate




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Background

Hypertension and musculoskeletal disorders are highly prevalent in adult populations. The objective of this study was to investigate the association between hypertension and prevalence of low back pain LBP and osteoarthritis in Koreans.

Methods

A total 17,128 participants age ≥20 years who answered low back pain and osteoarthritis items in the 4th Korean National Health and Nutrition Examination Survey 2007–2009 were analyzed. Odds ratios were calculated using logistic regression and were adjusted for age, sex, income level, education, occupation, BMI, smoking status, alcohol consumption, and physical activity.

Results

Lifetime prevalence of LBP in hypertensive subjects was 34.4%, and that of osteoarthritis 26.2%. LBP prevalence was significantly lower in hypertensives fully adjusted OR 0.79; 95% CI 0.70–0.90, and both LBP and osteoarthritis prevalence was significantly lower in participants with systolic blood pressure ≥140mmHg than those with <120mmHg fully adjusted OR 0.81; 95% CI 0.70–0.94, and 0.81; 95% CI 0.68–0.96, respectively. Prevalence of LBP in subjects with diastolic blood pressure ≥90mmHg was also significantly lower than those with <80mmHg fully adjusted OR 0.73; 95% CI 0.63–0.85. LBP and osteoarthritis prevalence did not differ by systolic or diastolic blood pressure interval in respondents taking antihypertensive medication. LBP and osteoarthritis prevalence increased with longer hypertension duration fully adjusted p for trend 0.028, and 0.0008, respectively.

Conclusions

Hypertension showed an inverse relationship with LBP and osteoarthritis prevalence, which may be ascribed to hypertension-associated hypalgesia, and antihypertensive medication intake and longer hypertension duration attenuated this association.



Author: Young-Hyeon Bae, Joon-Shik Shin, Jinho Lee, Me-riong Kim, Ki Byung Park, Jae-Heung Cho, In-Hyuk Ha

Source: http://plos.srce.hr/



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