Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

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• 作者：Sanna K??ri? (1) (3)
  Juhani Kirjonen (2)
  Risto Telama (2)
  Leena Kaila-Kangas (1)
  P?ivi Leino-Arjas (1)
  
• 关键词：Back disorders ; Hospitalization ; Leisure time physical activity ; Prospective study
• 刊名：European Spine Journal
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：23
• 期：3
• 页码：508-511
• 全文大小：187 KB
• 参考文献：1. Hayden JA, van Tulder MW, Malmivaara AV, Koes BW (2005) Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med 1429:765-75 CrossRef
  2. Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM (1999) Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health 25:387-03 CrossRef
  3. Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L (2011) Physical activity and low back pain: a systematic review of recent literature. Eur Spine J 20:826-45 CrossRef
  4. Henchoz Y, Kai-Lik So A (2008) Exercise and nonspecific low back pain: a literature review. Jt Bone Spine 75:533-39 CrossRef
  5. Heli?vaara M, Knekt P, Aromaa A (1987) Incidence and risk factors of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis 40:251-58 CrossRef
  6. Kaila-Kangas L, Leino-Arjas P, Riihim?ki H, Luukkonen R, Kirjonen J (2003) Smoking and overweight as predictors of hospitalization for back disorders. Spine (Phila Pa 1976) 28:1860-868 CrossRef
  7. Sorensen IG, Jacobsen P, Gyntelberg F, Suadicani P (2011) Occupational and other predictors of herniated lumbar disc disease-a 33-year follow-up in the copenhagen male study. Spine (Phila Pa 1976) 36:1541-546 CrossRef
  8. Kirjonen J, Telama R, Luukkonen R, K??ri? S, Kaila-Kangas L, Leino-Arjas P (2006) Stability and prediction of physical activity in 5-, 10-, and 28-year follow-up studies among industrial employees. Scand J Med Sci Sports 16:201-08 CrossRef
  9. Heneweer H, Picavet HS, Staes F, Kiers H, Vanhees L (2012) Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population. Eur Spine J 21:1265-272 CrossRef
  10. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW et al (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380:258-71 CrossRef
  
• 作者单位：Sanna K??ri? (1) (3)
  Juhani Kirjonen (2)
  Risto Telama (2)
  Leena Kaila-Kangas (1)
  P?ivi Leino-Arjas (1)
  
  1. Finnish Institute of Occupational Health, Helsinki, Finland
  3. Tiet?j?nkatu 28, FI-53100, Lappeenranta, Finland
  2. University of Jyv?skyl?, Jyv?skyl?, Finland
  
• ISSN：1432-0932

文摘

Study design Prospective cohort study. Objective To study the associations between strenuous leisure time physical activity (LTPA) and subsequent hospitalization due to back disorders. Summary of background data Socioeconomic and lifestyle factors are associated with back-related hospitalization, but the significance of strenuous LTPA in the working population is unclear. Methods The cohort (n?=?902) was drawn from among employees in the metal industry (n?=?2,653). Data were collected by a questionnaire and a structured interview on LTPA. Activity regarding strenuous (>500?kcal/h) LTPA was categorized as none, some, and high. Information from national registers on hospitalizations and deaths during 28?years of follow-up was linked to the data. Cox proportional hazards regression was used. Results Subjects with a high level of strenuous LTPA had a decreased risk of hospitalization due to back disorders (hazard ratio 0.40; 95?% CI 0.21-.79) compared with persons with no strenuous activity, after adjustment for age and gender. The association persisted (0.48; 0.24-.96) when further adjusted for occupational class, self-reported back diseases, smoking, and body mass index at baseline. Conclusion Strenuous LTPA decreased the risk of inpatient hospital care for back disorders among industrial employees.