2026, Número 1
<< Anterior
Rev Mex Med Fis Rehab 2026; 38 (1)
Prevalencia de lumbalgia y su relación con discapacidad en población adulta de una comunidad hondureña
Henriquez J, González E, Martínez LT, Cubas VN, Elpidio SJ, Galeas JM, Maradiaga EJ
Idioma: Portugués
Referencias bibliográficas: 33
Paginas: 28-35
Archivo PDF: 932.23 Kb.
RESUMEN
Introducción: el objetivo de este estudio fue determinar la prevalencia del dolor lumbar (DL), la discapacidad resultante y los factores asociados en Jacaleapa, Honduras.
Material y métodos: se realizó un estudio descriptivo transversal con análisis de asociación. El estudio utilizó un muestreo por etapas y una selección aleatoria de pacientes mayores de 18 años. Se emplearon el índice de discapacidad de Oswestry y la encuesta abreviada de 12 ítems para evaluar la discapacidad y la calidad de vida.
Resultados: se obtuvieron 311 participantes, mediana 47 años (RIC:35.0-61.0), 173 mujeres (55.6%). Prevalencia de DL 57.9% (180/311, IC95% 52.3-63.3), 140 (77.8%) personas con discapacidad asociada, 44 (30.6%) grado moderado-severo. Se encontró asociación con ser mujer (OR:2.4, IC95%1.1-5.4), edad ≥ 50 años (OR:4.2, IC95%1.8-10.0), casado/unión libre (OR:5.2, IC95%2.3-11.9), y postura sedente inadecuada (OR:3.4, IC95%1.5-7.8). Las personas con discapacidad por lumbalgia presentaron mayor índice de masa corporal y permanecen ≥ 4 horas sentadas, (p < 0.05). El puntaje en el dominio físico de calidad de vida fue 44.3 (RIC:35.9-50.7).
Conclusión: la comunidad estudiada presenta una alta prevalencia de DL y discapacidad asociada. Por lo tanto, se recomienda desarrollar estrategias multimodales de prevención y tratamiento.
REFERENCIAS (EN ESTE ARTÍCULO)
Urits I, Burshtein A, Sharma M et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain Headache Rep. 2019; 23 (3): 23. doi: 10.1007/s11916-019-0757-1.
Stewart WJ, Ng N, Peltzer K et al. Risk factors and disability associated with low back pain in older adults in low- and middle-income countries. Results from the WHO Study on Global AGEing and Adult Health (SAGE). PLoS One. 2015; 10 (6): e0127880. doi: 10.1371/journal.pone.0127880.
Shiri R, Falah-Hassani K, Heliovaara M et al. Risk factors for low back pain: a population-based longitudinal study. Arthritis Care Res (Hoboken). 2019; 71 (2): 290-299. doi: 10.1002/acr.23710.
Vlaeyen JWS, Maher CG, Wiech K et al. Low back pain. Nat Rev Dis Primers. 2018; 4 (1): 52. doi: 10.1038/s41572-018-0052-1.
GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023; 5 (6): e316-e329. doi: 10.1016/S2665-9913(23)00098-X.
Hoy D, Bain C, Williams G et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012; 64 (6): 2028-2037. doi: 10.1002/art.34347.
Garcia JB, Hernandez-Castro JJ, Nunez RG, Pazos MA, Aguirre JO, Jreige A, Delgado W, Serpentegui M, Berenguel M, Cantemir C. Prevalence of low back pain in Latin America: a systematic literature review. Pain Physician. 2014; 17 (5): 379-391.
Von Elm E, Altman DG, Egger M et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61 (4): 344-349. doi: 10.1016/j.jclinepi.2007.11.008.
Ministry of the Interior J and D. Municipal Profile Jacaleapa Municipal Development Index, El Paraíso. 2022.
Fairbank JC, Pynsent PB. The oswestry disability index. Spine (Phila Pa 1976). 2000; 25 (22): 2940-2952; discussion 2952. doi: 10.1097/00007632-200011150-00017.
Ware JE, Kosinsky M, Keller SD. SF? 12: How to score the SF? 12 physical and mental health summary scales. Boston, MA: The Health Institute, New England Medical Center; Second Edition. 1995.
World Health Organization. International Classification of Functioning, Disability and Health. Madrid, Spain; 2001.
Ghafouri M, Teymourzadeh A, Nakhostin-Ansari A et al. Prevalence and predictors of low back pain among the Iranian population: Results from the Persian cohort study. Ann Med Surg (Lond). 2022; 74: 103243. doi: 10.1016/j.amsu.2022.103243.
Miller D, Hasan K, Kirk A et al. Prevalence and characteristics of low back pain in a rural ghana primary care clinic population. PM R. 2020; 12 (3): 251-256. doi: 10.1002/pmrj.12245.
Alonso-García M, Sarría-Santamera A. The economic and social burden of low back pain in Spain: a national assessment of the economic and social impact of low back pain in Spain. Spine (Phila Pa 1976). 2020; 45 (16): E1026-E1032. doi: 10.1097/BRS.0000000000003476.
Gonzalez GZ, da Silva T, Avanzi MA et al. Low back pain prevalence in Sao Paulo, Brazil: a cross-sectional study. Braz J Phys Ther. 2021; 25 (6): 837-845. doi: 10.1016/j.bjpt.2021.07.004.
Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeao SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020; 24 (1): 79-87. doi: 10.1016/j.bjpt.2019.01.012.
Caiza Castro KE, Cifuentes Garcés KS, Grijalva Grijalva IO, Moran Lazo AR, Briones Fajardo DT. Prevalence of musculoskeletal disorders in patients attending the Health Center of the province of Guayas. Vive Magazine. 2022; 5: 909-917. doi: 10.33996/revistavive.v5i15.197.
Emorinken A, Erameh CO, Akpasubi BO, Dic-Ijiewere MO, Ugheoke AJ. Epidemiology of low back pain: frequency, risk factors, and patterns in South-South Nigeria. Reumatologia. 2023; 61 (5): 360-367. doi: 10.5114/reum/173377.
Baig AAM, Ansari B, Ahmed SI, Ishaque F, Farooqui WA. Association of demographics, lumbar active range of motion and disability in chronic low back: a baseline data analysis of a randomized controlled trial from Pakistan. BMC Musculoskelet Disord. 2024; 25 (1): 489. doi: 10.1186/s12891-024-07613-9.
Feldman DE, Nahin RL. Disability among persons with chronic severe back pain: results from a nationally representative population-based sample. J Pain. 2022; 23 (12): 2144-2154. doi: 10.1016/j.jpain.2022.07.016.
Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord. 2017; 12: 14. doi: 10.1186/s13013-017-0121-3.
Allison KF, Keenan KA, Sell TC et al. Musculoskeletal, biomechanical, and physiological gender differences in the US military. US Army Med Dep J. 2015: 22-32.
Gulati M, Dursun E, Vincent K, Watt FE. The influence of sex hormones on musculoskeletal pain and osteoarthritis. Lancet Rheumatol. 2023; 5 (4): e225-e238.
Tavares C, Salvi CS, Nisihara R, Skare T. Low back pain in Brazilian medical students: a cross-sectional study in 629 individuals. Clin Rheumatol. 2019; 38 (3): 939-942. doi: 10.1007/s10067-018-4323-8.
Gupta N, Christiansen CS, Hallman DM, Korshoj M, Carneiro IG, Holtermann A. Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study. PLoS One. 2015; 10 (3): e0121159. doi: 10.1371/journal.pone.0121159.
Sany SA, Tanjim T, Hossain MI. Low back pain and associated risk factors among medical students in Bangladesh: a cross-sectional study. F1000Res. 2021; 10: 698. doi: 10.12688/f1000research.55151.3.
Sirbu E, Onofrei RR, Szasz S, Susan M. Predictors of disability in patients with chronic low back pain. Arch Med Sci. 2020; 19 (1): 94-100. doi: 10.5114/aoms.2020.97057.
Lucha-López MO, Hidalgo-García C, Monti-Ballano S et al. Body mass index and its influence on chronic low back pain in the spanish population: a secondary Analysis from the European Health Survey (2020). Biomedicines. 2023; 11 (8): 2175. doi: 10.3390/biomedicines11082175.
Chin SH, Huang WL, Akter S, Binks M. Obesity and pain: a systematic review. Int J Obes (Lond). 2020; 44 (5): 969-979. doi: 10.1038/s41366-019-0505-y.
Iguti AM, Guimarães M, Barros MBA. Health-related quality of life (SF-36) in back pain: a population-based study, Campinas, São Paulo State, Brazil. Cad Saude Publica. 2021; 37 (2): e00206019. doi: 10.1590/0102-311X00206019.
Mroczek B, Lubkowska W, Jarno W, Jaraczewska E, Mierzecki A. Occurrence and impact of back pain on the quality of life of healthcare workers. Ann Agric Environ Med. 2020; 27 (1): 36-42. doi: 10.26444/aaem/115180.
Hnatesen D, Pavic R, Rados I et al. Quality of life and mental distress in patients with chronic low back pain: a cross-sectional study. Int J Environ Res Public Health. 2022; 19 (17): 10657. doi: 10.3390/ijerph191710657.