Are risk factors for atherothrombotic disease associated with back pain sickness absence ? The whitehall II study.
Study objective-To explore the previously stated hypothesis that risk factors for atherothrombotic disease are associated with back pain.
Design-Prospective (mean of four years of follow up) and retrospective analyses using two main outcome measures : (a) short (<= 7 days) and long (>7 days) spells of sickness absence because of back pain reported separately in men and women ; (b) consistency of effect across the resulting four duration of spell and sex cells.
Setting-14 civil service departments in London Participants-3506 male and 1380 female white office-based civil servants, aged 35-55 years at baseline.
Main results-In age adjusted models, low apo AI was associated with back pain across all four duration-sex cells and smoking was associated across three cells.
Six factors were associated with back pain in two cells : low exercise and high BMI, waist-hip ratio, triglycerides, insulin and Lp (a).
On full adjustment (for age, BMI, employment grade and back pain at baseline), each of these factors retained a statistically significant effect in at least one duration-sex cell.
Triglycerides were associated with short and long spells of sickness absence because of back pain in men in fully adjusted models with rate ratios (95% confidence intervals) of 1.53 (1.1,2.1) and 1.75 (1.0,3.2) respectively. (...)
Mots-clés Pascal : Athérosclérose, Homme, Sexe, Dorsalgie, Association, Facteur risque, Angleterre, Grande Bretagne, Royaume Uni, Europe, Epidémiologie, Prévalence, Absentéisme, Evaluation, Rachis dorsal, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Atherosclerosis, Human, Sex, Dorsalgia, Association, Risk factor, England, Great Britain, United Kingdom, Europe, Epidemiology, Prevalence, Absenteeism, Evaluation, Dorsal spine, Cardiovascular disease, Vascular disease, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0190964
Code Inist : 002B12B01. Création : 16/11/1999.