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Low back pain and subsequent cardiovascular mortality

M Heliövaara1, M Mäkelä, A Aromaa

  • 1Social Insurance Institution, Helsinki, Finland.

Spine
|October 1, 1995
PubMed
Summary

Low back pain does not appear to impact longevity or predict mortality from cardiovascular disease. This study found no link between chronic low back pain and an increased risk of death, challenging existing hypotheses.

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Area of Science:

  • Epidemiology
  • Public Health
  • Cardiovascular Research

Background:

  • Associations between smoking, cardiovascular diseases, and low back pain suggest atherosclerosis may contribute to low back pain.
  • A nationally representative sample of 7217 individuals aged over 29 participated in the Mini-Finland Health Examination Survey.
  • A history of low back pain was reported by 76% of participants, with 17% diagnosed with chronic low back pain.

Purpose of the Study:

  • To investigate the predictive value of low back pain for all-cause mortality.
  • To determine if low back pain predicts mortality specifically from cardiovascular disease.
  • To test the hypothesis linking atherosclerosis to low back pain and cardiovascular mortality.

Main Methods:

  • Prospective cohort study utilizing data from the Mini-Finland Health Examination Survey (1978-1980).

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  • Follow-up data on mortality and causes of death collected until the end of 1991.
  • Analysis of mortality prediction based on history of low back pain and diagnosed chronic low back pain.

    • Main Results:

    • A total of 1487 deaths occurred by the end of 1991.
    • 815 deaths were attributed to cardiovascular disease, and 501 to coronary heart disease.
    • Neither a history of back complaints nor chronic low back pain predicted mortality from any cause or cardiovascular disease.

    Conclusions:

    • Low back pain does not appear to influence longevity.
    • Findings contradict the hypothesis that atherosclerosis, leading to cardiovascular death, is etiologically linked to low back pain.
    • The study suggests that low back pain is not a predictor of mortality.