功能障碍调解了腰部疼痛和睡眠障碍之间的关联:来自日本一项基于人口的研究的证据
Soya Kawabata1,2, Noriaki Kurita2,3, Takuya Nikaido2,4
1Department of Orthopaedic Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Spine
|February 16, 2026
概括
腰部疼痛残疾,而不是疼痛强度,与成人睡眠障碍有显著的相关性. 心理困扰也独立地预测失眠,突出了影响生活质量的因素的复杂相互作用.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 睡眠障碍和腰部疼痛 (LBP) 是普遍存在的全球健康问题.
- 它们频繁的同时出现会对生活质量产生负面影响.
- 现有的研究对LBP和与疼痛相关的残疾同时评估的基于人口的数据有限.
研究的目的:
- 调查睡眠障碍与腰部疼痛 (LBP) 之间的关联.
- 检查睡眠障碍与与疼痛有关的残疾之间的关系.
- 在日本社区人口中探索这些关联.
主要方法:
- 一项横截面研究分析了2,186名成年人 (年龄在20-90岁) 的数据.
- 使用雅典失眠量表 (AIS) 测量睡眠障碍.
- 腰部疼痛 (LBP) 和残疾使用修改后的奥斯威斯特残疾指数 (mODI) 进行评估;心理困扰被测量为凯斯勒心理困扰量表 (K6).
主要成果:
- 腰痛的患病率为14.9%,睡眠障碍的患病率为29.7%.
- 睡眠障碍与较高的LBP相关残疾 (mODI) 和心理痛苦 (K6) 有显著的关联.
- 腰痛和睡眠障碍之间的关联是由残疾介导的,疼痛强度和坐姿限制显示出与失眠的最强相关性.
结论:
- 与腰部疼痛相关的残疾,而不是疼痛严重程度,是与睡眠障碍相关的关键因素.
- 心理压力是失眠的独立预测因素.
- 研究结果强调了解决残疾和心理因素在LBP患者睡眠障碍管理中的重要性.
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