Lumbar disc degeneration in Thai elderly: a population-based study.
Article
in English
| IMSEAR
| ID: sea-45371
ABSTRACT
OBJECTIVE:
Determine the prevalence and related factors of lumbar disc degeneration in the Thai elderly. MATERIAL ANDMETHOD:
A population-based study was done at Rom Klao community, Bangkok. Seven hundred and ninety-two cases (306 males, and 486 females) out of 1166 elderly people aged > or =50 (mean age of 61.07 +/- 7.8 years) were assessed. The lateral spinal radiographs were interpreted as spondylosis grade 0-3 according to the degree of severity.RESULTS:
Males had more prevalence of grade 2-3 spondylosis than females (58.8% vs. 52.9%), but females had higher prevalence of spinal listhesis (14.4% vs. 8.8%). Age was a strong predicting factor for disc degeneration (OR = 1.088, 95% CI = 1.065-1.111, p = 0.000). Females had more risk to develop spinal listhesis (OR = 1.84, 95% CI = 1.11-3.05, p = 0.020) and low back pain (OR = 1.82, 95% CI = 1.29-2.56, p = 0.001). BMI was a predicting factor for spondylosis (OR = 1.066, 95% CI = 1.02-1.10, p = 0.000). About 27% of the cases reported moderate-severe low back pain and had lower Barthel ADL index (p = 0.018).CONCLUSION:
Lumbar disc degeneration and low back pain were highly prevalent among the Thai elderly. Therefore, they need proper health care for disability prevention.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Quality of Life
/
Spinal Osteophytosis
/
Thailand
/
Severity of Illness Index
/
Aged, 80 and over
/
Aged
/
Female
/
Humans
/
Male
/
Spondylolisthesis
Type of study:
Etiology study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Aged80
Country/Region as subject:
Asia
Language:
English
Year:
2007
Type:
Article
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