Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older: The InCHIANTI study

Francesca Cecchi, Pierluigi Debolini, Raffaello Molino Lova, Claudio Macchi, Stefania Bandinelli, Benedetta Bartali, Fulvio Lauretani, Enrico Benvenuti, Gregory Hicks, Luigi Ferrucci

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Study Design. Clinico-epidemiologic study in the Chianti area (Tuscany, Italy). Objectives. To describe prevalence and correlates of back pain in a representative sample of the population. Summary of Background Data. Back pain is common in old age and is related to functional limitations, but back pain characteristics and correlates in older adults, which may be targeted by specific interventions, are still underinvestigated. Methods. A total of 1,299 persons aged 65 or older were selected from the city registry of Greve in Chianti and Bagno a Ripoli; 1,008 (565 women; 443 men) were included in this analysis. Back pain in the past 12 months was ascertained using a questionnaire. Potential correlates of back pain were identified in age- and sex-adjusted regression analyses, and their independent association with back pain was tested in a multivariate model. Results. The prevalence of frequent back pain was 31.5%. Back pain was reported less often by men and the very old, was primarily located in the dorsolumbar and lumbar spine, was moderate in intensity and mainly elicited by carrying, lifting, and pushing heavy objects. Among participants who reported frequent back pain, 76.3% had no back pain-related impairments; 7.4% of the overall study population had back pain-related functional limitation. Back pain participants were significantly more likely to report difficulty in heavy household chores, carrying a shopping bag, cutting toenails, and using public transportation. Limited trunk extension, depression, low levels of prior-year physical activity, and hip, knee, and foot pain were independent correlates of back pain. Conclusions. Frequent back pain is highly prevalent in the older population and is often associated with conditions that are potentially reversible.

Original languageEnglish
Pages (from-to)1149-1155
Number of pages7
JournalSpine
Volume31
Issue number10
DOIs
Publication statusPublished - May 2006

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Back Pain
Epidemiology
Population
Nails
Italy
Registries
Hip
Foot
Epidemiologic Studies
Knee
Spine
Regression Analysis

Keywords

  • Back pain
  • Elderly
  • Epidemiology

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older : The InCHIANTI study. / Cecchi, Francesca; Debolini, Pierluigi; Lova, Raffaello Molino; Macchi, Claudio; Bandinelli, Stefania; Bartali, Benedetta; Lauretani, Fulvio; Benvenuti, Enrico; Hicks, Gregory; Ferrucci, Luigi.

In: Spine, Vol. 31, No. 10, 05.2006, p. 1149-1155.

Research output: Contribution to journalArticle

Cecchi, F, Debolini, P, Lova, RM, Macchi, C, Bandinelli, S, Bartali, B, Lauretani, F, Benvenuti, E, Hicks, G & Ferrucci, L 2006, 'Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older: The InCHIANTI study', Spine, vol. 31, no. 10, pp. 1149-1155. https://doi.org/10.1097/01.brs.0000216606.24142.e1
Cecchi, Francesca ; Debolini, Pierluigi ; Lova, Raffaello Molino ; Macchi, Claudio ; Bandinelli, Stefania ; Bartali, Benedetta ; Lauretani, Fulvio ; Benvenuti, Enrico ; Hicks, Gregory ; Ferrucci, Luigi. / Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older : The InCHIANTI study. In: Spine. 2006 ; Vol. 31, No. 10. pp. 1149-1155.
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abstract = "Study Design. Clinico-epidemiologic study in the Chianti area (Tuscany, Italy). Objectives. To describe prevalence and correlates of back pain in a representative sample of the population. Summary of Background Data. Back pain is common in old age and is related to functional limitations, but back pain characteristics and correlates in older adults, which may be targeted by specific interventions, are still underinvestigated. Methods. A total of 1,299 persons aged 65 or older were selected from the city registry of Greve in Chianti and Bagno a Ripoli; 1,008 (565 women; 443 men) were included in this analysis. Back pain in the past 12 months was ascertained using a questionnaire. Potential correlates of back pain were identified in age- and sex-adjusted regression analyses, and their independent association with back pain was tested in a multivariate model. Results. The prevalence of frequent back pain was 31.5{\%}. Back pain was reported less often by men and the very old, was primarily located in the dorsolumbar and lumbar spine, was moderate in intensity and mainly elicited by carrying, lifting, and pushing heavy objects. Among participants who reported frequent back pain, 76.3{\%} had no back pain-related impairments; 7.4{\%} of the overall study population had back pain-related functional limitation. Back pain participants were significantly more likely to report difficulty in heavy household chores, carrying a shopping bag, cutting toenails, and using public transportation. Limited trunk extension, depression, low levels of prior-year physical activity, and hip, knee, and foot pain were independent correlates of back pain. Conclusions. Frequent back pain is highly prevalent in the older population and is often associated with conditions that are potentially reversible.",
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AU - Cecchi, Francesca

AU - Debolini, Pierluigi

AU - Lova, Raffaello Molino

AU - Macchi, Claudio

AU - Bandinelli, Stefania

AU - Bartali, Benedetta

AU - Lauretani, Fulvio

AU - Benvenuti, Enrico

AU - Hicks, Gregory

AU - Ferrucci, Luigi

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N2 - Study Design. Clinico-epidemiologic study in the Chianti area (Tuscany, Italy). Objectives. To describe prevalence and correlates of back pain in a representative sample of the population. Summary of Background Data. Back pain is common in old age and is related to functional limitations, but back pain characteristics and correlates in older adults, which may be targeted by specific interventions, are still underinvestigated. Methods. A total of 1,299 persons aged 65 or older were selected from the city registry of Greve in Chianti and Bagno a Ripoli; 1,008 (565 women; 443 men) were included in this analysis. Back pain in the past 12 months was ascertained using a questionnaire. Potential correlates of back pain were identified in age- and sex-adjusted regression analyses, and their independent association with back pain was tested in a multivariate model. Results. The prevalence of frequent back pain was 31.5%. Back pain was reported less often by men and the very old, was primarily located in the dorsolumbar and lumbar spine, was moderate in intensity and mainly elicited by carrying, lifting, and pushing heavy objects. Among participants who reported frequent back pain, 76.3% had no back pain-related impairments; 7.4% of the overall study population had back pain-related functional limitation. Back pain participants were significantly more likely to report difficulty in heavy household chores, carrying a shopping bag, cutting toenails, and using public transportation. Limited trunk extension, depression, low levels of prior-year physical activity, and hip, knee, and foot pain were independent correlates of back pain. Conclusions. Frequent back pain is highly prevalent in the older population and is often associated with conditions that are potentially reversible.

AB - Study Design. Clinico-epidemiologic study in the Chianti area (Tuscany, Italy). Objectives. To describe prevalence and correlates of back pain in a representative sample of the population. Summary of Background Data. Back pain is common in old age and is related to functional limitations, but back pain characteristics and correlates in older adults, which may be targeted by specific interventions, are still underinvestigated. Methods. A total of 1,299 persons aged 65 or older were selected from the city registry of Greve in Chianti and Bagno a Ripoli; 1,008 (565 women; 443 men) were included in this analysis. Back pain in the past 12 months was ascertained using a questionnaire. Potential correlates of back pain were identified in age- and sex-adjusted regression analyses, and their independent association with back pain was tested in a multivariate model. Results. The prevalence of frequent back pain was 31.5%. Back pain was reported less often by men and the very old, was primarily located in the dorsolumbar and lumbar spine, was moderate in intensity and mainly elicited by carrying, lifting, and pushing heavy objects. Among participants who reported frequent back pain, 76.3% had no back pain-related impairments; 7.4% of the overall study population had back pain-related functional limitation. Back pain participants were significantly more likely to report difficulty in heavy household chores, carrying a shopping bag, cutting toenails, and using public transportation. Limited trunk extension, depression, low levels of prior-year physical activity, and hip, knee, and foot pain were independent correlates of back pain. Conclusions. Frequent back pain is highly prevalent in the older population and is often associated with conditions that are potentially reversible.

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