Determining the Predominant Risk Factor of Low Back Pain Among Pre-Menopausal and Post-Menopausal Women

  • Mohana Vidhya Madhavudu Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0009-0005-9052-002X
  • Janani . Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0009-0001-5422-4582
  • N. Divya Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0000-0002-5620-6820
  • Parthasarathy Ranganathan Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India
  • Mahesh Kumar P.G Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0000-0002-2465-9462
  • Hari Hara Subramanyan P.V. Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0000-0001-5487-5281
  • Shenbaga sundaram Subramanian Chettinad School of Physiotherapy, Chettinad Hospital and Research Institute(CHRI), Chettinad Academy of Research and Education (CARE), Kelambakkam, Tamil Nadu 603103, India. https://orcid.org/0000-0002-6150-0928
Keywords: Low back pain, Low back painLow back pain, premenopausal, postmenopausal, quality of life

Abstract

Low back pain is a widely observed and complex illness that substantially influences the quality of life for women between the ages of 40 and 60, both before and after menopause. It is vital to comprehend the primary risk factors linked to low back pain among this particular demographic in order to avoid and manage this condition effectively. The objective of this cross-sectional study was to determine the primary risk variables associated with the occurrence of low back pain in women between the ages of 40 and 60, both pre-menopausal and post-menopausal. The research employed various methodologies. The study involved a group of 50 women who were carefully chosen based on precise inclusion criteria using purposive sampling. Exclusions were made for those who had disabilities, were pregnant, exhibited cognitive impairments, had neurological problems, experienced recent trauma within the preceding 6 months, or presented with orthopaedic concerns. The data-gathering process encompassed the administration of a comprehensive questionnaire encompassing various domains, including demographic information, BMI calculations, work-related factors, health-related factors, and psychological aspects. All participants provided informed consent. The findings of the investigation unveiled multiple risk variables that are linked to the occurrence of low back pain within this particular demographic. The variables considered in the study encompassed body mass index (BMI) classification, daily work length, general health status, pre-existing health conditions, referred pain, prior instances of low back pain, and psychological concerns such as stress, anxiety, and depression. In conclusion, this research study offers significant insights into the key risk factors associated with the occurrence of low back pain in women between the ages of 40 and 60, both before and after menopause. The results of this study can provide valuable insights for developing preventative strategies and interventions that target the reduction of both the occurrence and consequences of this debilitating ailment within the specified group, ultimately improving their overall well-being.

References

Abdulbari Bener, A., Verjee, M., Dafeeah, E. E., Falah, O., Aljuhaisi, T., Sedeeq, A., Khan, S., & Josia Schlogl. (2013). Psychological factors: Anxiety, depression, and somatization symptoms in low back pain patients. Journal of Pain Research, 95. https://doi.org/10.2147/JPR.S40740

Anusha, M. K. B., Gowda, V. K. K., Subramanian, S., Imtiaz, Y., Pragassame, A., Subramanian, M., Raj, N., Afzal, S., Albadi, M., & Gaowgzeh, R. A. (2023). Video analysis of throwing techniques in Collegiate Shot-Put athletes: A visual exploration of throwing styles and performance factors. International Journal of Experimental Research and Review, 32, 89-96. https://doi.org/10.52756/ijerr.2023.v32.006

Aranjan Lione, K. (2013). Risk Factors Forchronic Low Back Pain. Journal of Community Medicine & Health Education, 04(02). https://doi.org/10.4172/2161-0711.1000271

Barghandan, N., Dolatkhah, N., Eslamian, F., Ghafarifar, N., & Hashemian, M. (2021). Association of depression, anxiety and menopausal-related symptoms with demographic, anthropometric and body composition indices in healthy postmenopausal women. BMC Women’s Health, 21(1), 192. https://doi.org/10.1186/s12905-021-01338-w

Choi, S., Nah, S., Jang, H.-D., Moon, J. E., & Han, S. (2021). Association between chronic low back pain and degree of stress: A nationwide cross-sectional study. Scientific Reports, 11(1), 14549. https://doi.org/10.1038/s41598-021-94001-1

Chou, R. (2021). Low Back Pain. Annals of Internal Medicine, 174(8), ITC113–ITC128. https://doi.org/10.7326/AITC202108170

Clays, E., De Bacquer, D., Leynen, F., Kornitzer, M., Kittel, F., & De Backer, G. (2007). The Impact of Psychosocial Factors on Low Back Pain: Longitudinal Results From the Belstress Study. Spine, 32(2), 262–268. https://doi.org/10.1097/01.brs.0000251884.94821.c0

Diallo, S. Y. K., Mweu, M. M., Mbuya, S. O., & Mwanthi, M. A. (2019). Prevalence and risk factors for low back pain among university teaching staff in Nairobi, Kenya: A cross-sectional study. F1000Research, 8, 808. https://doi.org/10.12688/f1000research.19384.1

Duymaz, T., Yagci, N., Gayef, A., & Telatar, B. (2020). Study on the relationship between low back pain and emotional state, sleep and quality of life in postmenopausal women. Journal of Back and Musculoskeletal Rehabilitation, 33(6), 989–994. https://doi.org/10.3233/BMR-181381

Gao, H.-L., Lin, S.-Q., Wei, Y., Chen, Y., & Wu, Z.-L. (2013). The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35–64 years. Climacteric, 16(6), 639–645. https://doi.org/10.3109/13697137.2013.769095

Gilgil, E., Kaçar, C., Bütün, B., Tuncer, T., Urhan, S., Yildirim, Ç., Sünbüloglu, G., Arikan, V., Tekeoglu, I., Öksüz, M. C., & Dündar, Ü. (2005). Prevalence of Low Back Pain in a Developing Urban Setting: Spine, 30(9), 1093–1098. https://doi.org/10.1097/01.brs.0000161007.46849.4c

Guruprasad, S., S, R., & Shah, P. (2015). Prevalence of depression, anxiety and stress in patients with mechanical low back pain. International Journal of Therapies and Rehabilitation Research, 4(4), 67. https://doi.org/10.5455/ijtrr.00000068

Heuch, I., Heuch, I., Hagen, K., Storheim, K., & Zwart, J.-A. (2022). Does the risk of chronic low back pain depend on age at menarche or menopause? A population-based cross-sectional and cohort study: the Trøndelag Health Study. BMJ Open, 12(2), e055118. https://doi.org/10.1136/bmjopen-2021-055118

Heuch, I., Heuch, I., Hagen, K., Storheim, K., & Zwart, J.-A. (2023). Menopausal hormone therapy, oral contraceptives and risk of chronic low back pain: The HUNT Study. BMC Musculoskeletal Disorders, 24(1), 84. https://doi.org/10.1186/s12891-023-06184-5

Kahere, M., & Ginindza, T. (2022). The prevalence and psychosocial risk factors of chronic low back pain in KwaZulu-Natal. African Journal of Primary Health Care & Family Medicine, 14(1). https://doi.org/10.4102/phcfm.v14i1.3134

Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78–92. https://doi.org/10.1016/S0140-6736(21)00733-9

Kozinoga, M., Majchrzycki, M., & Piotrowska, S. (2015). Low back pain in women before and after menopause. Menopausal Review, 3, 203–207. https://doi.org/10.5114/pm.2015.54347

Manohar, B., Subramanian, S. Sundaram, Pragassame, S., Sureshkumar, S., Eswaramoorthi, V., Kajamohideen, S. A., Jayaraman, M., Alkhob, S., Alfawaz, S., & Gaowgzeh, R. (2023). Effect of capsular stretch on frozen shoulder. International Journal of Experimental Research and Review, 30, 25-31. https://doi.org/10.52756/ijerr.2023.v30.003

Masters Program in Public Health, Universitas Sebelas Maret, Prianggi, H., Prasetya, H., Health Polytechnics, Ministry of Health Surakarta, Murti, B., & Masters Program in Public Health, Universitas Sebelas Maret. (2021). Are Sitting Position and Working Duration Associated with Low Back Pain in Workers?: A Meta-Analysis. Journal of Epidemiology and Public Health, 6(2), 211–221. https://doi.org/10.26911/jepublichealth.2021.06.02.08

Mohseni Bandpei, M. A., Ehsani, F., Behtash, H., & Ghanipour, M. (2014). Occupational Low Back Pain in Primary and High School Teachers: Prevalence and Associated Factors. Journal of Manipulative and Physiological Therapeutics, 37(9), 702–708. https://doi.org/10.1016/j.jmpt.2014.09.006

Patrick, N., Emanski, E., & Knaub, M. A. (2014). Acute and Chronic Low Back Pain. Medical Clinics of North America, 98(4), 777–789. https://doi.org/10.1016/j.mcna.2014.03.005

Ramond-Roquin, A., Bouton, C., Gobin-Tempereau, A.-S., Airagnes, G., Richard, I., Roquelaure, Y., & Huez, J.-F. (2014). Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care—A systematic review. Family Practice, 31(4), 379–388. https://doi.org/10.1093/fampra/cmu008

Risk Factors for Chronic Low Back Pain in Adults: A Case Control Study Done in Sri Lanka. (2014). Journal of Pain & Relief, 03(05). https://doi.org/10.4172/2167-0846.1000162

Sagheer, M. A., Khan, M. F., & Sharif, S. (2013). Association between chronic low back pain, anxiety and depression in patients at a tertiary care centre. JPMA. The Journal of the Pakistan Medical Association, 63(6), 688–690.

Shetty, G. M., Jain, S., Thakur, H., & Khanna, K. (2022). Prevalence of low back pain in India: A systematic review and meta-analysis. Work, 73(2), 429–452. https://doi.org/10.3233/WOR-205300

Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2010). The Association Between Obesity and Low Back Pain: A Meta-Analysis. American Journal of Epidemiology, 171(2), 135–154. https://doi.org/10.1093/aje/kwp356

Wang, L., Ye, H., Li, Z., Lu, C., Ye, J., Liao, M., & Chen, X. (2022). Epidemiological trends of low back pain at the global, regional, and national levels. European Spine Journal, 31(4), 953–962. https://doi.org/10.1007/s00586-022-07133x

Wang, Y. X. J. (2017). Menopause as a potential cause for higher prevalence of low back pain in women than in age-matched men. Journal of Orthopaedic Translation, 8, 1–4. https://doi.org/10.1016/j.jot.2016.05.012

Wáng, Y. X. J., Wáng, J.Q., & Káplár, Z. (2016). Increased low back pain prevalence in females than in males after menopause age: Evidences based on synthetic literature review. Quantitative Imaging in Medicine and Surgery, 6(2), 199–206. https://doi.org/10.21037/qims.2016.04.06

Wong, A. Y., Karppinen, J., & Samartzis, D. (2017). Low back pain in older adults: Risk factors, management options and future directions. Scoliosis and Spinal Disorders, 12(1), 14. https://doi.org/10.1186/s13013-017-0121-3

Published
2023-10-30
How to Cite
Madhavudu, M. V., ., J., Divya, N., Ranganathan, P., P.G, M. K., P.V., H. H. S., & Subramanian, S. sundaram. (2023). Determining the Predominant Risk Factor of Low Back Pain Among Pre-Menopausal and Post-Menopausal Women. International Journal of Experimental Research and Review, 34(Special Vo), 36-43. https://doi.org/10.52756/ijerr.2023.v34spl.005