Low Back Pain and Disability In Activities of Daily Living Mmong Middle-aged And Older Adults In China: A Cohort Study
Bo Liang, Xiaoxuan Liang, Gong Chen

TL;DR
This study finds that low back pain increases the risk of disability in daily activities among middle-aged and older adults in China.
Contribution
The study quantifies the increased risk of ADL disability specifically linked to low back pain in a large Chinese cohort.
Findings
LBP increases the risk of BADL disability by 64% and IADL disability by 61%.
Combined back and waist pain increases BADL and IADL disability risks by 105% and 122%, respectively.
The risk of ADL disability due to LBP is consistent across genders and age groups.
Abstract
Chronic diseases are associated with disability in activities of daily living (ADL), but the relationship between low back pain (LBP) and the risk of ADLs disability remains unclear. This study aimed to estimate the effect of LBP on ADLs disability and explore variations in the risk across gender and age among middle-aged and older adults in China. Participants from the China Health and Retirement Longitudinal Study (CHARLS) 2015 were followed up to assess disabilities of basic ADL (BADL) and instrumental ADL (IADL) in 2018 and 2020. The cohorts comprised 19,223 participants aged ≥45 with intact BADL, and 18,226 with intact IADL, respectively. Cox proportional hazards model was employed to investigate the association between LBP and BADL and IADL disabilities. The incidence rates for BADL and IADL disabilities were 17.81 and 38.32 per 1,000 person-years, respectively. Compared to…
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Taxonomy
TopicsMusculoskeletal pain and rehabilitation · Occupational Health and Performance · Balance, Gait, and Falls Prevention
