A Study of Correlation Lumbar Lordosis, Stress, Central Adiposity with Low Back Pain in Undergraduate Medical Students.

IF 1.7 4区医学 Q4 CLINICAL NEUROLOGY

Journal of Korean Neurosurgical Society Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI:10.3340/jkns.2024.0169

Adelia S Maharani, Feda Anisah Makkiyah, Aulia Chairani, Nurfitri Bustamani

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Abstract

Objective: Low back pain (LBP) is a multifactorial musculoskeletal condition that reduces productivity at work and causes disability. Due to their lengthy lectures and heavy workload, medical students are more prone to experience LBP. This study aims to investigate the relationship between central adiposity, stress, lumbar lordosis and LBP.

Methods: This study uses a cross-sectional analytical observational design. A total of 73 medical students served as the study's sample. Respondents self-completed the K-10 psychological assessment and the Nordic musculoskeletal questionnaire. Physical examination was then carried out to identify central adiposity and lumbar lordosis. Respondents having a history of malignancy, deformity, or spinal injury are excluded.

Results: In the prevalence of LBP, 53.21% of respondents reported not experiencing LBP symptoms, while the remaining 46.79% experienced pain. Central adiposity had no significant association with LBP (p=0.872). Although moderate stress was common among those with LBP, stress did not show a clear association in the chi-square test. Logistic regression showed that lumbar lordosis had the strongest impact on the presence of LBP, with an odds ratio of 10.524 (p=0.001), and stress also contributed to LBP complaints (p=0.044).

Conclusion: This study shows LBP is correlated with lumbar lordosis and stress; however, central adiposity is not correlated with LBP.

Abstract Image

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医科大学生腰椎前凸、压力、中枢性肥胖与腰痛的相关性研究。

目的：腰痛（LBP）是一种多因素的肌肉骨骼疾病，会降低工作效率并导致残疾。由于授课时间长，工作量大，医学生更容易出现腰痛。本研究旨在探讨中枢性肥胖、应激、腰椎前凸与腰痛的关系。方法：本研究采用横断面分析观察设计。共有73名医科学生作为研究样本。受访者自行完成了K-10心理评估和北欧肌肉骨骼问卷。然后进行体格检查以确定中枢性肥胖和腰椎前凸。有恶性肿瘤、畸形或脊柱损伤史的应答者被排除在外。结果：在腰痛的患病率中，53.21%的受访者报告没有出现腰痛症状，而其余46.79%的受访者有疼痛。中心性肥胖与LBP无显著相关性（p=0.872）。虽然中度压力在LBP患者中很常见，但在卡方检验中，压力没有显示出明显的相关性。Logistic回归显示，腰椎前凸对腰痛的影响最大，比值比为10.524 (p=0.001)，压力也会导致腰痛的发生（p=0.044）。结论：腰痛与腰椎前凸和应激相关；然而，中心性肥胖与腰痛无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Korean Neurosurgical Society 医学-临床神经学

CiteScore

2.90

自引率

6.20%

发文量

109

审稿时长

3-8 weeks

期刊介绍： The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.