Sleep Disturbance Is Associated with New Onset and Continuation of Lower Back Pain: A Longitudinal Study among Survivors of the Great East Japan Earthquake
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- Yabe Yutaka
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Hagiwara Yoshihiro
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Sekiguchi Takuya
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Sugawara Yumi
- Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University, Graduate School of Public Health
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- Tsuchiya Masahiro
- Tohoku Fukushi University
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- Koide Masashi
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Itaya Nobuyuki
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Yoshida Shinichirou
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Sogi Yasuhito
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Yano Toshihisa
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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- Tsuji Ichiro
- Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University, Graduate School of Public Health
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- Itoi Eiji
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
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Abstract
<p>Lower back pain (LBP) is a common health problem after natural disasters. Although some related factors have been reported, the effect of sleep disturbances on LBP is not clear. The purpose of this study was to elucidate the influence of sleep disturbances on LBP after the Great East Japan earthquake (GEJE). A panel study was conducted with the survivors of the GEJE (n = 2,295) at three and four years after the disaster using self-reported questionnaires. The changes in the presence of LBP during the two periods were assessed; LBP was characterized as either new onset or continuation of LBP. The participants’ sleep conditions were assessed, and the changes in sleep disturbances during the two periods were classified into four groups: absence, new onset, improvement, and continuation. Multivariate logistic regression models were used to analyze the association of the changes in sleep disturbance with new onset and continuation of LBP. The rates of new onset and continuation of LBP were 14.1% and 55.1%, respectively. The changes in sleep disturbances were significantly associated with new-onset and continuing LBP. Using “absence” as a reference for the change of sleep disturbance, the adjusted ORs (95% CI) for new-onset LBP were 2.19 (1.42-3.38) in “new onset,” 1.38 (0.83-2.30) in “improvement,” and 2.17 (1.50-3.15) in “continuation,” and those for continuing LBP were 1.42 (0.71-2.84) in “new onset,” 0.98 (0.55-1.74) in “improvement,” and 1.60 (1.01-2.51) in “continuation.” Careful attention should be paid to sleep disturbances to prevent and improve LBP after natural disasters.</p>
Journal
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- The Tohoku Journal of Experimental Medicine
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The Tohoku Journal of Experimental Medicine 246 (1), 9-14, 2018
Tohoku University Medical Press
