Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지

The Study on Relation of Obesity and Low Back Pain Based on Body Composition using Segmental Bioelectrical Impedance Analysis and Radiological Parameter

체성분 분석 변수와 X-선 소견을 근거로 한 비만과 요통의 관계 연구

  • Park, Ji-Hyun (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dae-Jeon University) ;
  • Hong, Seo-Young (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dae-Jeon University)
  • 박지현 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 홍서영 (대전대학교 한의과대학 한방재활의학과교실)
  • Received : 2009.03.09
  • Accepted : 2009.04.06
  • Published : 2009.04.30

⟨ Previous Next ⟩

Abstract

Objectives : This study was performed in order to investigate the relation of body composition analysis and radiological parameter(lumbosacral angle, lumbar lordortic angle, lumbar gravity line). Methods : This study was carried out with the data from comprehensive medical testing. 75 subject aged 20-59 performed the segmental bioelectrical impedance analysis, questionnaire. And lumbosacral angle, lumbar lordortic angle and lumbar gravity line were measured in the standing position x-ray. Then we analyzed the data. Results : Low back pain(LBP) prevalence in high obesity index(Body Mass Index(BMI), Percentage of Body Fat(PBF), Waist Hip Ratio(WHR)) group was higher than LBP prevalence in normal obesity index group(p<0.01). In LBP group, lumbosacral angle, lumbar lordortic angle were significantly lager than Non-LBP group(p<0.001). And 75% of LBP group indicated abnormal lumbar gravity line ratio(0.67 < Normal lumbar gravity line ratio <1.00). When it comes to analyze relation between obesity index and radiological parameter, no-significant change was seen. Conclusions : This study carried as following research after the study on relation of obesity, LBP and trunk muscle strength. Results from this investigation showed positive correlation between obesity and LBP prevalence. But obesity index didn't indicate significant correlation with structural changes of lumbar vertebrae. When considering prior research, trunk muscle strength changes were more related to LBP prevelence in obese people. This results are expected to explain causes of LBP in obese group.

Keywords

References

  1. 대한비만학회. 임상비만학. 서울:고려의학. 2001:13-8, 23-4 ,76, 79, 82-3.
  2. 보건복지부. 2007년 한국의 사회지표. 보건복지가족부 통계포털 2008 Jun[cited 2008 Nov 11] :[1 screens]. Available from: URL:http://stat.mw.go.kr/
  3. 심경원, 이상화, 이홍수. 체질량지수와 질병이환의 관련성. 대한비만학회지. 2001;10(2):147-55.
  4. 한문식, 이우천, 이춘성. 요추부의 퇴행성관절염과 비만증과의 관계. 대한정형외과학회지. 1982;17(6):1080-8.
  5. 강중원. 퇴행성 슬관절염과 비만과의 상관성에 관한 임상 연구. 대한침구학회지 2005;22(6):17-26
  6. Ludwig Ombregt, Pierre Bisscho. 근골격계통증의학. 서울:한미의학. 2008:703-14
  7. 김연진, 이병렬. 요통 및 요각통 환자 131명의 요추의 전만각 및 요천각에 대한 고찰.대전대학교 한의학연구소 논문집. 2000;8(2):375-82.
  8. Cailliet R. Low back pain syndrome. Philadelphia :F.A.Davis company. 1988:25-33
  9. 나영무, 강성웅, 배하석, 강민정, 박진석, 문재호. 요통 환자에서 척추만곡의 분석. 대한재활의학회지.1996;20(3):669
  10. Foster DN, Fulton MN. Back pain and the exercise prescription. Clinical Sports Med. 1991;10.
  11. Beimborn DS, Morrissey MC. A review of the literature related to trunk muscle performance. Spine.1998;13(6):655-60.
  12. Mayer TG. How the sports medicine approach can help using physical measurement to assess low back pain.The journal of Musculoskeletal Medicine.1985;2(6);44-59
  13. Lagrana N, Stover CN : The correlation of clinical and cybex Isokinetic-Isometric Assessment of back strength and its application to the preemployment physical examination. Proceeding of the 30th Annual Conference on Engineerin in Medicine and Biology.1977;19:187
  14. 김영수. 요통건강정보. 스포츠과학연구논집. 1995 ;234-7.
  15. 박지현, 안순선, 최용훈, 홍서영, 허동석, 윤일지. 체성분 분석 변수와 요부 등속성 근력 측정을 근거로 한 비만과 요통의 관계.한방재활의학과학회지. 2008;18(4):147-59.
  16. 한방재활의학과학회. 한방재활의학. 서울:군자출판사. 2005:384-9.
  17. 김남현, 이환모. 척추외과학. 서울:의학문화사. 1998:113-243.
  18. 강응식, 한대용, 장준섭, 안화용, 정인희. 건강한 한국 청장년의 요천각에 대한 통계적 관찰. 대한정형외과학회잡지. 1967;2(1):67-73.
  19. Ferguson AB. Roentgenography of the lumbosacral area. Regional orthopedic surg. and fundamental orth. Problems. 1948:89
  20. Fernand R. Fox DE. Exercise for low back pain. Therapeutic exercise(5thed). Baltimore :Williams & Wilkins. 1985.
  21. 신준식. 한국추나학 임상 표준지침. 서울:대한추나학회출판사. 2002:205-6.
  22. 김양수, 이철희. 신체조성 검사방법이 비만판정에 미치는 영향. 대한비만학회지. 1995;4(1):59-60.
  23. 이수경. 과체중 및 비만이 건강관련 삶의 질에 미치는 영향. 한방재활의학과학회지.2003;10(4):91-7.
  24. 김정연, 송용태. 비만에 대한 동서의학적 고찰. 한방재활의학과학회지. 1993;3(1):299
  25. 김정연. 비만에 대한 동서의학적 고찰. 동의 물리요법과학회지. 1993;299-314.
  26. 양유걸. 황제내경영추해석. 서울:일중사. 1991:303-9,412-7.
  27. 허수영, 강효신. 비만의 동서의학적 고찰과 치료. 한방재활의학과학회지. 1997;7(1):278-9
  28. 신현대.비만의 한의학적 개념과 치료법. 경희의학. 1995;11(3-4):257-67.
  29. 河北醫學院. 靈樞經校釋下冊. 북경:인민위생출판사. 1982:154-64.
  30. 秦越人. 難經集注. 북경:人民衛生出版社. 1991:50-1,54.
  31. 成樂箕. 八十一難經解釋. 서울:高文社. 1980:23-4.
  32. 楊上善. 黃帝內經太素. 서울:大星文化社. 1986:111.
  33. 黃龍祥. 中國針灸學術史大綱. 서울:법인문화사. 2007:600-1.
  34. Chei CL, Iso H, Yamagishi K, Inoue M, Tsugane S. Body massindex and weight change since 20 years of age and risk of coronary heart disease among Japanese. International journal of Obesity. 2008;32(1):144-52 https://doi.org/10.1038/sj.ijo.0803686
  35. Goya Wannamethee S, Gerald Shaper A, Whincup PH, Walker M. Overweight and obesity and the burden of disease and disability in elderly men. International journal of Obesity. 2004;28(11):1374-82 https://doi.org/10.1038/sj.ijo.0802775
  36. Liuke M, Solovieva S, Lamminen A, Luoma K, Leino-Arjas P, Luuk konen R, Riihimaki H. Disc degeneration of lumbar spine in relation to overweight. International journal of Obesity. 2005;29(8):903-8. https://doi.org/10.1038/sj.ijo.0802974
  37. Hooper MM, Stellato TA, Hallowell PT, Seitz BA, Moskowitz RW. Musculoskeletal findings in obese subjects before and the after weight loss following bariatric surgery. International journal of Obesity. 2007;31(1):114-20. https://doi.org/10.1038/sj.ijo.0803349
  38. Griffin TM, Guilak F. Why is obesity associated with osteoarthritis? Insight from mouse model of obesity. Biorheology. 2008;45(3-4):387-98.
  39. Timothy A. Mirtz, Leon Greene. Is obesity a risk factor for low back pain?An example of using the evidence to answer a clinical question. Chiropractic & Osteopathy. 2005;13(1):2. https://doi.org/10.1186/1746-1340-13-2
  40. 이문영. 체간굴신운동시 요부신전근의 활동양상 및 피로에 관한 근전도학적 연구. 건국대학교 대학원 박사학위논문. 2000
  41. 박병권. 요통환자와 비요통환자의 방사선학적 Parameter의 차이. 대한재활의학회지. 1992;16(3):272-5.
  42. 노영현, 금동호. 요통환자의 치료 전후 요천 추각 변화에 관한 임상적 연구. 한방재활의학과학회지. 2000;10(1):11-21
  43. 전태원, 김근수, 정영수. 만성요통환자의 요부관절과 슬관절의 등속성 운동능력 비교. 운동과학.1999;8(2):32-9
  44. Kichul Cha, Sunyoung Shin, Cheonmin Shon. Evaluation of segmental bioelectrical impedance analysis for measuring muscle distribution. JICHPER. 1997;1:11-4
  45. Salinari S, Bertuzzi A, Mingrone G, Capristo E, Pietrobelli A, Campioni P, Greco AV, Heymsfield SB. New bioimpedance model accurately predicts lower limb muscle volume. Am J physiol Endocrinol Metab. 2002;282(4):960-6. https://doi.org/10.1152/ajpendo.00109.2001
  46. 민경옥. 요통. 서울:현문사. 1997:47-8