The Effect of Cigarette Smoking on Physical Fitness and Depression of Patients with Chronic Low Back Pain

  • Lee, Juhwan (Department of Physical Therapy, General Graduate School, Yongin University) ;
  • Park, Sieun (Department of Physical Therapy, General Graduate School, Yongin University)
  • 투고 : 2015.07.24
  • 심사 : 2015.08.20
  • 발행 : 2015.08.25

초록

Purpose: This study was conducted to investigate the effect of cigarette smoking on physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) and depression in patients with chronic low back pain. Methods: This study was a cross sectional study and subjects consisted of 60 young males with chronic low back pain. The subjects were allocated to two groups following a self-report survey: cigarette smoking group (n=25) or non-smoking group (n=35). Physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) were measured using objective methods and depression in patients with chronic low back pain was measured using the Korean version of center for epidemiologic studies depression (CES-D) scale. Results: The results of this study were as follows: In physical fitness, the cigarette smoking group showed a significant decrease in abdominal muscle endurance, flexibility, and cardiopulmonary endurance compared with the non-smoking group. Depression index (CES-D scale score) was significantly higher in the cigarette smoking group than in the non-smoking group. Conclusion: These results suggest that cigarette smoking had a negative effect on abdominal muscle endurance, flexibility, and cardiopulmonary endurance in patients with chronic low back pain. In addition, depression of patients with chronic low back pain was affected by cigarette smoking. Thus, we suggested that cigarette smoking may play a significant role in the deterioration of physical fitness and depression of chronic low back pain patients.

키워드

참고문헌

  1. Andersson GB. Epidemiological features of chronic low-back pain. The lancet. 1999;354(9178):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
  2. McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Practice & Research Clinical Rheumatology. 2007;21(3):403-25. https://doi.org/10.1016/j.berh.2007.03.003
  3. Carey TS, Garrett J, Jackman A et al. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. New England journal of medicine. 1995;333(14):913-7. https://doi.org/10.1056/NEJM199510053331406
  4. Koes BW, van Tulder M, Lin CWC et al. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010;19(12):2075-94. https://doi.org/10.1007/s00586-010-1502-y
  5. Cedraschi C, Robert J, Goerg D et al. Is chronic non-specific low back pain chronic? Definitions of problem and problems of a definition. British journal of general practice. 1999;49(442):358-62.
  6. Holley AL, Law EF, Tham SW et al. Current smoking as a predictor of chronic musculoskeletal pain in young adult twins. The Journal of Pain. 2013;14(10):1131-9. https://doi.org/10.1016/j.jpain.2013.04.012
  7. Derr MJ, Crisostomo RA, Hooten WM et al. Poster 237: Effects of Smoking on Treatment Outcomes for patients With Chronic Low Back Pain. Archives of Physical Medicine and Rehabilitation. 2008;89(11):e97.
  8. Tonnesen P, Carrozzi L, Fagerstrom KO et al. Smoking cessation in patients with respiratory disease: A high priority, integral component of therapy. European Respiratory Journal. 2007;29(2):390-417. https://doi.org/10.1183/09031936.00060806
  9. Shiri R, Karppinen J, Leino-Arjas P et al. The association between smoking and low back pain: A meta-analysis. The American journal of medicine. 2010;123(1):87-e7.
  10. Fergusson DM, Goodwin RD, Horwood LJ. Major depression and cigarette smoking: results of a 21-year longitudinal study. Psychological medicine. 2003;33(08):1357-67. https://doi.org/10.1017/S0033291703008596
  11. Macera CA, Aralis HJ, MacGregor AJ et al. Cigarette smoking, body mass index, and physical fitness changes among male navy personnel. Nicotine&Tobacco Research. 2011;13(10):965-71. https://doi.org/10.1093/ntr/ntr104
  12. Jamison RN, Stetson BA, Parris WC. The relationship between cigarette smoking and chronic low back pain. Addictive behaviors. 1991;16(3):103-10. https://doi.org/10.1016/0306-4603(91)90002-Y
  13. Huijnen IP, Verbunt JA, Peters ML et al. Do depression and pain intensity interfere with physical activity in daily life in patients with Chronic Low Back Pain? Pain. 2010;150(1):161-6. https://doi.org/10.1016/j.pain.2010.04.021
  14. Weickgenant AL, Slater MA, Patterson TL et al. Coping activities in chronic low back pain: relationship with depression. Pain. 1993;53(1):95-103. https://doi.org/10.1016/0304-3959(93)90061-S
  15. Salerno SM, Browning R, Jackson JL. The effect of antidepressant treatment on chronic back pain: A meta-analysis. Archives of Internal Medicine. 2002;162(1):19-24. https://doi.org/10.1001/archinte.162.1.19
  16. Verdu B, Decosterd I, Buclin T et al. Antidepressants for the treatment of chronic pain. Drugs. 2008;68(18):2611-32. https://doi.org/10.2165/0003495-200868180-00007
  17. Garber CE, Blissmer B, Deschenes MR et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness inapparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise. 2011;43:1334-59. https://doi.org/10.1249/MSS.0b013e318213fefb
  18. Erikssen G, Liestol K, Bjornholt J et al. Changes in physical fitness and changes in mortality. The Lancet. 1998;352(9130):759-62. https://doi.org/10.1016/S0140-6736(98)02268-5
  19. Sörensen L, Smolander J, Louhevaar V et al. Physical activity, fitness and body composition of Finnish police officers: A 15-year follow-up study. Occupational Medicine. 2000;50(1):3-10. https://doi.org/10.1093/occmed/50.1.3
  20. Freitas ERSF, Ribeiro LRG, Oliveira LDD et al. Factors associated with the habit of smoking in elderly residents in Londrina city, Brazil. Revista Brasileira de Geriatria e Gerontologia. 2010;13(2):277-87. https://doi.org/10.1590/S1809-98232010000200012
  21. Wang JM, Kim DJ. Assessment of spinal pain using visual analogue scale(VAS). Journal of Korean Society of Spine Surgery. 1995;2(2):177-84.
  22. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology. 2001;6(1):59-76.
  23. Kim SY, Kim NS. Effects of Mulligan's Mobilization with Sustained Natural Apophyseal Glides on the Paraspinal Muscle Activity of subjects with Chronic low back pain. J Kor Phys Ther. 2013;25(1):10-5.
  24. Lee WJ, Park S, Park JW. Influence of Trunk Stabilization Exercise upon the Lumbar Stabilization and Foot Pressure in Patients with back pain. J Kor Phys Ther. 2014;26(1):21-6. https://doi.org/10.1589/jpts.26.21
  25. Kim K, Kim EK, Lee DK. Effects of PNF Patterns Exercise on Pain, Functional Disability and Fear Avoidance Belief in Chronic Low Back Pain Patients. J Kor Phys Ther. 2014;26(2):110-6.
  26. Lee HJ, Song JM. Analysis of the characteristics of Patients with Chronic Low Back Pain Using the ICF Concept. J Kor Phys Ther. 2013;25(5):282-7.
  27. Boyce RW, Perko MA, Joines GR et al. Physical fitness, absenteeism and workers' compensation in smoking and non-smoking police officers. Occupational Medicine. 2006;56(5):353-6. https://doi.org/10.1093/occmed/kql057
  28. Kanae O, Nobuyuki M, Noriko S et al. The effect of cigarette smoking on flexibility in Japanese. Health. 2012.
  29. Ricci NA, Francisco CO, Rebelatto MN. Influence of history of smoking on the physical capacity of older people. Archives of gerontology and geriatrics. 2011;52(1):79-83. https://doi.org/10.1016/j.archger.2010.02.004
  30. Conway TL, Cronan TA. Smoking, exercise, and physical fitness. Preventive medicine. 1992;21(6):723-34. https://doi.org/10.1016/0091-7435(92)90079-W
  31. Murphy JM, Horton NJ, Monson RR et al. Cigarette smoking in relation to depression: Historical trends from the Stirling County Study. American Journal of Psychiatry. 2003;160(9):1663-9. https://doi.org/10.1176/appi.ajp.160.9.1663
  32. Taanila HP, Suni JH, Pihlajamaki HK et al. Predictors of low back pain in physically active conscripts with special emphasis on muscular fitness. The Spine journal. 2012;12(9):737-48. https://doi.org/10.1016/j.spinee.2012.01.006
  33. Feldman DE, Shrier I, Rossignol M et al. Risk factors for the development of low back pain in adolescence. American Journal of Epidemiology. 2001;154(1):30-6. https://doi.org/10.1093/aje/154.1.30
  34. Biering-Sorensen F. Physical measurements as risk indicators for lowback trouble over a one-year period. Spine. 1984;9(2):106-19. https://doi.org/10.1097/00007632-198403000-00002
  35. Degens H, Gayan-Ramirez G, van Hees HW. Smoking-induced Skeletal Muscle Dysfunction. From Evidence to Mechanisms. American journal of repiratory and critical care medicine. 2015;191(6):620-5. https://doi.org/10.1164/rccm.201410-1830PP
  36. Benjaminse A, Habu A, Sell TC et al. Fatigue alters lower extremity kinematics during a single-leg stop-jump task. Knee surgery. Sports Traumatology, Arthroscopy. 2008;16(4):400-7. https://doi.org/10.1007/s00167-007-0432-7
  37. Kim SY, Kim NS, Jung JH et al. Effect of Forward Head Posture on Respiratory Function in Young Adults. J Kor Phys Ther. 2013;25(5):311-315.
  38. Park YN, Bae YS. Comparison of Muscle Performance of the Lumbar Region and Head Alignment According to the length of Sitting Time. J Kor Phys Ther. 2013;25(6):386-92.
  39. Burton AK, Tillotson KM, Main CJ et al. Psychosocial predictors of outcome in acute and subchronic low back troble. Spine. 1995;20(6):722-8. https://doi.org/10.1097/00007632-199503150-00014