Influence of Constipation in Women in Their Twenties on Low Back Pain

20대 여성들의 변비가 허리통증에 미치는 영향

  • Yu, Ha-young (Dept. of Physical Therapy, Miraero 21 Medical Center) ;
  • Jeong, Yeon-woo (Dept. of Physical Therapy, Gwangju Women's University)
  • 유하영 (미래로21병원 물리치료실) ;
  • 정연우 (광주여자대학교 물리치료학과)
  • Received : 2018.10.13
  • Accepted : 2018.12.01
  • Published : 2018.12.31

Abstract

Background: In this study, the importance of constipation and back pain was assessed by regression analysis of the effects of stress, dietary habits, and water intake on constipation in women in their twenties and the influence of constipation and body mass index (BMI) To provide basic data. Methods: This study selected 109 having constipation of 120 students attending G University in Gwangju and eating habits, water intake level, stress and BMI. Trigger point at the tip of erector spina was palated with tenderness set in order to examine whether muscle tenderness and actual low back muscle tenderness level were same and left and right parts were measured three times and average of Max values was used. We examined the effect of constipation on low back pain and examined constipation and BMI to determine whether they affected low back pain. Results: There was no significant difference in eating habit although there was a significant difference in the effect of stress and water intake on constipation. Constipation had significant difference in back pain. However, there was no significant difference in BMI, normal weight, overweight, and obesity except for low body weight. Conclusions: This study found that constipation was associated with stress levels, water intake, and back pain. In conclusion, this study suggests basic data to prevent and treat constipation-related back pain, and recommends plenty of water intake, proper exercise and stress management to prevent constipation.

Keywords

References

  1. 고경봉, 박중규, 김찬형. 스트레스반응척도의 개발. 신경정신의학. 2000;39(4):707-719.
  2. 김병성, 김효종, 배종면 등. 노인의 기능성 변비 유병률 및 위험인자 - 서울 시내 3개 복지관 이용 노인을 대상으로. 가정의학회지. 2006;27(9):693-698.
  3. 김은자, 김은희. 족문을 통한 일부 대학생의 발의 형태에 관한 연구. 대한피부미용교육학술지. 2003;1(3):57-69.
  4. 김정주. 변비 진료환자 연 35만4천명...진료비 연 4백억 육박, http://www.dailypharm.com/News/217875. 2016.
  5. 김종임. 고등학생의 변비와 스트레스에 관한 연구. 충남대학교 대학원 석사학위논문. 2004.
  6. 김지유. 변비가 있는 여대생에게 짐볼 운동과 물 섭취가 변비와 허리기능에 미치는 영향. 광주여자대학교 대학원 석사학위 논문, 2018.
  7. 김현진, 김순임, 한영실. 다시마와 다시마 요구르트의 변비해소 효과. 한국식품조리과학회지. 2008;24(1):59-67.
  8. 나현주, 김영남. 일반계 고3 여학생의 배변 실태와 식이섬유 섭취에 관한 연구. 한국영양학회지. 2000;33:675-683.
  9. 대한비만학회. 비만의 진단과 평가. http://general.kosso.or.kr/html/. 2014.
  10. 대한영양사협회. 영양클리닉. 올바른 식습관. 식습관 평가하기. www.dietitian.or.kr. 2015.
  11. 명승재, 이태희, 허규찬 등. 변비의 진단: 체계적인 문헌고찰. 대한소화기학회지. 2010;55(5):316-324.
  12. 박명화, 고자경, 김은심 등. 노인간호학. 정담미디어. 2004.
  13. 박상동, 이아람, 황종순 등. 요통과 비만과의 상관성에 대한 연구. 대한침구학회지. 2003;20(4):102-113.
  14. 박언정. 변비가 허리디스크를 일으킨다?. http://www.koreatimes.com/article/20150421/914114. 한국일보. 2015.
  15. 박영수, 이동호. 변비의 치료 가이드라인. 대한소화관운동학회. 2005;11(3):51-57.
  16. 변영순, 이정인. 여고생의 스트레스와 변비에 관한 연구. 기본간호학회지. 2003;10(1):23-29.
  17. 신정란, 이선영. 여대생 변비와 관련된 식습관 및 생활습관 요인. 대한지역사회영양학회지. 2003;8(5):675-688.
  18. 안혜영, 최혜선, 이지은. 고등학생의 변비 유무에 따른 생활습관의 차이. 한국학교.지역보건교육학회지. 2015;16(3):31-40.
  19. 양수. 정신분열증환자의 항정신병약물복용 후 나타나는 변비에 대한 수분 및 식이섬유 보충과 복근 강화운동의 효과. 가톨릭대학교 대학원 박사학위 논문. 1993.
  20. 유정순, 진정희, 장경자. 인천지역 대학생의 변비유병률, 배변습관 및 영양소섭취. 한국영양학회지. 2009;42(8):702-713.
  21. 유주연. 성인의 물섭취량에 관련된 요인. 아주대학교 보건대학원 석사학위 논문, 2010.
  22. 이선영, 신정란, 임상호. 농후 발효유에 의한 여대생의 변비개선 효과. 한국생활과학학회지. 2003;12(2):265-273.
  23. 이정미, 김도연, 윤인자 등. 기능성 위장관질환에 있어서 식이 및 영양 요법. 대한내과학회지. 2016;90(2):111-114.
  24. 이채린, 김순경. 자의적 변비 분류에 의한 정상군과 변비군 여대생의 식사관련 요인 비교. 대한지역영양학회지. 2011;16(1):23-36.
  25. 정휘수, 송윤미, 이정권 등. 일개 사업장 여성들의 변비와 관련된 생활양식. 가정의학회지. 2002;23(9):1124-1132.
  26. 최황 . 변비 진단 알고리즘. 대한소화관운동학회 춘계학술대회. 2005;16:59-66.
  27. 하버드대학교 의과대학. Harvard Medical School. 엔터스 코리아. 하버드 메디컬스쿨 가정의학가이드. 동아일보사. 2004.
  28. Andersson GBJ. The epidemiology of spinal disorders. In: Frymoyer JW, 1st ed. The adult spine: Principles and practice, 2nd ed. Philadelphia: Lippincott-Raven. 1997.
  29. Bouras EP, Tangalos EG. Chronic constipation in the elderly. Gastroenterology Clinical North America. 2009;38:463-480. https://doi.org/10.1016/j.gtc.2009.06.001
  30. Corfield AP, Carroll D, Myerscough N, et al. Mucins in the gastrointestinal track in health and disease. Front. Biosci. 2001;6:1321-1327. https://doi.org/10.2741/A684
  31. Drossman DA, Richter JE, Tally NJ, et al. The functional gastrointestinal disorders: Diagnosis, pathophysiology, and treatment: a multinational consenus. 1st ed, Boston, Little Brown and Company. 1994.
  32. Everhart JE, Go VL, Johannes RS, et al. A longitudinal survey of self-reported bowel habit in the United States. Dig Dis Sci. 1989;34(8):1153-1162. https://doi.org/10.1007/BF01537261
  33. Graves JE, Polock ML, Carpenter DM, et al. Quantitative Assessment Full range-of-motion isometric lumbar extenstion strength. Spina. 1990;15(4):289-294. https://doi.org/10.1097/00007632-199004000-00008
  34. Irvine EJ, Ferrazzi S, Pare P, et al. Health-related quality of life in functional GI disorders: focus on constipation and resource utilization. Am J Gastroenterol. 2002;97(8):1986-1993. https://doi.org/10.1111/j.1572-0241.2002.05843.x
  35. Itoh K, Okada K, Kawakita K. A proposed experimental model of myofascial trigger points in human muscle after slow eccentric exercise. Acupunct Med. 2004;22(1):2-13. https://doi.org/10.1136/aim.22.1.2
  36. Jeon SG, Shon CI, Kim JE, et al. Bowel habits in routine check-up subjects. Korean J med. 1999;57(1):36-41.
  37. Jung HS, Song YM, Lee JK, et al. Lifestyle factors related to constipation in working women. J Korean Acad Fam Med. 2002;23(9):1124-1132.
  38. Maquet D, Croisier JL, Demoulin C, et al. Pressure pain thresholds of tender point sites in patients with fibromyalgia and in healthy controls. Eur J Pain. 2004;8(2):111-117. https://doi.org/10.1016/S1090-3801(03)00082-X
  39. Pare P, Ferrazzi S, Thompson WG, et al. An epidemiological survey of constipation in Canada : definitions, rates, demographics, and predictors of health care seeking. Am J Gastroenterol. 2001;96(11):3130-3137. https://doi.org/10.1111/j.1572-0241.2001.05259.x
  40. Roland M, Fairbank J. The Roland-Morris disability questionnaire and the Oswestry disability questionnaire. Spine. 2000;25(24):3115-3124. https://doi.org/10.1097/00007632-200012150-00006
  41. Rolke R, Magerl W, Campbell KA, et al. Quantitative sensory testing: a comprehensive protocol for clinical trials. Eur J Pain. 2006;10(1):77-88. https://doi.org/10.1016/j.ejpain.2005.02.003
  42. Stewart WF, Liberman JN, Sandler RS, et al. Epidemiology of constipation(EPOC) study in the United State: Relation of clinical subtypes to sociodemographic features. Am J Gastroenterol. 1999;94(12):3530-3540. https://doi.org/10.1111/j.1572-0241.1999.01642.x
  43. Yoo WG. Changes in pressure pain threshold of the upper trapezius, levator scapular and rhomboid muscles during continuous computer work. Journal of physical therapy science. 2013;25(8):1021-1022. https://doi.org/10.1589/jpts.25.1021
  44. You JS, Park JY, Chang KJ. Correlation among dietary habits score, life stress score and health-related quality of life (HRQL) score for female college students with functional constipation. Korean J Nutr. 2010;43(6):620-627. https://doi.org/10.4163/kjn.2010.43.6.620