Prevalence of low back pain in adult population in China: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

CHEN Dong , CHEN Chunhui , HU Zhichao , SHAO Zhenxuan , LIN Jialiang ,  WU Aimin

Department of Orthopedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University; The Second School of Medicine Wenzhou Medical University; Zhejiang Spine Surgery Center, Wenzhou, 325027, P.R.China;

Corresponding author：

WU Aimin, Email: aiminwu@wmu.edu.cn

Keywords：

Low back pain; China; Prevalence; Systematic review

DOI：

10.7507/1672-2531.201801044

Video：

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Objective To systematically review the prevalence of low back pain in adult population in China, so as to provide a reliable scientific basis for further scientific research and social decision-making of low back pain.Methods PubMed, EMbase, VIP, WanFang Data and CNKI databases were electronically searched to collect the studies on prevalence of low back pain in adult population in China from inception to October 28, 2017. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies. Then, systematic review was performed.Results A total of 16 studies were included. The results showed that: significant heterogeneity had been observed among the different studies. The previous affected prevalence was 7.21% to 39.0%, annual prevalence was 20.88% to 29.88%, and time period prevalence was 6.11% to 28.5%. Six studies reported the different prevalence between genders, in which only one study found a little higher prevalence in male, and the other five found higher prevalence in females than males.Conclusions Current evidence shows that there is significant heterogeneity in studies on prevalence of low back pain among adults in China, and all of them are data from a single province or region. It is suggested that a national prospective survey should be conducted to provide more accurate epidemiological data.

Citation： CHEN Dong, CHEN Chunhui, HU Zhichao, SHAO Zhenxuan, LIN Jialiang, WU Aimin. Prevalence of low back pain in adult population in China: a systematic review. Chinese Journal of Evidence-Based Medicine, 2019, 19(6): 651-655. doi: 10.7507/1672-2531.201801044 Copy

1.	Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum, 2012, 64(6): 2028-2037.
2.	GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet, 2017, 390(10100): 1211-1259.
3.	Rostom A, Dubé C, Cranney A, et al. Celiac disease. Evid Rep Technol Assess (Summ), 2004, (104): 1-6.
4.	曾小峰, 朱松林, 谭爱春, 等. 我国类风湿关节炎疾病负担和生存质量研究的系统评价. 中国循证医学杂志, 2013, 13(3): 300-307.
5.	Wong WS, Fielding R. Prevalence and characteristics of chronic pain in the general population of Hong Kong. J Pain, 2011, 12(2): 236-245.
6.	Wang S, Kou C, Liu Y, et al. Rural-urban differences in the prevalence of chronic disease in northeast China. Asia Pac J Public Health, 2015, 27(4): 394-406.
7.	Lau EM, Egger P, Coggon D, et al. Low back pain in HongKong: prevalence and characteristics compared with Britain. J Epidemiol Community Health, 1995, 49(5): 492-494.
8.	Stewart Williams J, Ng N, Peltzer K, et al. Risk factors and disability associated with low back pain in older adults in low- and middle-income countries. results from the WHO study on global ageing and adult health (SAGE). PLoS One, 2015, 10(6): e0127880.
9.	Liao ZT, Pan YF, Huang JL, et al. An epidemiological survey of low back pain and axial spondyloarthritis in a Chinese Han population. Scand J Rheumatol, 2009, 38(6): 455-459.
10.	Gao HL, Lin SQ, Wei Y, et al. The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35-64 years. Climacteric, 2013, 16(6): 639-645.
11.	Zeng QY, Chen R, Xiao ZY, et al. Low prevalence of knee and back pain in southeast China; the Shantou COPCORD study. J Rheumatol, 2004, 31(12): 2439-2443.
12.	Chou YC, Shih CC, Lin JG, et al. Low back pain associated with sociodemographic factors, lifestyle and osteoporosis: a population-based study. J Rehabil Med, 2013, 45(1): 76-80.
13.	吕艳伟, 田伟, 刘亚军, 等. 2010年北京地区18岁及以上人群腰痛患病率研究. 中华骨科杂志, 2013, 33(1): 60-64.
14.	王凯, 闵少雄, 徐新毅, 等. 社区非特异性下腰痛流行病学调查及预测模型的构建. 实用医学杂志, 2015, 31(2): 306-308.
15.	娄玉钤, 张毅, 许立. 腰痛的流行病学的调查. 中国中医骨伤科杂志, 1999, (1): 44-46.
16.	郑天源, 侯进才, 卢锦玲, 等. 北京市朝阳区慢性疼痛疾病流行病学调查报告. 中国疼痛医学杂志, 2010, 16(6): 339-341.
17.	王立勋, 朱亮先, 郭瑞, 等. 小榄地区慢性疼痛流行病学调查. 世界中西医结合杂志, 2014, 9(10): 1062-1064.
18.	曾宪明, 漆海如, 刘宝, 等. 社区慢性疼痛性疾病管理. 中国康复理论与实践, 2013, 19(5): 475-477.
19.	唐谦, 王林, 朱焱. 2016年贵阳市社区中老年人慢性疼痛流行病学特征分析. 现代预防医学, 2017, 44(18): 3330-3333.
20.	董章利, 程凯军, 刘德华, 等. 老年人腰背痛及治疗状况的流行病学调查. 海南医学, 2009, 20(2): 104-105, 103.
21.	Xu Y, Wang L, He J, et al. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9): 948-959.
22.	Ma YQ, Mei WH, Yin P, et al. Prevalence of hypertension in Chinese cities: a meta-analysis of published studies. PLoS One, 2013, 8(3): e58302.
23.	Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am, 1991, 22(2): 263-271.
24.	Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica, 2015, 49: pii: 34-89102015000100408.
25.	Garcia JB, Hernandez-Castro JJ, Nunez RG, et al. Prevalence of low back pain in Latin America: a systematic literature review. Pain Physician, 2014, 17(5): 379-391.
26.	Shmagel A, Foley R, Ibrahim H. Epidemiology of chronic low back pain in US adults: data from the 2009-2010 national health and nutrition examination survey. Arthritis Care Res (Hoboken), 2016, 68(11): 1688-1694.
27.	Louw QA, Morris LD, Grimmer-Somers K. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord, 2007, 8: 105.
28.	Yeung SS, Genaidy A, Deddens J, et al. Prevalence of musculoskeletal symptoms in single and multiple body regions and effects of perceived risk of injury among manual handling workers. Spine (Phila Pa 1976), 2002, 27(19): 2166-2172.
29.	Lin PH, Tsai YA, Chen WC, et al. Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: a cross-sectional survey. Int J Occup Med Environ Health, 2012, 25(1): 41-50.
30.	金莉雅, 贾曼, 许飞珠. 国内护理人员腰背痛患病率的Meta分析. 中国实用护理杂志, 2013, 29(20): 45-47.
31.	Liu X, Wang L, Stallones L, et al. Back pain among farmers in a northern area of China. Spine (Phila Pa 1976), 2012, 37(6): 508-514.
32.	Yang Y, Fan XS, Tian CH, et al. Health status, intention to seek health examination, and participation in health education among taxi drivers in jinan, china. Iran Red Crescent Med J, 2014, 16(4): e13355.
33.	高明暄, 刘兴炎, 甄平, 等. 西北高寒区某装甲部队腰痛流行病学调查. 解放军预防医学杂志, 2006, (05): 339-342.
34.	王于领, 黄东锋, 梁崎, 等. 办公室人员腰痛患病率抽样调查及康复相关因素分析. 中国康复医学杂志, 2007, 22(7): 615-618.
35.	Choi BK, Verbeek JH, Tam WW, et al. Exercises for prevention of recurrences of low-back pain. Occup Environ Med, 2010, 67(11): 795-796.
36.	van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine (Phila Pa 1976), 1997, 22(18): 2128-2156.
37.	Saper RB, Lemaster C, Delitto A, et al. Yoga, physical therapy, or education for chronic low back pain: a randomized noninferiority trial. Ann Intern Med, 2017, 167(2): 85-94.
38.	刁孟元, 黄凤楼. 某部新训士兵下腰痛分析. 东南国防医药, 2009, 11(1): 94-96.

1. Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum, 2012, 64(6): 2028-2037.
2. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet, 2017, 390(10100): 1211-1259.
3. Rostom A, Dubé C, Cranney A, et al. Celiac disease. Evid Rep Technol Assess (Summ), 2004, (104): 1-6.
4. 曾小峰, 朱松林, 谭爱春, 等. 我国类风湿关节炎疾病负担和生存质量研究的系统评价. 中国循证医学杂志, 2013, 13(3): 300-307.
5. Wong WS, Fielding R. Prevalence and characteristics of chronic pain in the general population of Hong Kong. J Pain, 2011, 12(2): 236-245.
6. Wang S, Kou C, Liu Y, et al. Rural-urban differences in the prevalence of chronic disease in northeast China. Asia Pac J Public Health, 2015, 27(4): 394-406.
7. Lau EM, Egger P, Coggon D, et al. Low back pain in HongKong: prevalence and characteristics compared with Britain. J Epidemiol Community Health, 1995, 49(5): 492-494.
8. Stewart Williams J, Ng N, Peltzer K, et al. Risk factors and disability associated with low back pain in older adults in low- and middle-income countries. results from the WHO study on global ageing and adult health (SAGE). PLoS One, 2015, 10(6): e0127880.
9. Liao ZT, Pan YF, Huang JL, et al. An epidemiological survey of low back pain and axial spondyloarthritis in a Chinese Han population. Scand J Rheumatol, 2009, 38(6): 455-459.
10. Gao HL, Lin SQ, Wei Y, et al. The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35-64 years. Climacteric, 2013, 16(6): 639-645.
11. Zeng QY, Chen R, Xiao ZY, et al. Low prevalence of knee and back pain in southeast China; the Shantou COPCORD study. J Rheumatol, 2004, 31(12): 2439-2443.
12. Chou YC, Shih CC, Lin JG, et al. Low back pain associated with sociodemographic factors, lifestyle and osteoporosis: a population-based study. J Rehabil Med, 2013, 45(1): 76-80.
13. 吕艳伟, 田伟, 刘亚军, 等. 2010年北京地区18岁及以上人群腰痛患病率研究. 中华骨科杂志, 2013, 33(1): 60-64.
14. 王凯, 闵少雄, 徐新毅, 等. 社区非特异性下腰痛流行病学调查及预测模型的构建. 实用医学杂志, 2015, 31(2): 306-308.
15. 娄玉钤, 张毅, 许立. 腰痛的流行病学的调查. 中国中医骨伤科杂志, 1999, (1): 44-46.
16. 郑天源, 侯进才, 卢锦玲, 等. 北京市朝阳区慢性疼痛疾病流行病学调查报告. 中国疼痛医学杂志, 2010, 16(6): 339-341.
17. 王立勋, 朱亮先, 郭瑞, 等. 小榄地区慢性疼痛流行病学调查. 世界中西医结合杂志, 2014, 9(10): 1062-1064.
18. 曾宪明, 漆海如, 刘宝, 等. 社区慢性疼痛性疾病管理. 中国康复理论与实践, 2013, 19(5): 475-477.
19. 唐谦, 王林, 朱焱. 2016年贵阳市社区中老年人慢性疼痛流行病学特征分析. 现代预防医学, 2017, 44(18): 3330-3333.
20. 董章利, 程凯军, 刘德华, 等. 老年人腰背痛及治疗状况的流行病学调查. 海南医学, 2009, 20(2): 104-105, 103.
21. Xu Y, Wang L, He J, et al. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9): 948-959.
22. Ma YQ, Mei WH, Yin P, et al. Prevalence of hypertension in Chinese cities: a meta-analysis of published studies. PLoS One, 2013, 8(3): e58302.
23. Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am, 1991, 22(2): 263-271.
24. Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica, 2015, 49: pii: 34-89102015000100408.
25. Garcia JB, Hernandez-Castro JJ, Nunez RG, et al. Prevalence of low back pain in Latin America: a systematic literature review. Pain Physician, 2014, 17(5): 379-391.
26. Shmagel A, Foley R, Ibrahim H. Epidemiology of chronic low back pain in US adults: data from the 2009-2010 national health and nutrition examination survey. Arthritis Care Res (Hoboken), 2016, 68(11): 1688-1694.
27. Louw QA, Morris LD, Grimmer-Somers K. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord, 2007, 8: 105.
28. Yeung SS, Genaidy A, Deddens J, et al. Prevalence of musculoskeletal symptoms in single and multiple body regions and effects of perceived risk of injury among manual handling workers. Spine (Phila Pa 1976), 2002, 27(19): 2166-2172.
29. Lin PH, Tsai YA, Chen WC, et al. Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: a cross-sectional survey. Int J Occup Med Environ Health, 2012, 25(1): 41-50.
30. 金莉雅, 贾曼, 许飞珠. 国内护理人员腰背痛患病率的Meta分析. 中国实用护理杂志, 2013, 29(20): 45-47.
31. Liu X, Wang L, Stallones L, et al. Back pain among farmers in a northern area of China. Spine (Phila Pa 1976), 2012, 37(6): 508-514.
32. Yang Y, Fan XS, Tian CH, et al. Health status, intention to seek health examination, and participation in health education among taxi drivers in jinan, china. Iran Red Crescent Med J, 2014, 16(4): e13355.
33. 高明暄, 刘兴炎, 甄平, 等. 西北高寒区某装甲部队腰痛流行病学调查. 解放军预防医学杂志, 2006, (05): 339-342.
34. 王于领, 黄东锋, 梁崎, 等. 办公室人员腰痛患病率抽样调查及康复相关因素分析. 中国康复医学杂志, 2007, 22(7): 615-618.
35. Choi BK, Verbeek JH, Tam WW, et al. Exercises for prevention of recurrences of low-back pain. Occup Environ Med, 2010, 67(11): 795-796.
36. van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine (Phila Pa 1976), 1997, 22(18): 2128-2156.
37. Saper RB, Lemaster C, Delitto A, et al. Yoga, physical therapy, or education for chronic low back pain: a randomized noninferiority trial. Ann Intern Med, 2017, 167(2): 85-94.
38. 刁孟元, 黄凤楼. 某部新训士兵下腰痛分析. 东南国防医药, 2009, 11(1): 94-96.

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