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Association between Obesity and the Prevalence of Disc Herniation Diseases Based on Cohort Data

코호트 자료를 기반으로 한 추간판 탈출증 유병율과 비만도와의 상관관계 분석

  • Jieun Kim (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital) ;
  • Hoseok Kim (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Kyungsik Jeong (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Seungwon Paik (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital) ;
  • Sukyung Lee (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital)
  • 김지은 (원광대학교 전주한방병원 한방재활의학과) ;
  • 김호석 (한국한의학연구원 한의약데이터부) ;
  • 정경식 (한국한의학연구원 한의약데이터부) ;
  • 백승원 (원광대학교 전주한방병원 한방재활의학과) ;
  • 이수경 (원광대학교 전주한방병원 한방재활의학과)
  • Received : 2024.09.17
  • Accepted : 2024.10.05
  • Published : 2024.10.31

Abstract

Objectives This study is aimed to investigate the association between obesity, abdominal obesity and the prevalence of disc herniation disease (DHD). Methods Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), DHD prevalence and component data were extracted and analyzed from the final 8,027 participants in sasang constitution district cohort data which is collected from Korean medicine data center. Obesity was classified based on BMI, abdominal obesity was classified based on WC, WHR. Cross-analysis and analysis of covariance (ANCOVA) were performed, and the significance level was set to p<0.05. Results In general characteristics, the proportion of women and the mean age were significantly higher in DHD group. The mean of BMI, WC and WHR was also significantly higher in DHD group. The proportion of overweight and obese (based on BMI) was significantly higher in DHD group. The proportion of abdominal obese (based on WC, WHR) was also significantly higher in DHD group. However, when the subjects were analyzed separately by sex, the mean of WC and WHR were significantly higher in DHD group, but there was no significant difference in BMI. The mean of WHR by obesity group was significantly higher in DHD group just in the normal and underweight group. As the result of ANCOVA with sex and age as covariate, the mean of WHR was affected by age, but the mean of WC and BMI showed a significant difference regardless of sex and age effect. Conclusions Obesity and abdominal obesity are positively associated with disc herniation disease and it can be affected by sex and age.

Keywords

Acknowledgement

This paper was supported by Wonkwang University in 2024.

References

  1. The Korean Orthopaedic Association. Affections of the spine. In: Seok SI, Baek GH, Kim SY, Kim HW, Park JB, Lee MC, Jung ST, Han SH, eds. Orthopaedics. 8th ed. Seoul:Choisin Publish. 2020:1137-45.
  2. Soh J, Hyun CS, Sim JC. Lumbar disc disease. Journal of Korean Society of Spine Surgery. 2022;29(4):123-33. https://doi.org/10.4184/jkss.2022.29.4.123
  3. Kim YJ, Kim HJ, Oh KW. Changes in prevalence of obesity and concomitant chronic diseases in adults [Internet]. Korea National Health and Nutrition Examination Survey; 2024 [cited 2024 Sep 2]. Available from: URL: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_02.do.
  4. Choi EY. The association of low back pain with obesity and abdominal obesity among Koreans aged 50 years or more. Korean Journal of Health Promotion. 2018;18(3):119-26. https://doi.org/10.15384/kjhp.2018.18.3.119
  5. Ahn HB, Kim JY, Son JM, Kim SJ, Jeong SH. The study on the correlation between low back pain and life habit, obesity in high school students. J Korean Med Rehabil. 2010;20(4):185-95.
  6. Park SD, Lee AR, Hwang JS, Son SC, Song IK, Kim KH. The study on relation of low back pain and obesity. The Journal of Korean Acupuncture & Moxibustion Society. 2003;20(4):102-13.
  7. Park JH, An SS, Choi YH, Hong SY, Heo DS, Yoon IJ. The study on relation of obesity and low back pain based on body composition using segmental bioelectrical impedance analysis and isokinetic trunk muscle strength. J Korean Med Rehabil. 2008;18(4):147-59.
  8. Kim BS, Jang G, Lim HH, Lee JS. The study of relationship among lumbar lordosis and obesity in low back pain patient. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2006;1(2):125-36.
  9. Hareni N, Stromqvist F, Rosengren BE, Karlsson MK. A study comparing outcomes between obese and non-obese patients with lumbar disc herniation undergoing surgery: a study of the Swedish National Quality Registry of 9979 patients. BMC Musculoskeletal Disorders. 2022;23(1):931.
  10. Xu X, Li X, Wu W. Association between overweight or obesity and lumbar disk diseases: a meta-analysis. Journal of Spinal Disorders and Techniques. 2015;28(10):370-6. https://doi.org/10.1097/BSD.0000000000000235
  11. Takatalo J, Karppinen J, Taimela S, Niinimaki J, Laitinen J, Sequeiros RB, Samartzis D, Korpelainen R, Nayha S, Remes J, Tervonen O. Association of abdominal obesity with lumbar disc degeneration--a magnetic resonance imaging study. PLoS One. 2013;8(2):e56244.
  12. Sheng B, Feng C, Zhang D, Spitler H, Shi L. Associations between obesity and spinal diseases: a medical expenditure panel study analysis. International Journal of Environmental Research and Public Health. 2017;14(2):183.
  13. Samartzis D, Karppinen J, Luk KD, Cheung KM. Body mass index and its association with lumbar disc herniation and sciatica: a large-scale, population-based study. Global Spine Journal. 2014;4(Suppl 1):s-0034-1376593.
  14. Quah C, Syme G, Swamy GN, Nanjayan S, Fowler A, Calthorpe D. Obesity and recurrent intervertebral disc prolapse after lumbar microdiscectomy. The Annals of The Royal College of Surgeons of England. 2014;96(2):140-3. https://doi.org/10.1308/003588414X13814021676873
  15. Shi S, Zhou Z, Liao JJ, Yang YH, Wu JS, Zheng S, He SS. The impact and distinction of 'lipid healthy but obese' and 'lipid abnormal but not obese' phenotypes on lumbar disc degeneration in Chinese. Journal of Translational Medicine. 2020;18(1):211.
  16. Lener S, Wipplinger C, Hartmann S, Thome C, Tschugg A. The impact of obesity and smoking on young individuals suffering from lumbar disc herniation: a retrospective analysis of 97 cases. Neurosurgical Review. 2020;43(5):1297-303. https://doi.org/10.1007/s10143-019-01151-y
  17. World Health Organization. Obesity: preventing and managing the global epidemic. Geneva:World Health Organization. 1998.
  18. Korean Society for the Study of Obesity. Clinical practice guidelines for obesity 2022. 8th ed. Seoul:Korean Society for the Study of Obesity. 2022:4-5.
  19. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 4th ed. Paju:Koonja Publish. 2016:41-2, 64-6.
  20. Yang BK, Ha JH, Hahn SH, Yi SR, Chung SW, Ahn YJ, Kim MS. Recurrence rate and survival analysis of the lumbar disc herniation after open discectomy. Journal of the Korean Orthopaedic Association. 2004;39(6):636-41. https://doi.org/10.4055/jkoa.2004.39.6.636
  21. Kim HS, Kim NC. Difference of the obesity index, blood pressure and serum lipids in abdominal and non abdominal in men and women. Journal of Korean Academy of Nursing. 2000;30(4):948-55.
  22. Cha SJ. Body shape changes of adult males by age. Bulletin of Korean Society of Basic Design & Art. 2021;22(4):405-18. https://doi.org/10.47294/KSBDA.22.4.29
  23. Cha SJ. Elderly male's body shape change with aging. Bulletin of Korean Society of Basic Design & Art. 2020;21(4):457-73. https://doi.org/10.47294/KSBDA.21.4.33
  24. Kim KS, Han HS, Nam YJ. The change pattern of body shape on chronological age in Korea adult women. Fashion & Textile Research Journal. 2017;19(1):49-60. https://doi.org/10.5805/SFTI.2017.19.1.49