PMID- 30175723
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20181211
IS  - 1349-3329 (Electronic)
IS  - 0040-8727 (Linking)
VI  - 246
IP  - 1
DP  - 2018 Sep
TI  - Sleep Disturbance Is Associated with New Onset and Continuation of Lower Back 
      Pain: A Longitudinal Study among Survivors of the Great East Japan Earthquake.
PG  - 9-14
LID - 10.1620/tjem.246.9 [doi]
AB  - Lower back pain (LBP) is a common health problem after natural disasters. 
      Although some related factors have been reported, the effect of sleep 
      disturbances on LBP is not clear. The purpose of this study was to elucidate the 
      influence of sleep disturbances on LBP after the Great East Japan earthquake 
      (GEJE). A panel study was conducted with the survivors of the GEJE (n = 2,295) at 
      three and four years after the disaster using self-reported questionnaires. The 
      changes in the presence of LBP during the two periods were assessed; LBP was 
      characterized as either new onset or continuation of LBP. The participants' sleep 
      conditions were assessed, and the changes in sleep disturbances during the two 
      periods were classified into four groups: absence, new onset, improvement, and 
      continuation. Multivariate logistic regression models were used to analyze the 
      association of the changes in sleep disturbance with new onset and continuation 
      of LBP. The rates of new onset and continuation of LBP were 14.1% and 55.1%, 
      respectively. The changes in sleep disturbances were significantly associated 
      with new-onset and continuing LBP. Using "absence" as a reference for the change 
      of sleep disturbance, the adjusted ORs (95% CI) for new-onset LBP were 2.19 
      (1.42-3.38) in "new onset," 1.38 (0.83-2.30) in "improvement," and 2.17 
      (1.50-3.15) in "continuation," and those for continuing LBP were 1.42 (0.71-2.84) 
      in "new onset," 0.98 (0.55-1.74) in "improvement," and 1.60 (1.01-2.51) in 
      "continuation." Careful attention should be paid to sleep disturbances to prevent 
      and improve LBP after natural disasters.
FAU - Yabe, Yutaka
AU  - Yabe Y
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Hagiwara, Yoshihiro
AU  - Hagiwara Y
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Sekiguchi, Takuya
AU  - Sekiguchi T
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Sugawara, Yumi
AU  - Sugawara Y
AD  - Division of Epidemiology, Department of Health Informatics and Public Health, 
      Tohoku University, Graduate School of Public Health.
FAU - Tsuchiya, Masahiro
AU  - Tsuchiya M
AD  - Tohoku Fukushi University.
FAU - Koide, Masashi
AU  - Koide M
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Itaya, Nobuyuki
AU  - Itaya N
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Yoshida, Shinichirou
AU  - Yoshida S
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Sogi, Yasuhito
AU  - Sogi Y
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Yano, Toshihisa
AU  - Yano T
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
FAU - Tsuji, Ichiro
AU  - Tsuji I
AD  - Division of Epidemiology, Department of Health Informatics and Public Health, 
      Tohoku University, Graduate School of Public Health.
FAU - Itoi, Eiji
AU  - Itoi E
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine.
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Tohoku J Exp Med
JT  - The Tohoku journal of experimental medicine
JID - 0417355
SB  - IM
MH  - Aged
MH  - Female
MH  - Humans
MH  - Japan
MH  - Longitudinal Studies
MH  - Low Back Pain/*etiology
MH  - Male
MH  - Middle Aged
MH  - *Natural Disasters
MH  - Sleep Wake Disorders/*complications
MH  - *Survivors
OTO - NOTNLM
OT  - Great East Japan Earthquake
OT  - lower back pain
OT  - natural disaster
OT  - sleep disturbance
OT  - survivor
EDAT- 2018/09/04 06:00
MHDA- 2018/12/12 06:00
CRDT- 2018/09/04 06:00
PHST- 2018/09/04 06:00 [entrez]
PHST- 2018/09/04 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
AID - 10.1620/tjem.246.9 [doi]
PST - ppublish
SO  - Tohoku J Exp Med. 2018 Sep;246(1):9-14. doi: 10.1620/tjem.246.9.