Hubungan Antara Rasio Lingkar Pinggang dan Panggul dengan Derajat Nyeri Pada Pasien Low Back Pain di RS UNS

Authors

  • Auliya Yasmin Adhi Program Studi Kedokteran, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia
  • Desy Kurniawati Tandiyo Departemen Rehabilitasi Medik, Rumah Sakit Universitas Sebelas Maret, Surakarta, Indonesia
  • Nanang Wiyono Laboratorium Anatomi, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia

DOI:

https://doi.org/10.20961/plexus.v2i4.848

Keywords:

Low back pain, Rasio lingkar pinggang dan panggul, Derajat nyeri

Abstract

Pendahuluan: Low back pain merupakan masalah kesehatan yang sangat umum, yaitu berupa nyeri pada batas bawah kosta dan di atas lipatan gluteal. Obesitas terbukti menjadi faktor risiko low back pain dan menyebabkan peningkatan rasa nyeri pada pasien. Pengukuran obesitas menggunakan rasio lingkar pinggang dan panggul (RLPP) dianggap lebih sensitif untuk menilai distribusi lemak abdomen. Penelitian ini dilakukan untuk menilai hubungan antara RLPP dengan derajat nyeri pada pasien low back pain di RS UNS.

Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Subjek penelitian berjumlah 51 orang. Variabel bebas yaitu RLPP dan variabel terikat yaitu derajat nyeri. RLPP diukur menggunakan pita ukur dan derajat nyeri diukur menggunakan kuisioner numerical rating scale (NRS). Hubungan antar variabel diuji menggunakan uji korelasi Spearman.

Hasil: Terdapat hubungan yang bermakna antara RLPP dengan derajat nyeri pasien low back pain (p=0,028) dengan koefisien korelasi 0,308.

Kesimpulan: RLPP berhubungan dengan peningkatan derajat nyeri pada pasien low back pain di RS UNS.

 

References

Alhalabi, M. S., Alhaleeb, H., & Madani, S. (2015). Risk factors associated with chronic low back pain in Syria. Avicenna Journal of Medicine, 05(04), 110–116. https://doi.org/10.4103/2231-0770.165123

Arif, M., Gaur, D. K., Gemini, N., Iqbal, Z. A., & Alghadir, A. H. (2022). Correlation of Percentage Body Fat, Waist Circumference and Waist-to-Hip Ratio with Abdominal Muscle Strength. Healthcare (Switzerland), 10(12), 1–9. https://doi.org/10.3390/healthcare10122467

Atisook, R., Euasobhon, P., Saengsanon, A., & Jensen, M. P. (2021). Validity and utility of four pain intensity measures for use in international research. Journal of Pain Research, 14, 1129–1139. https://doi.org/10.2147/JPR.S303305

Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: A brief review of clinical and experimental findings. British Journal of Anaesthesia, 111(1), 52–58. https://doi.org/10.1093/bja/aet127

Bento, T. P. F., Genebra, C. V. dos S., Maciel, N. M., Cornelio, G. P., Simeão, S. F. A. P., & Vitta, A. de. (2020). Low back pain and some associated factors: is there any difference between genders? Brazilian Journal of Physical Therapy, 24(1), 79–87. https://doi.org/10.1016/j.bjpt.2019.01.012

Briggs, M. S., Givens, D. L., Schmitt, L. C., & Taylor, C. A. (2013). Relations of C-reactive protein and obesity to the prevalence and the odds of reporting low back pain. Archives of Physical Medicine and Rehabilitation, 94(4), 745–752. https://doi.org/10.1016/j.apmr.2012.11.026

Chou, L., Brady, S. R. E., Urquhart, D. M., Teichtahl, A. J., Cicuttini, F. M., Pasco, J. A., Brennan-Olsen, S. L., & Wluka, A. E. (2016). The Association between Obesity and Low Back Pain and Disability Is Affected by Mood Disorders. Medicine (United States), 95(15), 1–7. https://doi.org/10.1097/MD.0000000000003367

de Carvalho, D. H. T., Scholes, S., Santos, J. L. F., de Oliveira, C., & Alexandre, T. D. S. (2019). Does Abdominal Obesity Accelerate Muscle Strength Decline in Older Adults? Evidence From the English Longitudinal Study of Ageing. The Journals of Gerontology. Series A, Biological Sciences And Medical Sciences, 74(7), 1105–1111. https://doi.org/https://doi.org/10.1093/gerona/gly178

Depkes RI. (2009). Klasifikasi Umur Menurut Kategori. Ditjen Yankes.

Fernandes, I. M. da C., Pinto, R. Z., Ferreira, P., & Lira, F. S. (2018). Low back pain, obesity, and inflammatory markers: Exercise as potential treatment. Journal of Exercise Rehabilitation, 14(2), 168–174. https://doi.org/10.12965/jer.1836070.035

Frilander, H., Solovieva, S., Mutanen, P., Pihlajamäki, H., Heliövaara, M., & Viikari-Juntura, E. (2015). Role of overweight and obesity in low back disorders among men: A longitudinal study with a life course approach. BMJ Open, 5(8). https://doi.org/10.1136/bmjopen-2015-007805

Gadekar, T., Dudeja, P., Basu, I., Vashisht, S., & Mukherji, S. (2020). Correlation of visceral body fat with waist–hip ratio, waist circumference and body mass index in healthy adults: A cross sectional study. Medical Journal Armed Forces India, 76(1), 41–46. https://doi.org/10.1016/j.mjafi.2017.12.001

Gerhart, J. I., Burns, J. W., Post, K. M., Smith, D. A., Porter, L. S., Burgess, H. J., Schuster, E., Buvanendran, A., Fras, A. M., & Keefe, F. J. (2017). Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Annals of Behavioral Medicine, 51(3), 365–375. https://doi.org/10.1007/s12160-016-9860-2

Gnudi, S., Sitta, E., Gnudi, F., & Pignotti, E. (2009). Relationship of a lifelong physical workload with physical function and low back pain in retired women. Aging Clinical and Experimental Research, 21(1), 55–61. https://doi.org/10.1007/BF03324899

Grabovac, I., & Dorner, T. E. (2019). Association between low back pain and various everyday performances: Activities of daily living, ability to work and sexual function. Wiener Klinische Wochenschrift, 131(21–22), 541–549. https://doi.org/10.1007/s00508-019-01542-7

Hashimoto, Y., Matsudaira, K., Sawada, S. S., Gando, Y., Kawakami, R., Kinugawa, C., Okamoto, T., Tsukamoto, K., Miyachi, M., & Naito, H. (2017). Obesity and low back pain: A retrospective cohort study of Japanese males. Journal of Physical Therapy Science, 29(6), 978–983. https://doi.org/10.1589/jpts.29.978

Hussain, S. M., Urquhart, D. M., Wang, Y., Shaw, J. E., Magliano, D. J., Wluka, A. E., & Cicuttini, F. M. (2017). Fat mass and fat distribution are associated with low back pain intensity and disability: Results from a cohort study. Arthritis Research and Therapy, 19(1), 1–10. https://doi.org/10.1186/s13075-017-1242-z

Iatridis, J. C., Nicoll, S. B., Michalek, A. J., Walter, B. A., & Gupta, M. S. (2013). Role of biomechanics in intervertebral disc degeneration and regenerative therapies: What needs repairing in the disc and what are promising biomaterials for its repair? Spine Journal, 13(3), 243–262. https://doi.org/10.1016/j.spinee.2012.12.002

Koesyanto, H. (2013). Masa Kerja dan Sikap Kerja Duduk Terhadap Nyeri Punggung. Jurnal Kesehatan Masyarakat, 9(1), 9–14.

Maizura, F. (2015). Faktor-Faktor Yang Berhubungan Dengan Keluhan Nyeri Punggung Bawah (Npb) Pada Pekerja Di PT. Bakrie Metal Industries Tahun 2015 . UIN Syarif Hidayatullah. In Universitas Islam Negeri Syarif Hidayatullah Jakarta (Vol. 49, Issues 23–6).

Marras, W. S., Walter, B. A., Purmessur, D., Mageswaran, P., & Wiet, M. G. (2016). The contribution of biomechanical-biological interactions of the spine to low back pain. Human Factors, 58(7), 965–975. https://doi.org/10.1177/0018720816657235

Maryani, E., & Sunarti. (2013). Rasio Lingkar Pinggang dan Pinggul Dengan Penyakit Jantung Koroner Di RSUD Kabupaten Sukoharjo. Buletin Penelitian Sistem Kesehatan, 16(1), 73–82.

Mattiuzzi, C., Lippi, G., & Bovo, C. (2020). Current Epidemiology of Low Back Pain. Journal of Hospital Management and Health Policy, 4(15), 1–6.

Meucci, R. D., Fassa, A. G., & Xavier Faria, N. M. (2015). Prevalence of chronic low back pain: Systematic review. Revista de Saude Publica, 49, 1–10. https://doi.org/10.1590/S0034-8910.2015049005874

Negara, K. N. D. P., Wibawa, A., & Purnawati, S. (2015). Hubungan Antara Indeks Massa Tubuh (IMT) Kategori Overweight dan Obesitas dengan Keluhan Low Back Pain (LBP) Pada Mahasiswa Fakultas Kedokteran Universitas Udayana. Majalah Ilmiah Fisioterapi Indonesia, 3(1).

Neidlinger-Wilke, C., Galbusera, F., Pratsinis, H., Mavrogonatou, E., Mietsch, A., Kletsas, D., & Wilke, H. J. (2014). Mechanical loading of the intervertebral disc: From the macroscopic to the cellular level. European Spine Journal, 23(SUPPL. 3). https://doi.org/10.1007/s00586-013-2855-9

Nolet, P. S., Kristman, V. L., Côté, P., Carroll, L. J., & Cassidy, J. D. (2018). The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study. European Spine Journal, 27(1), 136–144. https://doi.org/10.1007/s00586-017-5090-y

Owolabi, E. O., Ter Goon, D., & Adeniyi, O. V. (2017). Central obesity and normal-weight central obesity among adults attending healthcare facilities in Buffalo City Metropolitan Municipality, South Africa: A cross-sectional study. Journal of Health, Population and Nutrition, 36(1), 1–10. https://doi.org/10.1186/s41043-017-0133-x

Plouvier, S., Chastang, J. F., Cyr, D., Bonenfant, S., Descatha, A., Goldberg, M., & Leclerc, A. (2015). Occupational biomechanical exposure predicts low back pain in older age among men in the Gazel Cohort. International Archives of Occupational and Environmental Health, 88(4), 501–510. https://doi.org/10.1007/s00420-014-0979-9

Rosenbloom, B. N., Khan, S., Mccartney, C., & Katz, J. (2013). Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury. Journal of Pain Research, 6, 39–51. https://doi.org/10.2147/JPR.S38878

Safikhani, S., Gries, K. S., Trudeau, J. J., Reasner, D., Rüdell, K., Coons, S. J., Bush, E. N., Hanlon, J., Abraham, L., & Vernon, M. (2018). Response scale selection in adult pain measures: Results from a literature review. Journal of Patient-Reported Outcomes, 2. https://doi.org/10.1186/s41687-018-0053-6

Šarabon, N., Vreček, N., Hofer, C., Löfler, S., Kozinc, Ž., & Kern, H. (2021). Physical abilities in low back pain patients: A cross‐sectional study with exploratory comparison of patient subgroups. Life, 11(3), 1–15. https://doi.org/10.3390/life11030226

Sirbu, E., Onofrei, R., Szasz, S., & Susan, M. (2020). Predictors of disability in patients with chronic low back pain. Archives of Medical Science. https://doi.org/10.5114/aoms.2020.97057

Sribastav, S. Sen, Long, J., He, P., He, W., Ye, F., Li, Z., Wang, J., Liu, H., Wang, H., & Zheng, Z. (2018). Risk factors associated with pain severity in patients with non-specific low back pain in Southern China. Asian Spine Journal, 12(23), 533–543. https://doi.org/10.4184/asj.2018.12.3.533

Uehara, M., Ikegami, S., Horiuchi, H., Takahashi, J., & Kato, H. (2021). Prevalence and related factors of low back pain in the general elderly population: A japanese cross-sectional study randomly sampled from a basic resident registry. Journal of Clinical Medicine, 10(18). https://doi.org/10.3390/jcm10184213

Vergroesen, P. P. A., Van Der Veen, A. J., Van Royen, B. J., Kingma, I., & Smit, T. H. (2014). Intradiscal pressure depends on recent loading and correlates with disc height and compressive stiffness. European Spine Journal, 23(11), 2359–2368. https://doi.org/10.1007/s00586-014-3450-4

Wáng, Y. X. J., Wáng, J. Q., & Káplár, Z. (2016). Increased low back pain prevalence in females than in males after menopause age: Evidences based on synthetic literature review. Quantitative Imaging in Medicine and Surgery, 6(2), 199–206. https://doi.org/10.21037/qims.2016.04.06

Widyadharma, E., & Sudewi, R. A. A. (2018). Obesitas Sentral Meningkatkan Risiko Nyeri Punggung Bawah pada Mahasiswa Program Studi Pendidikan Dokter Universitas Udayana. E-Jurnal Medika Udayana, 7(5), 226–229.

Wong, A. Y., Karppinen, J., & Samartzis, D. (2017). Low back pain in older adults: risk factors, management options and future directions. Scoliosis and Spinal Disorders, 12(1), 1–23. https://doi.org/10.1186/s13013-017-0121-3

Wu, A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., Blyth, F. M., Smith, E., Buchbinder, R., & Hoy, D. (2020). Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Annals of Translational Medicine, 8(6), 299–299. https://doi.org/10.21037/atm.2020.02.175

You, Q., Jiang, Q., Li, D., Wang, T., Wang, S., & Cao, S. (2022). Waist Circumference, Waist-Hip Ratio, Body Fat Rate, Total Body Fat Mass and Risk of Low Back Pain: A Systematic Review and Meta-Analysis. European Spine Journal : Official Publication of The European Spine Society, The European Spinal Deformity Society, and The European Section of The Cervical Spine Research Society, 31(1), 123–135.

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2023-08-11

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