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Author (up) Heuch, I.; Heuch, I.; Hagen, K.; Sorgjerd, E.P.; Asvold, B.O.; Zwart, J.-A. url  doi
  Title Is chronic low back pain a risk factor for diabetes? The Nord-Trondelag Health Study Type Journal Article
  Year 2018 Publication BMJ Open Diabetes Research & Care Abbreviated Journal BMJ Open Diabetes Res Care  
  Volume 6 Issue 1 Pages e000569  
  Keywords Hunt; cohort; diabetes; low back pain; musculoskeletal disorder  
  Abstract Objective: The purpose of this study was to examine the risk of diabetes associated with the presence or absence of chronic low back pain, considering both cross-sectional and cohort data. Research design and methods: Analyses were based on the Norwegian HUNT2 and HUNT3 surveys of Nord-Trondelag County. The prevalence of diabetes was compared in groups with and without chronic low back pain among 45 157 participants aged 30-69 years. Associations between low back pain at baseline and risk of diabetes were examined in an 11-year follow-up of 30 380 individuals with no baseline diagnosis of diabetes. The comorbidity between diabetes and low back pain was assessed at the end of follow-up. All analyses were carried out considering generalized linear models incorporating adjustment for other relevant risk factors. Results: Cross-sectional analyses did not reveal any association between low back pain and diabetes. With adjustment for age, body mass index, physical activity and smoking, the cohort study of women showed a significant association between low back pain at baseline and risk of diabetes (RR 1.30; 95% CI 1.09 to 1.54, p=0.003). The association differed between age groups (p=0.015), with a stronger association in relatively young women. In men, no association was found in the whole age range (RR 1.02; 95% CI 0.86 to 1.21, p=0.82). No association was observed between diabetes and chronic low back pain at the end of follow-up. Conclusion: Among younger women, those with chronic low back pain may have an increased risk of diabetes.  
  Address Faculty of Medicine, University of Oslo, Oslo, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 2052-4897 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:30397493; PMCID:PMC6203062 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 2097  
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