| Titre : | Are risk factors for atherothrombotic disease associated with back pain sickness absence ? The whitehall II study. (1999) |
| Auteurs : | H. Hemingway ; E. BRUNNER ; J. FRANK ; M. MARMOT ; H. SHANNON ; M. SHIPLEY ; S. STANSFELD ; Institute for Work and Health. Toronto. CAN ; International Centre for Health and Society. Department of of Epidemiology and Public Health. University College London Medical School. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 53, n° 4, 1999) |
| Pagination : | 197-203 |
| Langues: | Anglais |
| Mots-clés : | Artériosclérose ; Homme ; Sexe ; Association ; Facteur risque ; Angleterre ; Grande Bretagne ; Royaume Uni ; Europe ; Epidémiologie ; Prévalence ; Absentéisme ; Evaluation ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] ; Système ostéoarticulaire [pathologie] ; Rachis [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST gkDbXR0x. Diffusion soumise à autorisation]. Study objective-To explore the previously stated hypothesis that risk factors for atherothrombotic disease are associated with back pain. Design-Prospective (mean of four years of follow up) and retrospective analyses using two main outcome measures : (a) short (<= 7 days) and long (>7 days) spells of sickness absence because of back pain reported separately in men and women ; (b) consistency of effect across the resulting four duration of spell and sex cells. Setting-14 civil service departments in London Participants-3506 male and 1380 female white office-based civil servants, aged 35-55 years at baseline. Main results-In age adjusted models, low apo AI was associated with back pain across all four duration-sex cells and smoking was associated across three cells. Six factors were associated with back pain in two cells : low exercise and high BMI, waist-hip ratio, triglycerides, insulin and Lp (a). On full adjustment (for age, BMI, employment grade and back pain at baseline), each of these factors retained a statistically significant effect in at least one duration-sex cell. Triglycerides were associated with short and long spells of sickness absence because of back pain in men in fully adjusted models with rate ratios (95% confidence intervals) of 1.53 (1.1,2.1) and 1.75 (1.0,3.2) respectively. (...) |
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