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HEIGHT, OCCUPATION AND BACK PAIN IN A NATIONAL PROSPECTIVE STUDY
Authors:KUH  D J L; COGGAN  D; MANN  S; COOPER  C; YUSUF  E
Institution:*MRC National Survey of Health and Development, University College and Middlesex School of Medicine, University College London, Department of Epidemiology and Public Health 66–72 Cower Street, London WC1E 6EA
{dagger}MRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital Southampton SO9 4X7
{ddagger}Department of Health Sciences Research, Section of Clinical Epidemiology Mayo Clinic, Rochester MN55905, USA
Abstract:Back pain is an important public health problem but there isa paucity of knowledge about risk factors and causal mechanisms.Previous studies have shown that tall men are more at risk ofback pain, although observations in women have been less consistent.This paper presents findings from a national longitudinal studyof 3262 men and women aged 43 yr. Standing height and sittingheight were related to 18-month reported prevalence of ‘sciatica,lumbago or severe backache’ in both men and women. Thepaper investigates explanations for these findings using previouslycollected data on childhood growth and detailed lifetime occupationalhistories. Neither greater susceptibility of tall men to heavylifting, nor the timing of growth, were able to account forthese relationships. To assess further the association betweenheight and back pain, information is needed on the relationshipbetween stature and characteristics of spinal structure. KEY WORDS: Longitudinal, British, Growth, Adults, Lifting, Spine
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