Korean J Fam Pract 2019; 9(2): 212-215  https://doi.org/10.21215/kjfp.2019.9.2.212
Relationship between Degenerative Disc Disease and Lipid Profiles in Older Adults
Hyun Seon Eo, Eun Jin Chung, Soo Hyoung Lee, Ki Hyun Park, Jung A Kim*
Department of Family Medicine, Seoul Medical Center, Seoul, Korea
Jung A Kim, Tel: +82-2-2276-8625, Fax: +82-2-2276-8504, E-mail: kimjunga111@gmail.com, ORCID: http://orcid.org/0000-0001-7381-9365
Received: July 26, 2018; Revised: November 19, 2018; Accepted: December 11, 2018; Published online: April 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Lumbar degenerative disc disease (LDDD) is associated with obesity; however, there are only a few studies on the relationship between LDDD and the specific risk of obesity, such as dyslipidemia. We aimed to identify the independent association between LDDD and serum lipid profiles in older adults.
Methods: A retrospective case-control study was performed with the patients with LDDD, such as spinal stenosis and lumbosacral disc prolapse, and control patients. Sixty-eight patients with LDDD aged 65–85 years were recruited in the LDDD group. Thirty-seven age- and sex-matched controls without LDDD were also enrolled. Logistic regression analysis was performed after adjusting for age, sex and body mass index to assess the association between LDDD and serum lipid profiles.
Results: Total cholesterol and triglyceride levels were significantly higher in the LDDD group. The subjects with abnormal triglyceride level (>150 mg/ dL) showed a significant odds ratio (7.274, 95% confidence interval [1.552–34.095], P-value=0.012) for LDDD.
Conclusion: The study findings suggest that higher total cholesterol level may be associated with the patients with LDDD. Therefore, the association between serum triglyceride level and risk of LDDD must be studied further.
Keywords: Lumbarsacral Spondylosis; Lipoproteins; Obesity; Elderly
References
  1. Park Y, Ha JW, Park HY, Sim MN, Shin BR. A comparative study on spinal diseases according to lifestyle and behavior using National Health Insurance data. Ilsan: National Health Insuarance Service Ilsan Hospital; 2015. Report No.: 2015-20-007.
  2. Crean JK, Roberts S, Jaffray DC, Eisenstein SM, Duance VC. Matrix metalloproteinases in the human intervertebral disc: role in disc degeneration and scoliosis. Spine (Phila Pa 1976) 1997; 22: 2877-84.
    CrossRef
  3. Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am 1991; 22: 263-71.
    Pubmed
  4. Margulies JY, Payzer A, Nyska M, Neuwirth MG, Floman Y, Robin GC. The relationship between degenerative changes and osteoporosis in the lumbar spine. Clin Orthop Relat Res 1996; (324): 145-52.
    CrossRef
  5. Koyanagi A, Stickley A, Garin N, Miret M, Ayuso-Mateos JL, Leonardi M, et al. The association between obesity and back pain in nine countries: a crosssectional study. BMC Public Health 2015; 15: 123.
    Pubmed KoreaMed CrossRef
  6. Heuch I, Heuch I, Hagen K, Zwart JA. A comparison of anthropometric measures for assessing the association between body size and risk of chronic low back pain: the HUNT Study. PLoS One 2015; 10: e0141268.
    Pubmed KoreaMed CrossRef
  7. Hahn MS, Han TR, Oh SB. The association between degenerative arthritis and obesity. J Korean Orthop Assoc 1982; 17: 22-8.
  8. Hahn MS, Lee WC, Lee CS. The association between degenerative arthritis of the lumbar spine and obesity. J Korean Orthop Assoc 1982; 17: 1080-8.
  9. Uesugi K, Sekiguchi M, Kikuchi S, Konno S. Relationship between lumbar spinal stenosis and lifestyle-related disorders: a cross-sectional multicenter observational study. Spine (Phila Pa 1976) 2013; 38: E540-5.
    Pubmed CrossRef
  10. Knutsson B, Sandén B, Sjödén G, Järvholm B, Michaëlsson K. Body mass index and risk for clinical lumbar spinal stenosis: a cohort study. Spine (Phila Pa 1976) 2015; 40: 1451-6.
    Pubmed CrossRef
  11. Sheng B, Feng C, Zhang D, Spitler H, Shi L. Associations between obesity and spinal diseases: a medical expenditure panel study analysis. Int J Environ Res Public Health 2017; 14: 183.
    Pubmed KoreaMed CrossRef
  12. Andreshak TG, An HS, Hall J, Stein B. Lumbar spine surgery in the obese patient. J Spinal Disord 1997; 10: 376-9.
    Pubmed CrossRef
  13. Gepstein R, Shabat S, Arinzon ZH, Berner Y, Catz A, Folman Y. Does obesity affect the results of lumbar decompressive spinal surgery in the elderly? Clin Orthop Relat Res 2004; (426): 138-44.
    CrossRef
  14. Leino-Arjas P, Kaila-Kangas L, Solovieva S, Riihimäki H, Kirjonen J, Reunanen A. Serum lipids and low back pain: an association? A follow-up study of a working population sample. Spine (Phila Pa 1976) 2006; 31: 10327.
    Pubmed CrossRef
  15. Hangai M, Kaneoka K, Kuno S, Hinotsu S, Sakane M, Mamizuka N, et al. Factors associated with lumbar intervertebral disc degeneration in the elderly. Spine J 2008; 8: 732-40.
    Pubmed CrossRef
  16. Leino-Arjas P, Kauppila L, Kaila-Kangas L, Shiri R, Heistaro S, Heliövaara M. Serum lipids in relation to sciatica among Finns. Atherosclerosis 2008; 197:43-9.
    Pubmed CrossRef
  17. Longo UG, Denaro L, Spiezia F, Forriol F, Maffulli N, Denaro V. Symptomatic disc herniation and serum lipid levels. Eur Spine J 2011; 20: 1658-62.
    Pubmed KoreaMed CrossRef
  18. Zhang Y, Zhao Y, Wang M, Si M, Li J, Hou Y, et al. Serum lipid levels are positively correlated with lumbar disc herniation--a retrospective study of 790 Chinese patients. Lipids Health Dis 2016; 15: 80.
    Pubmed KoreaMed CrossRef
  19. World Health Organization, Regional Office for the Wester Pacific. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney:Health Communications Australia; 2000.
  20. Dario AB, Ferreira ML, Refshauge KM, Lima TS, Ordoñana JR, Ferreira PH. The relationship between obesity, low back pain, and lumbar disc degeneration when genetics and the environment are considered: a systematic review of twin studies. Spine J 2015; 15: 1106-17.
    Pubmed CrossRef
  21. Teraguchi M, Yoshimura N, Hashizume H, Muraki S, Yamada H, Minamide A, et al. Prevalence and distribution of intervertebral disc degeneration over the entire spine in a population-based cohort: the Wakayama Spine Study. Osteoarthritis Cartilage 2014; 22: 104-10.
    Pubmed CrossRef
  22. Fanuele JC, Abdu WA, Hanscom B, Weinstein JN. Association between obesity and functional status in patients with spine disease. Spine (Phila Pa 1976) 2002; 27: 306-12.
    CrossRef


This Article

e-submission

Archives