Body mass index is associated with low back pain in childhood and adolescence: a birth cohort study with a 6-year follow-up in Niigata City, Japan

Background Few data are available on the course of and predictors for disability in patients with chronic nonspecific low back pain (CNSLBP). Objective The purpose of this study was to describe the course of disability and identify clinically important prognostic factors of low-back-pain–specific disability in patients with CNSLBP receiving multidisciplinary therapy. Design A prospective cohort study was conducted. Methods A total of 1,760 patients with CNSLBP who received multidisciplinary therapy were evaluated for their course of disability and prognostic factors at baseline and at 2-, 5-, and 12-month follow-ups. Recovery was defined as 30% reduction in low back pain–specific disability at follow-up compared with baseline and as absolute recovery if the score on the Quebec Back Pain Disability Scale (QBPDS) was ≤20 points at follow-up. Potential prognostic factors were identified using multivariable logistic regression analysis. Results Mean patient-reported disability scores on the QBPDS ranged from 51.7 (SD=15.6) at baseline to 31.7 (SD=15.2), 31.1 (SD=18.2), and 29.1 (SD=20.0) at 2, 5, and 12 months, respectively. The prognostic factors identified for recovery at 5 and 12 months were younger age and high scores on disability and on the 36-Item Short-Form Health Survey (SF-36) (Physical and Mental Component Summaries) at baseline. In addition, at 5-month follow-up, a shorter duration of complaints was a positive predictor, and having no comorbidity and less pain at baseline were additional predictors at 12-month follow-up. Limitations Missing values at 5- and 12-month follow-ups were 11.1% and 45.2%, respectively. Conclusion After multidisciplinary treatment, the course of disability in patients with CNSLBP continued to decline over a 12-month period. At 5- and 12-month follow-ups, prognostic factors were identified for a clinically relevant decrease in disability scores on the QBPDS.

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Maternal pre-pregnancy body mass index explains infant's weight and BMI at 14 months: results from a multi-ethnic birth cohort study

Archives of Disease in Childhood ◽

10.1136/adc.2008.137737 ◽

2009 ◽

Vol 94 (8) ◽

pp. 587-595 ◽

Cited By ~ 36

Author(s):

I Mesman ◽

T J Roseboom ◽

G J Bonsel ◽

R J Gemke ◽

M F van der Wal ◽

...

Keyword(s):

Body Mass Index ◽

Cohort Study ◽

Birth Cohort ◽

Body Mass ◽

Birth Cohort Study

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Prognosis and course of work-participation in patients with chronic non-specific low back pain: A 12-month follow-up cohort study

Journal of Rehabilitation Medicine ◽

10.2340/16501977-2006 ◽

2015 ◽

Vol 47 (9) ◽

pp. 854-859 ◽

Cited By ~ 6

Author(s):

K Verkerk ◽

P Luijsterburg ◽

A Pool-Goudzwaard ◽

M Heymans ◽

I Ronchetti ◽

...

Keyword(s):

Cohort Study ◽

Low Back Pain ◽

Back Pain ◽

Work Participation ◽

Low Back

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No Relationship Between Body Mass Index and Changes in Pain and Disability After Exercise Rehabilitation for Patients With Mild to Moderate Chronic Low Back Pain

Spine ◽

10.1097/01.brs.0000443181.52465.11 ◽

2014 ◽

Vol 39 (3) ◽

pp. E225

Keyword(s):

Body Mass Index ◽

Low Back Pain ◽

Back Pain ◽

Body Mass ◽

Chronic Low Back Pain ◽

Low Back ◽

Exercise Rehabilitation

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Correlation of Vitamin D and Body Mass Index with Modic Changes in Patients with Non-Specific Low Back Pain in a Sub-Tropical Asian Population

Asian Spine Journal ◽

10.4184/asj.2016.10.1.14 ◽

2016 ◽

Vol 10 (1) ◽

pp. 14 ◽

Cited By ~ 5

Author(s):

Anoop Mattam ◽

George Sunny

Keyword(s):

Body Mass Index ◽

Vitamin D ◽

Low Back Pain ◽

Back Pain ◽

Body Mass ◽

Asian Population ◽

Modic Changes ◽

Low Back

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Trajectories of overweight and body mass index in adulthood and blood pressure at age 53: the 1946 British birth cohort study

Journal of Hypertension ◽

10.1097/hjh.0b013e328335de7b ◽

2010 ◽

Vol 28 (4) ◽

pp. 679-686 ◽

Cited By ~ 26

Author(s):

Andrew K Wills ◽

Rebecca J Hardy ◽

Stephanie Black ◽

Diana J Kuh

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Cohort Study ◽

Birth Cohort ◽

Body Mass ◽

Birth Cohort Study

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Do the associations of body mass index and waist circumference with back pain change as people age? 32 years of follow-up in a British birth cohort

BMJ Open ◽

10.1136/bmjopen-2020-039197 ◽

2020 ◽

Vol 10 (12) ◽

pp. e039197

Author(s):

Stella Muthuri ◽

Rachel Cooper ◽

Diana Kuh ◽

Rebecca Hardy

Keyword(s):

Body Mass Index ◽

Back Pain ◽

Waist Circumference ◽

Birth Cohort ◽

Body Mass ◽

Smoking Status ◽

Later Life ◽

Birth Cohort Study ◽

Occupational Class ◽

Cross Sectional

ObjectivesTo investigate whether cross-sectional and longitudinal associations of body mass index (BMI) and waist circumference (WC) with back pain change with age and extend into later life.DesignBritish birth cohort study.SettingEngland, Scotland and Wales.ParticipantsUp to 3426 men and women from the MRC National Survey of Health and Development.Primary outcome measuresBack pain (sciatica, lumbago or recurring/severe backache all or most of the time) was self-reported during nurse interviews at ages 36, 43, 53 and 60–64 years and in a postal questionnaire using a body manikin at age 68.ResultsFindings from mixed-effects logistic regression models indicated that higher BMI was consistently associated with increased odds of back pain across adulthood. Sex-adjusted ORs of back pain per 1 SD increase in BMI were: 1.13 (95% CI: 1.01 to 1.26), 1.11 (95% CI: 1.00 to 1.23), 1.17 (95% CI: 1.05 to 1.30), 1.31 (95% CI: 1.15 to 1.48) and 1.08 (95% CI: 0.95 to 1.24) at ages 36, 43, 53, 60–64 and 68–69, respectively. Similar patterns of associations were observed for WC. These associations were maintained when potential confounders, including education, occupational class, height, cigarette smoking status, physical activity and symptoms of anxiety and depression were accounted for. BMI showed stronger associations than WC in models including both measures.ConclusionsThese findings demonstrate that higher BMI is a persistent risk factor for back pain across adulthood. This highlights the potential lifelong consequences on back pain of the rising prevalence of obesity within the population.

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