scholarly journals Association between sedentary behavior and low back pain; A systematic review and meta-analysis

2021 ◽  
Vol 11 (4) ◽  
pp. 393-410
Author(s):  
Sadegh Baradaran Mahdavi ◽  
Roya Riahi ◽  
Babak Vahdatpour ◽  
Roya Kelishadi

Background: Sedentariness is a substantial risk for many chronic diseases. We aimed to investigate the correlation of sedentary behavior and its indicators with low back pain (LBP) among adults and children. Methods: Original articles published up to April 28, 2020, using PubMed, Embase, Web of Science and Scopus were evaluated. Odds ratio (OR, 95% CI) was considered the overall effect size for desired associations. Results: We reviewed 49 English articles with analytical observational study design, of which, 27 studies with cross sectional/survey design were retained in the meta-analysis. Among adults, sedentary lifestyle was a considerable risk factor for LBP (OR=1.24, 1.02-1.5); prolonged sitting time (OR=1.42, 1.09-1.85) and driving time (OR=2.03, 1.22-3.36) were the significant risk factors. Sedentary behavior was associated with LBP in office workers (OR=1.23). Moreover, excess weight (OR=1.35, 1.14-1.59) and smoking (OR=1.28, 1.03-1.60) were associated with LBP. Among children, sedentary lifestyle was a remarkable risk factor for LBP (OR=1.41, 1.24- 1.60); prolonged TV watching (OR=1.23, 1.08-1.41) and computer/mobile using and console playing time (OR=1.63, 1.36-1.95) were significant risk factors for LBP. Consumption of coffee, however, has yield conflicting results to be considered as a risk factor. Moreover, the researches on the correlation between sedentariness and high-intensity LBP are scarce and inconclusive. Conclusion: Sedentary behavior, whether in work or leisure time, associates with a moderate increase in the risk of LBP in adults, children and adolescents.

2014 ◽  
Vol 25 (2) ◽  
pp. 50-55 ◽  
Author(s):  
Mohammad Moin Uddin ◽  
Aminuddin A Khan ◽  
Ahsanul Hoque Chowdhury ◽  
Ranjan Kumar Guha

Abstract Background Low back pain is very common in Asian communities. It is a major cause of activity limitation. Its risk factors were not studied well in Asian communities. This study was performed in the rural area to see the association of some common posture related and modifiable risk factors of low back pain. Methods This is a community based case-control study. Participants of both sexes between 30 and 60 years were selected who had low back pain. Data were collected with a semi-structured questionnaire and fifty-one participants were interviewed from which 32 had back pain (cases). Risk factor association was compared with age and ethnicity matched 19 patients without low back pain (control group). Results The point prevalence of low backache was 63%. Mean age of the patients was 45.8 (±10.8 SD) years. Seventy per cent of the back pain patients were females and 30% were males. Back pain was significantly associated with the risk factor ‘bending and twisting movements of the body’ (OR= 4.6 with 95% CI= 1.1 to 18.9, p= 0.041). It was not found to be significantly associated with the other studied risk factors. Conclusion Low back pain had a very high prevalence in rural Bangladesh. Bending and twisting movements of spine was the only posture related significant risk factor of low back pain.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Morris Kahere ◽  
Themba Ginindza

Abstract Background Globally, chronic low back pain (CLBP) is the leading cause of disability associated with economic costs. However, it has received little attention in low-and-middle-income countries. This study estimated the prevalence and risk factors of CLBP among adults presenting at selected hospitals in KwaZulu-Natal. Methodology This cross-sectional study was conducted among adults aged ≥18 years who attended the selected hospitals in KwaZulu-Natal during the study period. A self-administered questionnaire was used to collect data on socio-demographic, work-related factors, and information about CLBP. The SPSS version 24.0 (IBM SPSS Inc) was used for data analysis. Descriptive statistics were used for demographic characteristics of participants. CLBP risk factors were assessed using multivariate logistic regression analysis. A p-value of ≤0.05 was deemed statistically significant. Results A total of 678 adults participated in this study. The overall prevalence of CLBP was 18.1% (95% CI: 15.3 – 21.3) with females having a higher prevalence than males, 19.8% (95% CI: 16.0 – 24.1) and 15.85% (95% CI: 11.8 – 20.6), respectively. Using multivariate regression analysis, the following risk factors were identified: overweight (aOR: 3.7, 95% CI: 1.1 – 12.3, p = 0.032), no formal education (aOR: 6.1, 95% CI: 2.1 – 18.1, p = 0.001), lack of regular physical exercises (aOR: 2.2, 95% CI: 1.0 – 4.8, p = 0.044), smoking 1 to 10 (aOR: 4.5, 95% CI: 2.0 – 10.2, p < 0.001) and more than 11 cigarettes per day (aOR: 25.3, 95% CI: 10.4 – 61.2, p < 0.001), occasional and frequent consumption of alcohol, aOR: 2.5, 95% CI: 1.1 – 5.9, p < 0.001 and aOR: 11.3, 95% CI: 4.9 – 25.8, p < 0.001, respectively, a sedentary lifestyle (aOR: 31.8, 95% CI: 11.2 – 90.2, p < 0.001), manual work (aOR: 26.2, 95% CI: 10.1 – 68.4, p < 0.001) and a stooped sitting posture (aOR: 6.0, 95% CI: 2.0 – 17.6, p = 0.001). Conclusion This study concluded that the prevalence of CLBP in KwaZulu-Natal is higher than in other regions, and that it is predicted by a lack of formal education, overweight, lack of regular physical exercises, smoking, alcohol consumption, sedentary lifestyle, manual work, and a stooped posture.


2020 ◽  
Author(s):  
Qiuhua Yu ◽  
Huanjie Huang ◽  
Zhou Zhang ◽  
Xiaoqian Hu ◽  
Wenfeng Li ◽  
...  

Abstract Background Empirical evidence that identifies the pelvic asymmetry in which movement plane that contribute to non-specific chronic low back pain (NCLBP) is currently lacking. Objective To establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults. Design A cross-sectional, regression study. Methods People who aged between 18 and 30 and were diagnosed with NCLBP were recruited. Healthy individuals who were matched for age, gender, and education level were recruited as controls and for the reliability analysis. Reliability was assessed by the ICC (3, k), standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the risk factors. Results Twenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters. The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odd ratio=1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odd ratio=1.21) were significant risk factors of NCLBP. Limitation This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population. Conclusions The GPS is a reliable method to assess pelvic asymmetry in a clinical setting. The pelvic asymmetry parameters obtained from the GPS are likely to assist in the early identification of the potential occurrence of NCLBP.


2020 ◽  
Vol 48 ◽  
pp. 102154 ◽  
Author(s):  
M. Wiezer ◽  
M.A.H. Hage-Fransen ◽  
A. Otto ◽  
M.S. Wieffer-Platvoet ◽  
M.H. Slotman ◽  
...  

Author(s):  
Weige Sun ◽  
Haijiao Zhang ◽  
Limei Tang ◽  
Ying He ◽  
Suzhai Tian

BACKGROUND: Numerous studies have investigated factors for non-specific chronic low back pain (NSCLBP) in nurses, and have reached different conclusions. Evidence-based recommendations are required for the prevention and treatment of NSCLBP in nurses. OBJECTIVE: This meta-analysis aimed to systematically review and quantify the factors of NSCLBP in nurses. METHODS: Eleven databases were searched. The odds ratios (OR) with 95% confidence intervals (CIs) were pooled using meta-analysis, and either a fixed-effect or random-effect model was used based on heterogeneity across included studies. RESULTS: Eighteen publications including 11,752 nursing staff were included. Being female (pooled estimate [95% CI], 1.56 [1.24–1.96]; P< 0.001), married (1.89 [1.38–2.60]; P< 0.001), overweight (0.63 [0.43–0.93]; P= 0.02), working at least 10 years (0.65 [0.48–0.89]; P= 0.007), and working night shifts (2.19 [1.16–4.21]; P= 0.02) were positively related to NSCLBP. Junior college education (0.60 [0.47–0.77]; P< 0.001) and job satisfaction (0.58 [0.47–0.73]; P< 0.001) were negatively related. Age (0.80 [0.50–1.27]; P= 0.34) and physical exercise (0.99 [0.39–2.49]; P= 0.98) were not related. CONCLUSIONS: This is the first meta-analysis to quantify the risk factors for NSCLBP in nurses. Being female, married, working night shifts, overweight, working at least 10 years and dissatisfied with work are risk factors. High-quality prospective studies are required to validate the findings of this study.


2007 ◽  
Vol 5;10 (9;5) ◽  
pp. 651-660
Author(s):  
Dr. Panagiotis Spyropoulos

Background: Epidemiological studies have provided information on the prevalence and risk factors of low back pain (LBP) in white collar workers in industrialized countries. Little information has related individual, work ergonomic, and psychosocial factors to the incidence of LBP in low income countries. Objectives: To assess the prevalence of LBP among Greek public office workers. To identify and relate the individual, work ergonomic, and psychosocial factors to the occurrence of LBP. Design: Cross-sectional study of Greek office workers in the public sector. Methods: A self-reported standardized questionnaire was constructed to record risk factors associated with the occurrence of LBP. Personal characteristics, work ergonomics, and psychosocial traits were collected and related to LBP prevalence. Results: Of the 771 office workers, 648 responded (84% return rate). The majority of the participants were women (75.8%). Among all responders, 33%, 37.8%, 41.8%, and 61.6% presented with point, one-year, two-year, and lifetime prevalence respectively. Sleep disturbances due to pain were reported in 37% of the office clerks with chronic low back pain. Multiple logistic regression models have revealed that significant determinants for predicting LBP occurrence are age, gender, body mass index, body distance from computer screen, adjustable back support, clerk body position while sitting, sitting time of greater than 6 hours, job satisfaction, repetitive work, and anger during last 30 days. Conclusion: High proportions of Greek office workers suffer from LBP which might affect the Greek economy. The incidence of LBP status is significantly associated with some anthropometric, ergonomic, and psychosocial factors. Key words: Office workers, risk factors, low back pain, epidemiology


2013 ◽  
Vol 2 (2) ◽  
pp. 3-9
Author(s):  
Mehek Qamar ◽  
Amna Aamir Khan ◽  
Muhammad Nadeem ◽  
Navaid us Saba

OBJECTIVE Occurrence of Low Back Pain (LBP) at an early age, the associated causal factors and resulting consequences in adulthood have been an area of interest for many researchers around the globe. A systematic review in accordance with PRISMA was performed to explore the prevalence of LBP and significant role of carrying heavy backpacks as a risk factor among various others for developing mechanical low back pain among school going children. An electronic search of databases from 2000 to 2013 was carried out. The selected articles reported LBP due to mechanical loads in children and adolescents aged 9-18 years as main outcome. Our analysis was conducted on prevalence rates and associated risk factors. The results of the review revealed mostly the outcome measure based upon prevalence, risk factors of mechanical LBP and the association with backpack. Adolescent girls and children reported higher prevalence. The review reported the use of heavy backpack as dominant risk factor followed by psychological factors and physical inactivity. Only 1 study outlined incorrect posture and structural anomalies as the resulting cause. A positive correlation is found between heavy backpack and childhood LBP. The review exhibits a higher prevalence with increasing age.


Author(s):  
Shu-Mei Chen ◽  
Mei-Fang Liu ◽  
Jill Cook ◽  
Shona Bass ◽  
Sing Kai Lo

2018 ◽  
Vol 7 (4.15) ◽  
pp. 159
Author(s):  
Ebby Waqqash ◽  
Eliza Hafiz ◽  
Mohamad Shariff A Hamid ◽  
Ali Md Nadzalan

Military personnel are one of the occupations at high risk of developing low back pain (LBP) due to its job demands. Low back pain (LBP) is a major cause of morbidity and lost from work among military personnel. This narrative review was conducted to determine the risk factors of LBP in military personnel/recruits. Searches focusing on causal comparative and epidemiology studies using OVIDMedline, CINAHL, SPORTDiscus, PubMed, and Scopus databases from year January 1950 to April 2018. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was used to select and synthesis of studies. The strongest personal risk factors identified were history of LBP (OR = 8.91, CI = 1.71 -46.5), female gender (OR: 6.59, CI 1.79 – 24.24), aerobic exercise involvement (OR = 4.39, CI 1.53- 12.57) and older age (OR 4.16). The strongest occupational risk factors identified were prolonged hours of flight per day (OR=11.3, CI 5.2 -24.8), driving in forward bending posture (OR = 3.63, CI 1.06 – 12.42), branch of services (Army; OR 2.74, CI 2.60-2.89 & Air Force; 1.98, CI 1.84 -2.14), Night training (OR = 1.8-2.0, CI 1.1 – 3.1) and whole-body vibration exposure (OR 1.94, CI 1.02 -3.69). The strongest psychosocial risk factors identified were worries (OR = 5.47, CI 1.70- 17.62), no support from others (OR = 4.0, CI 1.31 -12.34) high work stress (OR = 3.47, CI 1.31 – 12.34), depression (OR = 1.75, CI 1.08 -2.83), and psychological stress (OR 1.71). This review summarizes the personal, occupational and psychosocial risk factors associated with LBP among military personnel/ recruits. LBP risk factors differs based on the military branch of services and job scope. Primary LBP risk factor for Air Force pilots, helicopter pilots and military vehicle drivers LBP is sitting ergonomics. Primary LBP risk factor for army (i.e. combat infantry) identified are occupational physical exposure (military training, heavy lifting and carrying, patrol durations.) Further studies are required to verify if there is any interaction between personal, occupational, and psychosocial LBP risk factor categories among military personnel/recruits. 


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