Association between objectively measured physical activity and body mass index with low back pain

A large-scale cross-sectional study of Japanese men

Yuko Hashimoto, Ko Matsudaira, Susumu Sawada, Yuko Gando, Ryoko Kawakami, Robert A. Sloan, Chihiro Kinugawa, Takashi Okamoto, Koji Tsukamoto, Motohiko Miyachi, Hisashi Naito

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The relationship between the combination of physical activity (PA) and body mass index (BMI) with low back pain (LBP) is unclear. The present study offers a cross-sectional assessment of how combinations of PA and BMI are related to LBP in Japanese men. Methods: Participants were 4022 Japanese men (mean age = 47) who underwent regular clinical examinations. PA was measured using a uniaxial accelerometer and divided into tertiles (PAhigh, PAmiddle, PAlow). A self-administered questionnaire was used to report on persistent LBP experience, drinking and smoking habits, and any existing lifestyle diseases. After covariance adjustment, a logistic regression model was used to assess how combinations of PA and BMI are related to persistent LBP. Results: 428 of the participants had persistent LBP. A clear negative dose-response relationship was found between PA levels and persistent LBP (P for linearity = 0.012). Regarding BMI, odd ratios were shown to be higher in the overweight/obese category (BMI ≥ 25 kg/m2) than for the normal weight category (BMI < 25 kg/m2). When the PAhigh was taken as the reference in the normal weight category, odds ratios for PAlow and PAmiddle in the normal weight category were shown to be high. Moreover, in the overweight/obese category, odd ratios for every fitness level were also high as for the normal weight category. Conclusion: The present study showed that both PA and BMI are related to persistent LBP. Also, the prevalence of persistent LBP became higher when PAlow and high BMI are combined rather than the group of PAhigh and low BMI combination.

Original languageEnglish
Article number341
JournalBMC Public Health
Volume18
Issue number1
DOIs
Publication statusPublished - 2018 Mar 9

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Low Back Pain
Body Mass Index
Cross-Sectional Studies
Exercise
Weights and Measures
Odds Ratio
Logistic Models
Social Adjustment
Drinking
Habits
Life Style
Smoking

Keywords

  • Accelerometry
  • Body mass index
  • Epidemiology
  • Low back pain
  • Physical activity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Association between objectively measured physical activity and body mass index with low back pain : A large-scale cross-sectional study of Japanese men. / Hashimoto, Yuko; Matsudaira, Ko; Sawada, Susumu; Gando, Yuko; Kawakami, Ryoko; Sloan, Robert A.; Kinugawa, Chihiro; Okamoto, Takashi; Tsukamoto, Koji; Miyachi, Motohiko; Naito, Hisashi.

In: BMC Public Health, Vol. 18, No. 1, 341, 09.03.2018.

Research output: Contribution to journalArticle

Hashimoto, Yuko ; Matsudaira, Ko ; Sawada, Susumu ; Gando, Yuko ; Kawakami, Ryoko ; Sloan, Robert A. ; Kinugawa, Chihiro ; Okamoto, Takashi ; Tsukamoto, Koji ; Miyachi, Motohiko ; Naito, Hisashi. / Association between objectively measured physical activity and body mass index with low back pain : A large-scale cross-sectional study of Japanese men. In: BMC Public Health. 2018 ; Vol. 18, No. 1.
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