Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain

Abstract Low back pain (LBP) is the leading cause of disability worldwide and often associated with lifestyle factors. However, studies further examining the role of these lifestyle factors in non-specific low back pain in comparison with radicular pain are sparse. The aim of this cross sectional st...

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Main Authors: Munkh-Erdene Bayartai, Juhani Määttä, Jaro Karppinen, Petteri Oura, Jani Takatalo, Juha Auvinen, Korpelainen Raija, Maisa Niemelä, Hannu Luomajoki
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-34733-4
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author Munkh-Erdene Bayartai
Juhani Määttä
Jaro Karppinen
Petteri Oura
Jani Takatalo
Juha Auvinen
Korpelainen Raija
Maisa Niemelä
Hannu Luomajoki
author_facet Munkh-Erdene Bayartai
Juhani Määttä
Jaro Karppinen
Petteri Oura
Jani Takatalo
Juha Auvinen
Korpelainen Raija
Maisa Niemelä
Hannu Luomajoki
author_sort Munkh-Erdene Bayartai
collection DOAJ
description Abstract Low back pain (LBP) is the leading cause of disability worldwide and often associated with lifestyle factors. However, studies further examining the role of these lifestyle factors in non-specific low back pain in comparison with radicular pain are sparse. The aim of this cross sectional study was to investigate how diverse lifestyle factors are associated with LBP. The study population of 3385 middle aged adults with and without low back pain was drawn from a large Birth 1966 Cohort. Outcome measures were steps per day, abdominal obesity, physical activity and endurance of the back muscles. Back static muscular endurance, abdominal obesity and physical activity were measured by means of the Biering–Sørensen test, waist circumference and a wrist worn accelerometer, respectively. Logistic regression analysis was applied to estimate associations of back static muscular endurance, abdominal obesity and accelerometer-measured physical activity with non-specific low back pain and radicular pain. An additional 1000 steps per day were associated with 4% lower odds of having non-specific low back pain. Participants with abdominal obesity had 46% higher odds of having radicular pain, whereas increases of 10 s in back static muscular endurance and 10 min in daily vigorous physical activity were associated with 5% and 7% lower odds of having radicular pain, respectively. In this population-based study, non-specific low back pain and radicular pain were associated with different lifestyle and physical factors at midlife. Non-specific low back pain was associated only with the average daily number of steps, whereas abdominal obesity was the strongest determinant of radicular pain, followed by vigorous physical activity and back static muscular endurance. The findings of this study contribute to better understand the role of lifestyle factors in both non-specific low back pain and radicular pain. Future longitudinal studies are required to explore causality.
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spelling doaj.art-ceb7e8ef33c2472881c5c03839307c682023-05-14T11:14:15ZengNature PortfolioScientific Reports2045-23222023-05-011311810.1038/s41598-023-34733-4Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back painMunkh-Erdene Bayartai0Juhani Määttä1Jaro Karppinen2Petteri Oura3Jani Takatalo4Juha Auvinen5Korpelainen Raija6Maisa Niemelä7Hannu Luomajoki8Institute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, ZHAWMedical Research Center Oulu, Oulu University Hospital and University of OuluResearch Unit of Population Health, Faculty of Medicine, University of OuluResearch Unit of Population Health, Faculty of Medicine, University of OuluMedical Research Center Oulu, Oulu University Hospital and University of OuluMedical Research Center Oulu, Oulu University Hospital and University of OuluMedical Research Center Oulu, Oulu University Hospital and University of OuluMedical Research Center Oulu, Oulu University Hospital and University of OuluInstitute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, ZHAWAbstract Low back pain (LBP) is the leading cause of disability worldwide and often associated with lifestyle factors. However, studies further examining the role of these lifestyle factors in non-specific low back pain in comparison with radicular pain are sparse. The aim of this cross sectional study was to investigate how diverse lifestyle factors are associated with LBP. The study population of 3385 middle aged adults with and without low back pain was drawn from a large Birth 1966 Cohort. Outcome measures were steps per day, abdominal obesity, physical activity and endurance of the back muscles. Back static muscular endurance, abdominal obesity and physical activity were measured by means of the Biering–Sørensen test, waist circumference and a wrist worn accelerometer, respectively. Logistic regression analysis was applied to estimate associations of back static muscular endurance, abdominal obesity and accelerometer-measured physical activity with non-specific low back pain and radicular pain. An additional 1000 steps per day were associated with 4% lower odds of having non-specific low back pain. Participants with abdominal obesity had 46% higher odds of having radicular pain, whereas increases of 10 s in back static muscular endurance and 10 min in daily vigorous physical activity were associated with 5% and 7% lower odds of having radicular pain, respectively. In this population-based study, non-specific low back pain and radicular pain were associated with different lifestyle and physical factors at midlife. Non-specific low back pain was associated only with the average daily number of steps, whereas abdominal obesity was the strongest determinant of radicular pain, followed by vigorous physical activity and back static muscular endurance. The findings of this study contribute to better understand the role of lifestyle factors in both non-specific low back pain and radicular pain. Future longitudinal studies are required to explore causality.https://doi.org/10.1038/s41598-023-34733-4
spellingShingle Munkh-Erdene Bayartai
Juhani Määttä
Jaro Karppinen
Petteri Oura
Jani Takatalo
Juha Auvinen
Korpelainen Raija
Maisa Niemelä
Hannu Luomajoki
Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
Scientific Reports
title Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
title_full Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
title_fullStr Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
title_full_unstemmed Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
title_short Association of accelerometer-measured physical activity, back static muscular endurance and abdominal obesity with radicular pain and non-specific low back pain
title_sort association of accelerometer measured physical activity back static muscular endurance and abdominal obesity with radicular pain and non specific low back pain
url https://doi.org/10.1038/s41598-023-34733-4
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