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The relationship between low back pain and the basic lumbar posture at work: a retrospective cross-sectional study

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This study aimed to analyze the relationship between work-related lumbar posture (sitting, standing, walking, alternating posture) and LBP in workers.


This is a retrospective study comprising 529 records of adult workers from a database of a private company. Predominant work-related lumbar posture was classified based on time spent in each posture. A total of 22 personal, occupational, clinical, and psychosocial covariates were evaluated. LBP symptoms in the last 12 months and during the last 7 days were the outcomes of the study. The multivariate analysis model evaluated the independent relationship between the work-related lumbar posture classification and other potential exposure factors with LBP.


The adjusted logistic regression model indicated that predominant walking reduced the likelihood to report LBP during the last 12 months when compared to standing (OR = 0.54; 95% CI 0.30, 0.99; p = 0.048), but there is no association between work-related postures and recent LBP. The adjusted analyses also revealed an association between LBP during the last 12 months and female sex, blue-collar task, frequently feeling tiredness, pain at any other body region previous 12 months, previous LBP, and monotonous work. Recent LBP was associated with female sex, pain at any other body region last 7 days, and previous LBP.


Standing posture increases the likelihood to report LBP during the last 12 months when compared to walking. LBP over previous year and during the previous 7 days was associated with personal and clinical factors.

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This study was supported in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES) [Grant number: 001].

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Authors and Affiliations



EGL and LAC Nogueira participated in study conception, design, and coordination of the manuscript. EGL and LACN also performed statistical analysis. LAC helped to performed statistical analysis, reviewed and helped draft the manuscript. All authors read and approved the final manuscript.

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Correspondence to Leandro Alberto Calazans Nogueira.

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The authors declare no conflicts of interest.

Ethics approval

The study was approved by the Institutional Research Ethics Committee (number: 33691520.0.0000.5221), in accordance with the Declaration of Helsinki for research in humans.

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Data are available upon reasonable request. Procedures for accessing study data are available through contacting the study team. Any proposals for collaborative analyses will be given due consideration.

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Leivas, E.G., Corrêa, L.A. & Nogueira, L.A.C. The relationship between low back pain and the basic lumbar posture at work: a retrospective cross-sectional study. Int Arch Occup Environ Health 95, 25–33 (2022).

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