Abstract
Objectives
The purpose of this study was to investigate the relationship between daily physical activity (PA) level and low back pain (LBP) in young women.
Material and Methods
Two hundred forty three female, desk-job workers aged 20–40 voluntarily participated in the study. The participants were assessed by the use of Oswestry Disability Index for measuring LBP disability and by the use of the short version of the International Physical Activity Questionnaire for PA assessment. The 1-way ANOVA test was used for comparing the mean values according to the physical activity level groups. Correlations between the average LBP disability score and all the other variables were obtained using Pearson’s correlation analysis. The level of statistical significance was p < 0.05.
Results
Significant differences were found for LBP disability score between the results of 3 different PA groups (p < 0.05) (low, moderate and high PA groups). The correlation between the average LBP disability score and body weight (r = 0.187, p < 0.01), body mass index (r = 0.165, p < 0.01), vigorous MET score (r = 0.247, p < 0.01) and total PA MET score (r = 0.131, p < 0.01) were significant.
Conclusions
The main finding of this study is that there is a U-shaped relationship between PA and LBP disability score in young women. A moderate level of daily physical activity and preventing body weight and fat gain should be recommended in young, female desk-job workers in order to prevent and manage low back pain.
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References
Loney PL, Stratford PW. The prevalence of low back pain in adults: A methodological review of the literature. Phys Ther. 1999;79(4):384–396.
Frank JW, Kerr MS, Brooker A-S, DeMaio SE, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain: Part I: What do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. Spine. 1996;21(24):2908–2917, http://dx.doi.org/10.1097/00007632-199612150-00024.
Ehrlich GE. Low back pain. Bull World Health Organ. 2003;81(9):671–676.
Walker BF. The prevalence of low back pain: A systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000;13(3):205–217, http://dx.doi.org/10.1097/00002517-200006000-00003
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. JAMA. 1995;273(5):402–407, http://dx.doi.org/10.1001/jama.1995.03520290054029.
U.S. Department of Health and Human Services. Physical activity and health: A report of the Surgeon General. Washington: DIANE Publishing; 1996.
U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. Be active, healthy, and happy. Washington: USDHHS; 2008.
Heneweer H, Vanhees L, Picavet HSJ. Physical activity and low back pain: A U-shaped relation? Pain. 2009;143(1):21–25, http://dx.doi.org/10.1016/j.pain.2008.12.033.
Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: A systematic review of recent literature. Eur Spine J. 2011;20(6):826–845, http://dx.doi.org/10.1007/s00586-010-1680-7.
Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health. 1999;25(5):387–403, http://dx.doi.org/10.5271/sjweh.451.
Jacob T, Baras M, Zeev A, Epstein L. Physical activities and low back pain: A community-based study. Med Sci Sports Exerc. 2004;36(1):9–15, http://dx.doi.org/10.1249/01.MSS.0000106166.94343.02.
Kujala UM, Taimela S, Viljanen T. Leisure physical activity and various pain symptoms among adolescents. Br J Sports Med. 1999;33(5):325–328, http://dx.doi.org/10.1136/bjsm.33.5.325.
Wilmot E, Edwardson C, Achana F, Davies M, Gorely T, Gray L, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: Systematic review and meta-analysis. Diabetologia. 2012;55(11): 2895–2905, http://dx.doi.org/10.1007/s00125-012-2677-z.
Morris J, Heady J, Raffle P, Roberts C, Parks J. Coronary heart-disease and physical activity of work. Lancet. 1953;262(6796):1111–1120, http://dx.doi.org/10.1016/S0140-6736(53)91495-0.
van Uffelen JG, Wong J, Chau JY, van der Ploeg HP, Riphagen I, Gilson ND, et al. Occupational sitting and health risks: A systematic review. Am J Prev Med. 2010;39(4): 379–388, http://dx.doi.org/10.1016/j.amepre.2010.05.024.
Bihari V, Kesavachandran C, Pangtey B, Srivastava A, Mathur N. Musculoskeletal pain and its associated risk factors in residents of National Capital Region. Indian J Occup Environ Med. 2011;15(2):59, http://dx.doi.org/10.4103/0019-5278.90375.
Gordon C, Chumlea W, Roche A. Stature, recumbent length, and weight. In: Lohman T, Roche A, Martorell R, editors. Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1988. p. 3–8.
Craig C, Marshall A, Sjöström M, Bauman A, Booth M, Ainsworth B, et al. The IPAQ reliability and validity study group. International Physical Activity Questionnaire (IPAQ): 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395, http://dx.doi.org/10.1249/01.MSS.0000078924.61453.FB.
Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581–585, http://dx.doi.org/10.1097/01.BRS.0000113869.13209.03.
Fairbank J, Couper J, Davies J, O’brien J. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271–273.
Hoogendoorn W, Bongers P, de Vet H, Ariens G, van Mechelen W, Bouter L. High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: Results of a prospective cohort study. Occup Environ Med. 2002;59(5):323–328, http://dx.doi.org/10.1136/oem.59.5.323.
Kopec JA, Sayre EC, Esdaile JM. Predictors of back pain in a general population cohort. Spine. 2004;29(1):70–77, http://dx.doi.org/10.1097/01.BRS.0000103942.81227.7F.
Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimäki H. Individual factors, occupational loading, and physical exercise as predictors of sciatic pain. Spine. 2002;27(10):1102–1108, http://dx.doi.org/10.1097/00007632-200205150-00017.
Chaffin DB, Park KS. A longitudinal study of low-back pain as associated with occupational weight lifting factors. Am Ind Hyg Assoc J. 1973;34(12):513–525, http://dx.doi.org/10.1080/0002889738506892.
Kar S, Dhara P. An evaluation of musculoskeletal disorder and socioeconomic status of farmers in West Bangal, India. Nepal Med Coll J. 2007;9(4):245–249.
Burdorf A, Naaktgeboren B, de Groot HC. Occupational risk factors for low back pain among sedentary workers. J Occup Med. 1993;35(12):1213–1220.
Pataro S, Fernandes R. Heavy physical work and low back pain: The reality in urban cleaning. Rev Bras Epidemiol. 2014;17(1):17–30, http://dx.doi.org/10.1590/1415-790X201400010003ENG.
Caban A, Lowe K, Herrick R, Kenwood C, Gagne J, Backer J. Construction workers working in musculoskeletal pain and engaging in leisure-time physical activity: Findings from a mixed-methods pilot study. Am J Ind Med. 2014;57(7): 819–825, http://dx.doi.org/10.1002/ajim.22332.
Han T, Schouten J, Lean M, Seidell J. The prevalence of low back pain and associations with body fatness, fat distribution and height. Int J Obesity. 1997;21(7):600–607, http://dx.doi.org/10.1038/sj.ijo.0800448.
Leboeuf-Yde C. Body weight and low back pain: A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine. 2000;25(2):226, http://dx.doi.org/10.1097/00007632-200001150-00015.
Böstman O. Body mass index and height in patients requiring surgery for lumbar intervertebral disc herniation. Spine. 1993;18(7):851–854, http://dx.doi.org/10.1097/00007632-199306000-00007.
Wright D, Barrow S, Fisher A, Horsley S, Jayson M. Influence of physical, psychological and behavioural factors on consultations for back pain. Rheumatology. 1995;34(2): 156–161, http://dx.doi.org/10.1093/rheumatology/34.2.156.
Hultman G, Nordin M, Saraste H, Ohlsèn H. Body composition, endurance, strength, cross-sectional area, and density of MM erector spinae in men with and without low back pain. J Spinal Disord. 1993;6(2):114–123, http://dx.doi.org/10.1097/00024720-199304000-00004.
Sallis JF, Saelens BE. Assessment of physical activity by self-report: Status, limitations, and future directions. Res Q Exerc Sport. 2000;71(2 Suppl):S1–14.
Schuna JM, Johnson WD, Tudor-Locke C. Adult self-reported and objectively monitored physical activity and sedentary behavior: NHANES 2005–2006. Int J Behav Nutr Phys Act. 2013;10:126, http://dx.doi.org/10.1186/1479-5868-10-126.
Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Motor Skill. 2010;111(1):278–284, http://dx.doi.org/10.2466/06.08.PMS.111.4.278-284.
Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395, http://dx.doi.org/10.1249/01.MSS.0000078924.61453.FB.
Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): A study of concurrent and construct validity. Public Health Nutr. 2006;9(6): 755–762, http://dx.doi.org/10.1079/PHN2005898.
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Kayihan, G. Relationship between daily physical activity level and low back pain in young, female desk-job workers. IJOMEH 27, 863–870 (2014). https://doi.org/10.2478/s13382-014-0315-3
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DOI: https://doi.org/10.2478/s13382-014-0315-3