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Association between objectively measured physical activity and body mass index with low back pain: a large-scale cross-sectional study of Japanese men

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. Participants were 4022 Japanese men (mean age ...

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Published in:BMC public health 2018-03, Vol.18 (1), p.341-341, Article 341
Main Authors: Hashimoto, Yuko, Matsudaira, Ko, Sawada, Susumu S, Gando, Yuko, Kawakami, Ryoko, Sloan, Robert A, Kinugawa, Chihiro, Okamoto, Takashi, Tsukamoto, Koji, Miyachi, Motohiko, Naito, Hisashi
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creator Hashimoto, Yuko
Matsudaira, Ko
Sawada, Susumu S
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Tsukamoto, Koji
Miyachi, Motohiko
Naito, Hisashi
description 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. Participants were 4022 Japanese men (mean age = 47) who underwent regular clinical examinations. PA was measured using a uniaxial accelerometer and divided into tertiles (PA , PA , PA ). 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. 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/m ) than for the normal weight category (BMI 
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When the PA was taken as the reference in the normal weight category, odds ratios for PA and PA 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. The present study showed that both PA and BMI are related to persistent LBP. Also, the prevalence of persistent LBP became higher when PA and high BMI are combined rather than the group of PA and low BMI combination.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>29523128</pmid><doi>10.1186/s12889-018-5253-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Accelerometers
Accelerometry
Arthritis
Back pain
Body mass
Body mass index
Body size
Body weight
Chronic illnesses
Covariance
Cross-sectional studies
Diagnosis
Epidemiology
Exercise
Health aspects
Industrial safety
Linearity
Low back pain
Measurement
Men
Men's health
Nutrition
Obesity
Overweight
Pain
Physical activity
Physical fitness
Physiological aspects
Questionnaires
Regression models
Smoking
Studies
Systematic review
title Association between objectively measured physical activity and body mass index with low back pain: a large-scale cross-sectional study of Japanese men
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