The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain A Cross-sectional Analysis in Primary Care Settings

Author(s)

Lemes, Italo Ribeiro ^{[1, 2]} ; Pinto, Rafael Zambelli ^[1] ; Turi Lynch, Bruna Camilo ^[3] ; Codogno, Jamile Sanches ^[4] ; Oliveira, Crystian Bitencourt ^{[2, 5]} ; Ross, Leanna M. ^[6] ; Fernandes, Romulo Araujo ^[4] ; Monteiro, Henrique Luiz ^[7]

Affiliation

^[1] Univ Fed Minas Gerais UFMG, Dept Phys Therapy, Belo Horizonte, MG - Brazil

^[2] Sao Paulo State Univ, Dept Phys Therapy, UNESP, Presidente Prudente, SP - Brazil

^[3] Lander Univ, Dept Phys Educ & Exercise Sci, Greenwood, SC - USA

^[4] Sao Paulo State Univ UNESP, Dept Phys Educ, Presidente Prudente, SP - Brazil

^[5] Univ Western Sao Paulo UNOESTE, Fac Med, Presidente Prudente, SP - Brazil

^[6] Duke Univ, Duke Mol Physiol Inst, Durham, NC - USA

^[7] Sao Paulo State Univ UNESP, Dept Phys Educ, Bauru, SP - Brazil

• Document type: Journal article
• Source: SPINE; v. 46, n. 9, p. 596-602, MAY 1 2021.
• Web of Science Citations: 0

Abstract

Study Design. Observational cross-sectional. Objective. To investigate the association between leisure-time physical activity (LTPA) and low back pain (LBP) in adults from primary care settings, and to explore how sedentary behavior influences this association. Summary of Background Data. LTPA is inversely associated with LBP. However, there is no study investigating this association in primary care settings from a middle-income country. Moreover, the influence of sedentary behavior in this association is unknown. Methods. Cross-sectional analysis of an ongoing longitudinal study with adults from Bauru, Brazil (n = 557). Data on physical activity, sedentary behavior (sitting time), LBP, body mass index (BMI), and chronic diseases were assessed by face-to-face interviews, physical evaluation, and medical records. Binary logistic regression was used to test the association of LTPA with the presence of LBP. Sociodemographic, behavioral, and health variables were used as covariables in the multivariable models. Results. The fully adjusted model showed that active participants were 33% less likely to have LBP when compared with those insufficiently active (odds ratios {[}OR]: 0.67 {[}95% CI: 0.46-0.98]). A significant association was found for active participants who spent less than 3 h/day sitting (OR: 0.45 {[}95% CI: 0.23-0.89]) but not for those who spent 3 h/day or more in sedentary activities (OR: 0.78 {[}95% CI: 0.48-1.27]). An inverse association of LTPA with LBP was observed in obese participants (OR = 0.49 {[}95% CI: 0.25-0.94]), but not in those with normal BMI and overweight. Conclusion. LTPA was inversely associated with the prevalence of LBP in adults from primary care. This association was influenced by sedentary behavior and BMI. (AU)

• FAPESP's process: 18/01744-7 - Burden of physical activity on reduction of mortality risk and mitigation of health care costs of patients from National Health Service: 8-years follow-up
• Grantee: Jamile Sanches Codogno
• Support Opportunities: Regular Research Grants
• FAPESP's process: 15/17777-3 - Physical activity, risk factors for metabolic syndrome and healthcare expenditures among users of the Brazilian national health system: 8-year longitudinal study
• Grantee: Ítalo Ribeiro Lemes
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 16/11140-6 - Physical activity, obesity and risk factors for metabolic syndrome in the brazilian public health system: a longitudinal study
• Grantee: Ítalo Ribeiro Lemes
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate