Are obesity and body fat distribution associated with low back pain in women? A population-based study of 1128 Spanish twins

Dario, Amabile Borges; Ferreira, Manuela L; Refshauge, Kathryn M.; Sánchez-Romera, Juan F.; Luque-Suárez, Alejandro; Hopper, John L.; Ordoñana, Juan R.; Ferreira, Paulo H.

doi:10.1007/s00586-015-4055-2

Cited by 56 publications

(73 citation statements)

References 29 publications

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“…In another study, a significant relationship was shown between BMI and BFP and the higher amount of these two indices increased the risk of LBP, although this re-lationship was weak [22]. On the other hand, the present study shows the greatest relationship between the incidence of LBP and BFP compared to other anthropometric features.…”

Section: Discussioncontrasting

confidence: 43%

The Relationship Between Anthropometric Characteristics and Low Back Pain in Women

Koutenaei

Mosallanezhad

Hosseinzadeh

2017

PTJ

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Purpose: Low Back Pain (LBP) is one of the most common musculoskeletal problems in the world so that about 80% of people are affected by LBP at least once in a lifetime. Therefore, knowing the risk factors for LBP is an important topic. Obesity is also a major health problem that is dramatically rising. If there is a proven relationship between obesity and LBP, losing weight can be an effective advice to help treat effectively LBP. This study aimed to evaluate the association between LBP and Body Mass Index (BMI), Body Fat Percentage (BFP), Waist to Hip Ratio (WHR), and Waist to Height Ratio (WHtR). Methods: In this cross-sectional study, 60 women aged 20 to 40 years were randomly recruited by convenience sampling method during 2016-2017. They were living in one of the dormitories of Tehran, and were selected according to the inclusion and exclusion criteria. Of them, 30 persons suffered from LBP during the past year and 30 were healthy. Therefore, the participants were divided into two groups: LBP and healthy. Height, weight, waist circumference, hip circumference, and also the skin folds at triceps, quadriceps, and suprailiac were measured for all participants. Statistical analyses were done using SPSS22. Results: The mean BMI value, although, was higher in patients with LBP, but showed no statistically significant difference between the two groups (P=0.17). The mean values of WHR (P=0.04), WHtR (P=0.04), and BFP (P=0.03) in participants with LBP were significantly higher than those in the control group. Conclusion: The present study confirmed the relationship between the WHR, WHtR, and also BFP with the incidence of LBP in women. The strongest relationship was found between LBP and BFP.

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Section: Discussioncontrasting

confidence: 43%

The Relationship Between Anthropometric Characteristics and Low Back Pain in Women

Koutenaei

Mosallanezhad

Hosseinzadeh

2017

PTJ

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“…Overweight and obesity are pandemics of global health concerns recognized as the main public health problem in industrialized countries . Meta‐analyses confirm that overweight and obesity are positively associated with low back pain . The prevalence of chronic pain is higher in those having a higher BMI .…”

Section: Diet and Related Overweight In People With Chronic Painmentioning

confidence: 94%

Lifestyle and Chronic Pain across the Lifespan: An Inconvenient Truth?

Nijs

D’Hondt

Clarys

et al. 2019

PM&R

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Chronic pain has a tremendous personal and socioeconomic impact and remains difficult to treat. Therefore, it is important to provide an update on the current understanding regarding lifestyle factors in people with chronic pain across the lifespan. Lifestyle factors such as physical (in)activity, sedentary behavior, stress, poor sleep, unhealthy diet, and smoking are associated with chronic pain severity and sustainment. This applies to all age categories, that is, chronic pain across the lifespan. Yet current treatment options often do not or only partly address the many lifestyle factors associated with chronic pain or attempt to address them in a standard format rather than providing an individually tailored multimodal lifestyle intervention. The evidence regarding lifestyle factors is available in adults, but limited in children and older adults having chronic pain, providing important avenues for future research. In conclusion, it is proposed that treatment approaches for people with chronic pain should address all relevant lifestyle factors concomitantly in an individually‐tailored multimodal intervention. Ultimately, this should lead to improved outcomes and decrease the psychological and socioeconomic burden of chronic pain. Level of Evidence: IV.

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“…Currently, spine surgeons are encountered with a new challenge in managing the obese ([BMI] > 30) and morbidly obese (BMI > 35) patients undergoing lumbar spinal fusion surgery, which can be attributed to the poor operative corridors and difficult access to necessary anatomical landmarks [ 3 , 4 ]. Specifically, obese patients have posed unique technical operative challenges due to the increased complexity and greater complications compared with those in nonobese patients, which may thus result in different association between operative approach and clinical outcomes [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive versus open Transforaminal lumbar Interbody fusion in obese patients: a meta-analysis

Xie

Zhang

et al. 2018

BMC Musculoskelet Disord

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BackgroundMinimally invasive transforaminal lumbar interbody fusion (MI-TLIF) has been employed in increasing cases compared with open TLIF (Open-TLIF). However, it is uncertain whether the advantages of MI-TLIF can also be specifically applied in obese patients. Therefore, the current study was thereby carried out aiming to compare the outcomes of MI-TLIF with those of Open-TLIF in obese patients with lumbar degenerative diseases.MethodsElectronic databases were systemically retrieved from construction to May 2017. Meanwhile, the odds ratio (OR), mean difference (MD) and 95% confidence intervals (CI) were determined.ResultsA total of 7 observational cohort studies were enrolled into the current meta-analysis. The results indicated that, compared with Open-TLIF group, MI-TLIF could remarkably reduce the operative time (P = 0.002), intraoperative blood loss (P < 0.001), postoperative drainage (P = 0.01), length of stay (P < 0.001) and incidence of complications (P < 0.001). In addition, MI-TLIF could also lead to markedly lower early back pain-Visual Analog Scale (BP-VAS) score than that of Open-TLIF (P < 0.001), but no statistically significant differences were found in Oswestry Disability Index (ODI), late BP-VAS, early leg pain-VAS (LP-VAS) and late LP-VAS scores.ConclusionMI-TLIF may be a more preferred choice for obese patients undergoing spinal surgery. However, differences in the long-term functional and pain outcomes between MI-TLIF and Open-TLIF remain a source of controversy, which should be further verified in future randomized-control trials.Electronic supplementary materialThe online version of this article (10.1186/s12891-018-1937-6) contains supplementary material, which is available to authorized users.

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Are obesity and body fat distribution associated with low back pain in women? A population-based study of 1128 Spanish twins

Cited by 56 publications

References 29 publications

The Relationship Between Anthropometric Characteristics and Low Back Pain in Women

The Relationship Between Anthropometric Characteristics and Low Back Pain in Women

Lifestyle and Chronic Pain across the Lifespan: An Inconvenient Truth?

Minimally invasive versus open Transforaminal lumbar Interbody fusion in obese patients: a meta-analysis

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