2016
DOI: 10.3928/01477447-20160404-02
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Modifiable Risk Factors in Patients With Low Back Pain

Abstract: Low back pain is one of the most common reasons for physician visits in the United States and is a chief complaint frequently seen by orthopedic surgeons. Patients with chronic low back pain can experience recurring debilitating pain and disability, decreasing their quality of life. A commercially available software platform, Explorys (Explorys, Inc, Cleveland, Ohio), was used to mine a pooled electronic health care database consisting of the medical records of more than 26 million patients. According to the a… Show more

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Cited by 26 publications
(25 citation statements)
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“…In the studied group, smoking increased a chance for recurrent nsLBP by over 9 times (OR=9.31; 95% CI: 5.34–16.22, p < 0.001) versus other people. Studies included in the meta-analysis conducted by Shemory et al implied that smoking increased a chance for low back pain by over 4 times [ 11 ]. Similar conclusions were reached by Karahan et al for the group of medical personnel and by Smith et al for nurses [ 24 , 25 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In the studied group, smoking increased a chance for recurrent nsLBP by over 9 times (OR=9.31; 95% CI: 5.34–16.22, p < 0.001) versus other people. Studies included in the meta-analysis conducted by Shemory et al implied that smoking increased a chance for low back pain by over 4 times [ 11 ]. Similar conclusions were reached by Karahan et al for the group of medical personnel and by Smith et al for nurses [ 24 , 25 ].…”
Section: Discussionmentioning
confidence: 99%
“…Both overweight and obesity contribute to the mechanical overload of paraspinal tissues or even promotes the development of disc herniations. There have been reports on the influence of other metabolic disorders (hyperlipidaemia, hypertension, and type 2 diabetes) on the occurrence of low back pain [ 10 , 11 ]. Less numerous reports indicate a relationship between smoking and low back pain [ 11 ].…”
Section: Introductionmentioning
confidence: 99%
“…Chronic pain, especially lower back pain, is associated with increased levels of obesity ( 19 , 20 ). Evidence indicates that the positive relationship between obesity and chronic pain is partially imposed by the over-loading of weight-bearing joints, including the spine, hip, and knee ( 21 ).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, increased BMI also affects the incidence of neck pain and arthritis [86]. A group of studies led to speculation of connections between smoking and obesity that may result in LBP [67,87]. Yet, such a conclusion was challenged by another study, which did not find such link between LBP, smoking and obesity [88].…”
Section: Obesity and Smokingmentioning
confidence: 99%