The association between physical activity and low back pain: a systematic review and meta-analysis of observational studies

Alzahrani, Hosam; Mackey, Martin; Stamatakis, Emmanuel; Zadro, Joshua R; Shirley, Debra

doi:10.1038/s41598-019-44664-8

Cited by 129 publications

(116 citation statements)

References 63 publications

(113 reference statements)

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“…Literatures stated that the 12-month prevalence of LBP among nursing personnel is estimated to be up to 65% [45]. The result of the present systematic review and meta-analysis also showed that the overall 12month prevalence of LBP among nurses was 64.07%.…”

Section: Discussionsupporting

confidence: 65%

Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies

Kasa

Workineh

Ayalew

et al. 2020

BMC Musculoskelet Disord

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Background: Nurses in Africa are arguably the most important frontline healthcare workers available in most healthcare facilities, performing a broad range of tasks. Such tasks are considerably presumed in the causation of workload. Nursing is listed among the highly risky professions for developing low back pain. The nursing profession is ranked within the top ten professions which have a great risk of low back pain. Hence, this review aimed to ascertain whether low back pain is a significant concern for nurses in African healthcare facilities. Methods: A comprehensive literature search of different databases with no date limit was conducted from September to November 2018 using the PRISMA guideline. The quality of the included studies was assessed using a 12-item rating system. Subgroup and sensitivity analyses were performed. Cochran's Q and the I 2 test were used to assess heterogeneity. The presence of publication bias was evaluated by using Egger's test and visual inspection of the symmetry in funnel plots. Result: In this review, 19 studies from different African regions with a total sample size of 6110 nurses were included. All the studies were carried out between 2000 and 2018. Among these, the lowest and the highest prevalence were found to be 44.1 and 82.7% respectively. The estimation of the prevalence rate of low back pain among nurses using the random-effects model was found to be 64.07% (95% CI: 58.68-69.46; P-value < 0.0001). Heterogeneity of the reviewed studies was I 2 = 94.2% and heterogeneity Chi-squared = 310.06 (d.f = 18), P-value < 0.0001. The subgroup analyses showed that the highest prevalence of LBP among nurses was from West African region with prevalence rates of 68.46% (95% CI: 54.94-81.97; P-value < 0.0001) and followed by North Africa region with prevalence rate of 67.95% (95% CI: 55.96-79.94; P-value < 0.0001). Conclusion: Even though the overall prevalence of the present study is lower when compared to the Western and Asian studies, it indicated that the prevalence of low back pain among nurses is substantial.

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Section: Discussionsupporting

confidence: 65%

Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies

Kasa

Workineh

Ayalew

et al. 2020

BMC Musculoskelet Disord

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“…These findings emphasize that inactivity may play a greater role as a risk factor for prolonged disability, and that high activity levels might not automatically play a protective role. Medium activity level was associated with lower prevalence of LBP according a systematic review, while the association between high activity level and LBP, compared to low activity level, was not clear 37 . In a large prospective study consisting of older adults, high-risk individuals, as classified according to 11 biopsychosocial risk factors, were three times more likely to develop pain compared to low-risk group 38 .…”

Section: Discussionmentioning

confidence: 89%

Association of STarT Back Tool and the short form of the Örebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors

Simula

Ruokolainen

Oura

et al. 2020

Sci Rep

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the Short form of the Örebro Musculoskeletal pain Screening Questionnaire (ÖMpSQ-short) and the Start Back tool (SBt) have been developed to screen for risk factors for future low back pain (LBp)related disability and work loss respectively. The aim of this study was to investigate the accordance of the two questionnaires and to evaluate the accumulation of risk factors in the risk groups of both screening tools in a large population-based sample. The study population consisted of 3079 participants of the Northern Finland Birth Cohort 1966 who had reported LBP over the previous 12 months and had SBT and ÖMPSQ-short data. We evaluated the association of depressive and anxiety symptoms (Hopkins symptom check list-25, Generalized anxiety disorder 7 questionnaire, and Beck's Depression Inventory 21), psychological features (Fear-Avoidance Beliefs Questionnaire), lifestyle characteristics (BMI, smoking, alcohol abuse, physical inactivity) and social factors (education level) with the SBT and ÖMPSQ-short risk groups. The high-risk groups of both questionnaires were associated (p < 0.001) with depressive and anxiety symptoms and fear-avoidance beliefs. In addition, adverse lifestyle factors accumulated in the higher risk groups, especially from the ÖMPSQ-short. Agreement between the two questionnaires was moderate for men and fair for women. Low back pain (LBP) is the most disabling health condition worldwide 1. No cost-effective or widely available preventive LBP interventions have yet been developed 2. Predictors of persistent LBP-related disability include symptom-related factors such as previous LBP episodes, pain intensity and the presence of leg pain; lifestyle factors such as overweight/obesity, smoking and physical inactivity; psychological factors such as depression, catastrophizing and fear-avoidance beliefs; and social factors such as education, physical workload and work satisfaction 3. To improve the effectiveness of healthcare, care processes need to take these factors into account individually and systematically 2. Early identification of patients who are at the highest risk of developing a prolonged or persistent pain problem is important 2. The short form of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-short) and the STarT Back Tool (SBT) have been developed for the easy and systematic identification of predictive psychosocial and symptom-related factors 4-6. The SBT was developed to identify subgroups of patients with non-specific LBP in order to determine which kind of treatment would benefit each patient. Cutoff scores divide patients into low-, medium-and high-risk

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“…In a systematic review and meta-analysis, it was found that when cohort studies were considered, people who practiced a medium level of PA had a 10% lower risk of CBP lumbar (p = 0.0009). When cross-sectional studies were considered, the association suggested 7% decreased odds, but it was not significant (p = 0.68) [44].…”

Section: Discussionmentioning

confidence: 94%

Associations between Physical Activity and Comorbidities in People with COPD Residing in Spain: A Cross-Sectional Analysis

Castillo

Smith

Suárez

et al. 2020

IJERPH

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There is a high prevalence of comorbidities among patients with chronic obstructive pulmonary disease (COPD). Comorbidities are likely common in patients with any COPD degree and are associated with increased mortality. The aim of this study was to determine the prevalence of thirty-one different COPD comorbidities and to evaluate the association between physical activity (PA) levels in people with COPD residing in Spain. Cross-sectional data from the Spanish National Health Survey 2017 were analysed. A total of 601 adults (52.2% females) with COPD aged 15 to 69 participated in this study. PA (exposure) was measured with the International Physical Activity Questionnaire (IPAQ) short form and comorbidities (outcomes) were self-reported in response to the question “Have you ever been diagnosed with…?” Multivariable logistic regression, in three different models, was used to assess this association. Results showed a high prevalence of comorbidities (94%), these being chronic lumbar back pain (38.9%), chronic allergy (34.8%), arthrosis (34.1%), chronic cervical back pain (33.3%), asthma (32.9%) and hypertension (32.8%) the most prevalent. Low PA level was significantly associated with urinary incontinence (2.115[1.213–3.689]), chronic constipation (1.970[1.119–3.459]), cataracts (1.840[1.074–3.153]), chronic anxiety (1.508[1.002–2.269]) and chronic lumbar back pain (1.489[1.044–2.125]). Therefore, people with COPD should increase their PA levels in order to reduce their risk of comorbidities and increase their quality of life.

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The association between physical activity and low back pain: a systematic review and meta-analysis of observational studies

Cited by 129 publications

References 63 publications

Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies

Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies

Association of STarT Back Tool and the short form of the Örebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors

Associations between Physical Activity and Comorbidities in People with COPD Residing in Spain: A Cross-Sectional Analysis

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