The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1097/BRS.0000000000003996 http://hdl.handle.net/11449/208578 |
Resumo: | 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.Level of Evidence: 4. |
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The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care SettingsSTUDY 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.Level of Evidence: 4.Department of Physical Therapy São Paulo State University (UNESP)Department of Physical Therapy Universidade Federal de Minas Gerais (UFMG) MGDepartment of Physical Education and Exercise Science Lander University SCDepartment of Physical Education São Paulo State University (UNESP)Faculty of Medicine University of Western São Paulo (UNOESTE)Duke Molecular Physiology Institute Duke UniversityDepartment of Physical Therapy São Paulo State University (UNESP)Department of Physical Education São Paulo State University (UNESP)Universidade Estadual Paulista (Unesp)Universidade Federal de Minas Gerais (UFMG)SCUniversity of Western São Paulo (UNOESTE)Duke UniversityLemes, Ítalo Ribeiro [UNESP]Pinto, Rafael ZambelliTuri Lynch, Bruna CamiloCodogno, Jamile Sanches [UNESP]Oliveira, Crystian Bitencourt [UNESP]Ross, Leanna M.Araújo Fernandes, Rômulo [UNESP]Monteiro, Henrique Luiz [UNESP]2021-06-25T11:14:28Z2021-06-25T11:14:28Z2021-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article596-602http://dx.doi.org/10.1097/BRS.0000000000003996Spine, v. 46, n. 9, p. 596-602, 2021.1528-1159http://hdl.handle.net/11449/20857810.1097/BRS.00000000000039962-s2.0-85103998672Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengSpineinfo:eu-repo/semantics/openAccess2024-04-24T18:53:09Zoai:repositorio.unesp.br:11449/208578Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T16:13:59.326071Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
title |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
spellingShingle |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings Lemes, Ítalo Ribeiro [UNESP] |
title_short |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
title_full |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
title_fullStr |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
title_full_unstemmed |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
title_sort |
The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings |
author |
Lemes, Ítalo Ribeiro [UNESP] |
author_facet |
Lemes, Ítalo Ribeiro [UNESP] Pinto, Rafael Zambelli Turi Lynch, Bruna Camilo Codogno, Jamile Sanches [UNESP] Oliveira, Crystian Bitencourt [UNESP] Ross, Leanna M. Araújo Fernandes, Rômulo [UNESP] Monteiro, Henrique Luiz [UNESP] |
author_role |
author |
author2 |
Pinto, Rafael Zambelli Turi Lynch, Bruna Camilo Codogno, Jamile Sanches [UNESP] Oliveira, Crystian Bitencourt [UNESP] Ross, Leanna M. Araújo Fernandes, Rômulo [UNESP] Monteiro, Henrique Luiz [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade Federal de Minas Gerais (UFMG) SC University of Western São Paulo (UNOESTE) Duke University |
dc.contributor.author.fl_str_mv |
Lemes, Ítalo Ribeiro [UNESP] Pinto, Rafael Zambelli Turi Lynch, Bruna Camilo Codogno, Jamile Sanches [UNESP] Oliveira, Crystian Bitencourt [UNESP] Ross, Leanna M. Araújo Fernandes, Rômulo [UNESP] Monteiro, Henrique Luiz [UNESP] |
description |
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.Level of Evidence: 4. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-25T11:14:28Z 2021-06-25T11:14:28Z 2021-05-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1097/BRS.0000000000003996 Spine, v. 46, n. 9, p. 596-602, 2021. 1528-1159 http://hdl.handle.net/11449/208578 10.1097/BRS.0000000000003996 2-s2.0-85103998672 |
url |
http://dx.doi.org/10.1097/BRS.0000000000003996 http://hdl.handle.net/11449/208578 |
identifier_str_mv |
Spine, v. 46, n. 9, p. 596-602, 2021. 1528-1159 10.1097/BRS.0000000000003996 2-s2.0-85103998672 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Spine |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
596-602 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128621906231296 |