Association Between Walking and Low Back Pain in the Korean Population: A Cross-Sectional Study
- PMID: 29201817
- PMCID: PMC5698665
- DOI: 10.5535/arm.2017.41.5.786
Association Between Walking and Low Back Pain in the Korean Population: A Cross-Sectional Study
Abstract
Objective: To investigate if walking is independently associated with low back pain (LBP) in the general population.
Methods: This cross-sectional study used public data from the Fourth and Fifth Korean National Health and Nutrition Examination Survey. Subjects included 5,982 community-dwelling adults aged ≥50 years. Presence of current LBP was defined as LBP for 1 month or more in the past 3 months. Walking was measured as total walking duration for the past week and subjects were divided into four quartiles. Independent effect of walking on LBP was determined using odds ratios (OR) adjusted for age, sex, osteoporosis, depression or anxiety, and radiographic lumbar spondylosis.
Results: Prevalence of LBP was 26.4% in this population. Older people and women had higher prevalence of current LBP. Prevalence of obesity and osteoporosis was higher in subjects with current LBP and quality of life was poorer in subjects with current LBP. Adjusted logistic regression model revealed that older age (OR, 1.655; p=0.018), female sex (OR, 2.578; p<0.001), radiographic lumbar spondylosis (OR, 2.728; p<0.001), depression or anxiety (OR, 5.409; p<0.001), and presence of osteoporosis (OR, 1.467; p=0.002) were positively associated with current LBP. Walking decreased prevalence of current LBP proportionally (2nd quartile OR, 0.795; 3rd quartile OR, 0.770; and 4th quartile OR, 0.686 compared with the 1st quartile of walking).
Conclusion: Walking was negatively associated with LBP. Further studies are needed to reveal causal relationship of this phenomenon.
Keywords: Cross-sectional studies; Exercise; Low back pain; Spondylosis; Walking.
Conflict of interest statement
CONFLICT OF INTEREST: No potential conflict of interest relevant to this article is reported.
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References
-
- Hildebrandt VH, Bongers PM, Dul J, van Dijk FJ, Kemper HC. The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health. 2000;73:507–518. - PubMed
-
- Bo Andersen L, Wedderkopp N, Leboeuf-Yde C. Association between back pain and physical fitness in adolescents. Spine (Phila Pa 1976) 2006;31:1740–1744. - PubMed
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