Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain
Study Design: This is an observational study. Objectives: In general practice, it is noted that some people can deal more easily with a prominent belly than others. Recent use of spinopelvic parameters in the analysis of the spine might explain this observation. This study aimed to determine the cor...
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2024-12-01
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| author | Daphne Butzen Yannick Smolders Tom Stroobants Gino Verleye Dieter Thijs Erik Van de Kelft |
| author_facet | Daphne Butzen Yannick Smolders Tom Stroobants Gino Verleye Dieter Thijs Erik Van de Kelft |
| author_sort | Daphne Butzen |
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| description | Study Design: This is an observational study. Objectives: In general practice, it is noted that some people can deal more easily with a prominent belly than others. Recent use of spinopelvic parameters in the analysis of the spine might explain this observation. This study aimed to determine the correlation between pelvic incidence (PI), waist circumference (WC), and body mass index (BMI) in patients with non-specific chronic low back pain. We hypothesized that people with a low PI (non-pronounced lumbar lordosis) have significantly lower WC values than those with a high PI (pronounced lumbar lordosis). Methods: Adult patients presenting to the outpatient neurosurgery clinic with non-specific chronic low back pain who had undergone full spine radiography were included. The PI, BMI, and WC were measured in all cases. Results: We included 272 patients (male–female ratio, 1.08) with a mean age of 54 years. There was a statistically significant difference (<i>p</i> < 0.05) in the mean PI according to BMI group. The mean PI in our population was 57.8° (range 28.4–97.2°, SD 12.1°). A significant correlation coefficient of 0.271 (<i>p</i> < 0.001; 95%CI 0.157–0.377) was found between BMI and PI and 0.410 (<i>p</i>-value < 0.001; 95%CI 0.262–0.539). Conclusions: We found a significant correlation between PI, BMI, and WC. This finding is the first step in confirming our hypothesis that a patient with a high PI might be able to tolerate being overweight and a high WC better than patients with a low PI, possibly because of their ability to retrovert the pelvis to a greater extent. Further research is warranted to investigate whether people with a high pelvic PI can better cope with obesity, especially those with a higher waist circumference and abdominal weight. |
| format | Article |
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| institution | Kabale University |
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| language | English |
| publishDate | 2024-12-01 |
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| series | Life |
| spelling | doaj-art-261b6c33d8cd40398b9fd4f60ef6c81a2025-01-24T13:38:27ZengMDPI AGLife2075-17292024-12-011511610.3390/life15010016Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back PainDaphne Butzen0Yannick Smolders1Tom Stroobants2Gino Verleye3Dieter Thijs4Erik Van de Kelft5Faculty of Medicine and Health Sciences, University Antwerp, 2610 Antwerp, BelgiumFaculty of Medicine and Health Sciences, University Antwerp, 2610 Antwerp, BelgiumFaculty of Medicine and Health Sciences, University Antwerp, 2610 Antwerp, BelgiumDepartment of Statistics, University Ghent, 9000 Ghent, BelgiumDepartment of Neurosurgery, Vitaz, 9100 Sint-Niklaas, BelgiumFaculty of Medicine and Health Sciences, University Antwerp, 2610 Antwerp, BelgiumStudy Design: This is an observational study. Objectives: In general practice, it is noted that some people can deal more easily with a prominent belly than others. Recent use of spinopelvic parameters in the analysis of the spine might explain this observation. This study aimed to determine the correlation between pelvic incidence (PI), waist circumference (WC), and body mass index (BMI) in patients with non-specific chronic low back pain. We hypothesized that people with a low PI (non-pronounced lumbar lordosis) have significantly lower WC values than those with a high PI (pronounced lumbar lordosis). Methods: Adult patients presenting to the outpatient neurosurgery clinic with non-specific chronic low back pain who had undergone full spine radiography were included. The PI, BMI, and WC were measured in all cases. Results: We included 272 patients (male–female ratio, 1.08) with a mean age of 54 years. There was a statistically significant difference (<i>p</i> < 0.05) in the mean PI according to BMI group. The mean PI in our population was 57.8° (range 28.4–97.2°, SD 12.1°). A significant correlation coefficient of 0.271 (<i>p</i> < 0.001; 95%CI 0.157–0.377) was found between BMI and PI and 0.410 (<i>p</i>-value < 0.001; 95%CI 0.262–0.539). Conclusions: We found a significant correlation between PI, BMI, and WC. This finding is the first step in confirming our hypothesis that a patient with a high PI might be able to tolerate being overweight and a high WC better than patients with a low PI, possibly because of their ability to retrovert the pelvis to a greater extent. Further research is warranted to investigate whether people with a high pelvic PI can better cope with obesity, especially those with a higher waist circumference and abdominal weight.https://www.mdpi.com/2075-1729/15/1/16body mass indexwaist circumferencepelvic incidencelow back painspinal sagittal balance |
| spellingShingle | Daphne Butzen Yannick Smolders Tom Stroobants Gino Verleye Dieter Thijs Erik Van de Kelft Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain Life body mass index waist circumference pelvic incidence low back pain spinal sagittal balance |
| title | Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain |
| title_full | Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain |
| title_fullStr | Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain |
| title_full_unstemmed | Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain |
| title_short | Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, and Chronic Non-Specific Low Back Pain |
| title_sort | correlation between spinopelvic parameters body mass index waist circumference and chronic non specific low back pain |
| topic | body mass index waist circumference pelvic incidence low back pain spinal sagittal balance |
| url | https://www.mdpi.com/2075-1729/15/1/16 |
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