The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults

Abstract Background Low back pain (LBP) is a leading cause of years lived with disability. However, the association of non-chronic LBP with levels of daily physical activity (PA) remains poorly explored. This study investigated the association between previous and current non-chronic LBP with daily...

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Main Authors: Tatiana Rehder Gonçalves, Diana Barbosa Cunha, Mauro Felippe Felix Mediano, Amal A. Wanigatunga, Eleanor M. Simonsick, Jennifer A. Schrack
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21453-9
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author Tatiana Rehder Gonçalves
Diana Barbosa Cunha
Mauro Felippe Felix Mediano
Amal A. Wanigatunga
Eleanor M. Simonsick
Jennifer A. Schrack
author_facet Tatiana Rehder Gonçalves
Diana Barbosa Cunha
Mauro Felippe Felix Mediano
Amal A. Wanigatunga
Eleanor M. Simonsick
Jennifer A. Schrack
author_sort Tatiana Rehder Gonçalves
collection DOAJ
description Abstract Background Low back pain (LBP) is a leading cause of years lived with disability. However, the association of non-chronic LBP with levels of daily physical activity (PA) remains poorly explored. This study investigated the association between previous and current non-chronic LBP with daily PA and compliance with PA recommendations in middle and older-aged adults. Methods This is a cross-sectional analysis including volunteers from the Baltimore Longitudinal Study of Aging who answered questions about LBP and wore an Actiheart accelerometer for 7days. Generalized linear models and logistic models were used and adjusted for potential confounders. Results 662 volunteers were included (50.8% women, 68.1% white), aged 68.0 (± 11.4) years. Previous non-chronic LBP was reported by 240 (36.3%) participants with mean pain intensity of 3.5 ± 2.0 (ranging from 0 to 10). Current non-chronic LBP was reported by 5.7% (n = 38) with mean pain intensity of 4.1 ± 2.3. Participants reporting current non-chronic LBP had lower levels of total (β -0.18, 95% CI -0.34 to -0.02) and vigorous (β -0.29, 95% CI -0.56 to -0.007) daily PA and lower odds of meeting PA recommendations (OR 0.20, 95% CI 0.05 to 0.92) compared to those reporting no LBP. No association was observed for LBP intensity. Conversely, previous non-chronic LBP showed no statistically significant association with daily PA levels. Conclusion The presence of current non-chronic LBP seems to be negatively associated with PA levels driven mainly by lower engagement in vigorous PA. No association was observed for pain intensity.
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spelling doaj-art-5ff13a5d57b843e0b058ded50f862b7c2025-02-02T12:45:37ZengBMCBMC Public Health1471-24582025-01-012511910.1186/s12889-025-21453-9The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adultsTatiana Rehder Gonçalves0Diana Barbosa Cunha1Mauro Felippe Felix Mediano2Amal A. Wanigatunga3Eleanor M. Simonsick4Jennifer A. Schrack5Department of Epidemiology, Institute of Social Medicine Hésio Cordeiro, State University of Rio de JaneiroDepartment of Epidemiology, Institute of Social Medicine Hésio Cordeiro, State University of Rio de JaneiroDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthNational Institute on Aging, National Institutes of HealthDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthAbstract Background Low back pain (LBP) is a leading cause of years lived with disability. However, the association of non-chronic LBP with levels of daily physical activity (PA) remains poorly explored. This study investigated the association between previous and current non-chronic LBP with daily PA and compliance with PA recommendations in middle and older-aged adults. Methods This is a cross-sectional analysis including volunteers from the Baltimore Longitudinal Study of Aging who answered questions about LBP and wore an Actiheart accelerometer for 7days. Generalized linear models and logistic models were used and adjusted for potential confounders. Results 662 volunteers were included (50.8% women, 68.1% white), aged 68.0 (± 11.4) years. Previous non-chronic LBP was reported by 240 (36.3%) participants with mean pain intensity of 3.5 ± 2.0 (ranging from 0 to 10). Current non-chronic LBP was reported by 5.7% (n = 38) with mean pain intensity of 4.1 ± 2.3. Participants reporting current non-chronic LBP had lower levels of total (β -0.18, 95% CI -0.34 to -0.02) and vigorous (β -0.29, 95% CI -0.56 to -0.007) daily PA and lower odds of meeting PA recommendations (OR 0.20, 95% CI 0.05 to 0.92) compared to those reporting no LBP. No association was observed for LBP intensity. Conversely, previous non-chronic LBP showed no statistically significant association with daily PA levels. Conclusion The presence of current non-chronic LBP seems to be negatively associated with PA levels driven mainly by lower engagement in vigorous PA. No association was observed for pain intensity.https://doi.org/10.1186/s12889-025-21453-9EpidemiologyMusculoskeletal healthPhysical activityPublic health
spellingShingle Tatiana Rehder Gonçalves
Diana Barbosa Cunha
Mauro Felippe Felix Mediano
Amal A. Wanigatunga
Eleanor M. Simonsick
Jennifer A. Schrack
The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
BMC Public Health
Epidemiology
Musculoskeletal health
Physical activity
Public health
title The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
title_full The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
title_fullStr The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
title_full_unstemmed The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
title_short The association of previous and current non-chronic low back pain with daily physical activity in middle- and older-aged adults
title_sort association of previous and current non chronic low back pain with daily physical activity in middle and older aged adults
topic Epidemiology
Musculoskeletal health
Physical activity
Public health
url https://doi.org/10.1186/s12889-025-21453-9
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