The association between sedentary behavior and low back pain in adults: a systematic review and meta-analysis of longitudinal studies

PeerJ

article

Hosam Alzahrani¹  Mansour Abdullah Alshehri²  Msaad Alzhrani⁴  Yasir S. Alshehri⁵  Wesam Saleh A. Al Attar² 

[1] Department of Physical Therapy, College of Applied Medical Sciences, Taif University;Department of Physiotherapy, College of Applied Medical Sciences, Umm Al Qura University;NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, University of Queensland;Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University;Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University;Department of Sport, Exercise and Health, Faculty of Medicine, University of Basel;Discipline of Exercise and Sport Science, Faculty of Medicine and Health Sciences, The University of Sydney

关键词: Low back pain;    Sedentary behavior;    Risk factor;    Meta-analysis;   

DOI  :  10.7717/peerj.13127

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Background Low back pain (LBP) is a common musculoskeletal problem globally. While spending a longer time in sedentary behaviors is linked to several health problems; the quantitative association between different amounts of sedentary time and LBP is still unknown. This study aims to systematically review studies that examined the association between sedentary behavior and LBP development and LBP-related outcomes. Methods This systematic review and meta-analysis retrieved journal articles published from inception to March 2020 and were obtained by searching bibliographical databases. We included longitudinal study designs, including adult (aged ≥18) individuals with nonspecific LBP, and reporting estimates of the association between sedentary behavior and LBP development and LBP-related outcomes (i.e., pain intensity and disability). Results Sixteen longitudinal studies with 100,002 participants were included in this review (eight studies included in quantitative syntheses with 83,111 participants). The results of meta-analyses showed that a sedentary time of 3–8 (OR 0.92, 95% CI [0.85–1.00]) hours per day (h/d) was not associated with LBP development. A sedentary time of ≥3 h/d was associated with poor LBP-related disability (OR 1.24, 95% CI [1.02–1.51]), but not with pain intensity. Conclusion A meta-analyses of longitudinal studies indicated that sedentary behavior of different durations was not associated with LBP development. However, the results showed that sedentary behavior ≥3 h/d was associated with worse LBP-related disability. These conclusions are tentative as the evidence was derived from mostly fair-quality studies using subjective measures of sedentary behavior. Systematic review registration PROSPERO (registration number CRD42018107078).

【 授权许可】

CC BY