ArticleBMC public health2024
Overweight and obesity as risk factors for chronic low back pain: a new follow-up in the HUNT Study.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review and Meta-Analysis of Randomized Controlled Trials of Epidural Regenerative Medicine Therapies in Managing Spinal Pain.Current pain and headache reports · 2026Pooled it
- Resistance Training with Aerobic Active Recovery in Obesity and Metabolic Syndrome: Translational Rationale, Proposed Training Protocol, and Multi-Omics Research Framework-A Narrative Review.Journal of clinical medicine · 2026Review
- GLP-1-Based Therapies in Pain Medicine: A Narrative Review and Expert Opinion on Obesity-Related Low Back and Knee Pain.Current pain and headache reports · 2026Review
- Association Between Triglyceride Glucose Index and Postherpetic Neuralgia in Patients with Acute Herpes Zoster: A Retrospective Study.Pain and therapy · 2026Article
- New Adjuvant Therapies for Obesity-Related Disorders Associated with Meta-Neuroinflammation.Pharmaceuticals (Basel, Switzerland) · 2026Review
- An Updated Review of Utilization Patterns of Sacroiliac Joint Interventions in the Fee-for-service (ffs) Medicare Population from 2000 to 2022.Current pain and headache reports · 2026Review
- Rising obesity and shifting disease patterns in Saudi Arabia: a nine-year population-based analysis of chronic disease burden and multimorbidity profiles.BMC public health · 2026Article
- Associations between body mass index and patient reported biopsychosocial outcomes among patients with spine pain.Interventional pain medicine · 2026Article
- Short-term outcomes of a micro-choice-based intervention for chronic low back pain: a quasi-experimental study.BMC musculoskeletal disorders · 2026Article
- Weight management for chronic low back pain.The Cochrane database of systematic reviews · 2026Article
- Multidimensional burden of low back pain: A prospective cross sectional study of patient-reported outcomes and sociodemographic factors at a tertiary neurosurgical center.Brain & spine · 2026Article
- The PADRIS-PRESTO cohort: A comprehensive population-based study on mental health in Catalonia.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Physical activity mediates the relationship between weight status and pain impacting daily activities.International journal of obesity (2005) · 2025Article
- Association between the body roundness index and chronic pain among adults in the United States: a cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Bayesian-weighted Mendelian randomization reveals sleep apnea syndrome mediates the BMI-chronic pain link.Journal of thoracic disease · 2025Article
- Association of visceral adiposity index and chronic pain in US adults: a cross-sectional study.Scientific reports · 2025Article
- Cost of illness analysis in individuals with overweight or obesity and chronic low back pain in the Bern metropolitan area (the BO2WL trial).Frontiers in public health · 2025Article
- Risk factors and interaction effects in recurrent low back pain.American journal of translational research · 2025Article
- Work- and hydration-related health outcomes prevalence among USA construction workers: evidence from the national survey.Frontiers in public health · 2025Article
- Low back pain trends attributable to high body mass index over the period 1990-2021 and projections up to 2036.Frontiers in nutrition · 2024Article
Corrections and comments
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNumerous studies have examined associations between overweight and obesity and risk of low back pain (LBP), but the exact magnitude of these associations is not yet clear. The purpose of this work was to assess such sex-specific associations in a community-based setting in Norway, taking into account potential relationships with other risk factors.
methodsA cohort study was conducted combining data from two waves of the Trøndelag Health Study, HUNT3 (2006-2008) and HUNT4 (2017-2019). Separate analyses were performed of risk of chronic LBP in HUNT4 among 14,775 individuals without chronic LBP in HUNT3, and of recurrence or persistence in HUNT4 among 5034 individuals with chronic LBP in HUNT3. Relative risks were estimated in generalised linear models for overweight and obesity compared to normal weight. Body size classification was based on values of BMI computed from measurements of height and weight. Chronic LBP was defined as LBP persisting at least 3 months during last year.
resultsAfter adjustment for age, smoking, physical activity in leisure time and work activity, analysis of risk among women produced relative risks 1.11 (95% CI 1.00-1.23) for overweight, 1.36 (95% CI 1.20-1.54) for obesity class I and 1.68 (95% CI 1.42-2.00) for obesity classes II-III. Relative risks among men were 1.10 (95% CI 0.94-1.28) for overweight, 1.36 (95% CI 1.13-1.63) for obesity class I and 1.02 (95% CI 0.70-1.50) for obesity classes II-III, the last estimate being based on relatively few individuals. Analyses of recurrence or persistence indicated similar relationships but with smaller magnitude of relative risks and no drop in risk among obesity classes II-III in men. The change in BMI from HUNT3 to HUNT4 hardly differed between individuals with and without chronic LBP in HUNT3.
conclusionsRisk of chronic LBP increases with higher values of BMI in both sexes, although it is uncertain whether this applies to very obese men. Very obese women carry a particularly large risk. Probabilities of recurrence or persistence of chronic LBP among those already afflicted also increase with higher values of BMI. Adjustment for other factors does not influence relationships with overweight and obesity to any major extent.
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