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THE ASSOCIATION OF PREVIOUS AND CURRENT NONCHRONIC LOW BACK PAIN WITH DAILY PHYSICAL ACTIVITY IN MIDDLE- AND OLDER-AGED ADULTS
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State University of Rio de Janeiro. Institute of Social Medicine Hésio Cordeiro. Department of Epidemiology. Rio de Janeiro, RJ, Brazil / Johns Hopkins Bloomberg School of Public Health. Department of Epidemiology. Baltimore, USA.
State University of Rio de Janeiro. Institute of Social Medicine Hésio Cordeiro. Department of Epidemiology. Rio de Janeiro, RJ, Brazil.
Johns Hopkins Bloomberg School of Public Health. Department of Epidemiology. Baltimore, USA / Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Clinical Research Laboratory in Chagas Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / Johns Hopkins University. Center on Aging and Health. Baltimore, MD, USA.
National Institute on Aging. National Institutes of Health. Baltimore, MD, USA.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / Johns Hopkins University. Center on Aging and Health. Baltimore, MD, USA.
State University of Rio de Janeiro. Institute of Social Medicine Hésio Cordeiro. Department of Epidemiology. Rio de Janeiro, RJ, Brazil.
Johns Hopkins Bloomberg School of Public Health. Department of Epidemiology. Baltimore, USA / Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Clinical Research Laboratory in Chagas Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / Johns Hopkins University. Center on Aging and Health. Baltimore, MD, USA.
National Institute on Aging. National Institutes of Health. Baltimore, MD, USA.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / Johns Hopkins University. Center on Aging and Health. Baltimore, MD, USA.
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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