Obesity and low back pain
Author: Bener A, Alwash R, Gaber T, Lovasz G
Source:
Collegium antropologicum, 27(1), 95-104.
Obesity and low back pain (LBP) are common health problems among patients
attending Primary Health Care (PHC) in general practice at the United Arab
Emirates (UAE). The objective of this study was to determine whether obesity is
associated with low back pain. A cross-sectional face-to-face interview
questionnaire survey was conducted. The questionnaire was a modified version of
the Roland-Morris Scale for evaluating back disability. The interviews were
conducted in Arabic by qualified nurses. A multi-stage stratified sample 1,103
UAE national aged 25-65 years, who attended PHC clinics for any reason, were
invited to participate but only 802 subjects were eligible to be included for the
statistical analysis. The data were analyzed using univariate and multivariate
statistical methods. Of the 802 subjects, 428 (53.4%) were males and 374 (46.6%)
were females. The mean age of the males was 40.5 +/- 11.5 years and females was
38.2 +/- 10.5 years (p = 0.004). The mean BMI of the males was 26.4 +/- 7.4 and
females was 27.8 +/- 5.6 (p = 0.002). The overall prevalence of LBP in the
present study was 64.9% (95% confidence interval, 61.0-68.8) and respectively,
56.1% in males and 73.8% in females. The results revealed that there was
association between BMI and some socio-demographic variables with the respect of
with low back pain. Back pain had more influence on the life style habits on
females than in males. Stepwise multiple regression analysis showed that only age
(p < 0.0001), educational level (p = 0.001), gender (p = 0.002), place of living
(p = 0.019), BMI (p < 0.0001), and housing condition (p = 0.02) had significant
effect on the presence of LBP in patients. The present study showed that obesity
is moderately associated with low back pain.