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Health Promot Perspect. 2021;11(4): 393-410.
doi: 10.34172/hpp.2021.50
  Abstract View: 247
  PDF Download: 144

Systematic Review

Association between sedentary behavior and low back pain; A systematic review and meta-analysis

Sadegh Baradaran Mahdavi 1,2 ORCID logo, Roya Riahi 2,3* ORCID logo, Babak Vahdatpour 4 ORCID logo, Roya Kelishadi 2* ORCID logo

1 Department of Physical Medicine and Rehabilitation, School of Medicine, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2 Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Authors: Roya Kelishadi, Email: kelishadi@med.mui.ac.ir

Abstract

Background: Sedentariness is a substantial risk for many chronic diseases. We aimed to investigate the correlation of sedentary behavior and its indicators with low back pain (LBP) among adults and children.

Methods: Original articles published up to April 28, 2020, using PubMed, Embase, Web of Science and Scopus were evaluated. Odds ratio (OR, 95% CI) was considered the overall effect size for desired associations.

Results: We reviewed 49 English articles with analytical observational study design, of which, 27 studies with cross sectional/survey design were retained in the meta-analysis. Among adults, sedentary lifestyle was a considerable risk factor for LBP (OR=1.24, 1.02-1.5); prolonged sitting time (OR=1.42, 1.09-1.85) and driving time (OR=2.03, 1.22-3.36) were the significant risk factors. Sedentary behavior was associated with LBP in office workers (OR=1.23). Moreover, excess weight (OR=1.35, 1.14-1.59) and smoking (OR=1.28, 1.03-1.60) were associated with LBP. Among children, sedentary lifestyle was a remarkable risk factor for LBP (OR=1.41, 1.24- 1.60); prolonged TV watching (OR=1.23, 1.08-1.41) and computer/mobile using and console playing time (OR=1.63, 1.36-1.95) were significant risk factors for LBP. Consumption of coffee, however, has yield conflicting results to be considered as a risk factor. Moreover, the researches on the correlation between sedentariness and high-intensity LBP are scarce and inconclusive.

Conclusion: Sedentary behavior, whether in work or leisure time, associates with a moderate increase in the risk of LBP in adults, children and adolescents.


Keywords: Sedentary behavior, Screen time, Smoking, Obesity, Coffee, Low back pain

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Submitted: 29 Sep 2021
Accepted: 29 Oct 2021
ePublished: 19 Dec 2021
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