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

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

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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 Soups 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 Salt Biscuits 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.