The association between obesity and low back pain and disability is affected by mood disorders: a population-based, cross-sectional study of men

Chou, Louisa, Brady, Sharmayne R.E., Urquhart, Donna M., Teichtahl, Andrew J., Cicuttini, Flavia M., Pasco, Julie A., Brennan-Olsen, Sharon L. and Wluka, Anita E. 2016, The association between obesity and low back pain and disability is affected by mood disorders: a population-based, cross-sectional study of men, Medicine, vol. 95, no. 15, Article number : e3367, pp. 1-7, doi: 10.1097/MD.0000000000003367.

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Title The association between obesity and low back pain and disability is affected by mood disorders: a population-based, cross-sectional study of men
Author(s) Chou, Louisa
Brady, Sharmayne R.E.
Urquhart, Donna M.
Teichtahl, Andrew J.
Cicuttini, Flavia M.
Pasco, Julie A.ORCID iD for Pasco, Julie A. orcid.org/0000-0002-8968-4714
Brennan-Olsen, Sharon L.
Wluka, Anita E.
Journal name Medicine
Volume number 95
Issue number 15
Season Article number : e3367
Start page 1
End page 7
Total pages 7
Publisher Lippincot Williams and Wilkins
Place of publication Philadelphia, Pa.
Publication date 2016-04
ISSN 0025-7974
1536-5964
Keyword(s) aged
body mass index
body weights and measures
cross-sectional studies
disabled persons
humans
low back pain
male
middle aged
mood disorders
obesity
risk factors
socioeconomic factors
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Summary Low back pain (LBP) and obesity are major public health problems; however, the relationship between body composition and low back pain in men is unknown. This study aims to examine the association between body composition and LBP and disability in a population-based sample of men, as well as the factors that may affect this relationship. Nine hundred seventy-eight male participants from the Geelong Osteoporosis Study were invited to participate in a follow-up study in 2006. Participants completed questionnaires on sociodemographics and health status. Low back pain was determined using the validated Chronic Back Pain Grade Questionnaire and the presence of an emotional disorder was assessed using the Hospital Anxiety Depression Scale. Body composition was measured using dual energy x-ray absorptiometry. Of the 820 respondents (84% response rate), 124 (15%) had high-intensity low back pain and/or disability (back pain). Low back pain was associated with higher body mass index (28.7 ± 0.4 vs 27.3 ± 0.2 kg/m2, P = 0.02) and waist-hip ratio (0.97 ± 0.006 vs 0.96 ± 0.006, P = 0.04), with increased tendency toward having a higher fat mass index (8.0 vs 7.6 kg/m2, P = 0.08), but not fat-free mass index (P = 0.68). The associations between back pain and measures of obesity were stronger in those with an emotional disorder, particularly for waist-hip ratio (P = 0.05 for interaction) and fat mass index (P = 0.06 for interaction).In a population-based sample of men, high-intensity LBP and/or disability were associated with increased levels of obesity, particularly in those with an emotional disorder. This provides evidence to support a biopsychosocial interaction between emotional disorders and obesity with low back pain.
Language eng
DOI 10.1097/MD.0000000000003367
Field of Research 110399 Clinical Sciences not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wolters Kluwer Health
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086708

Document type: Journal Article
Collection: School of Medicine
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