ArticlePloS one2015
Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.
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Who cites it
78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 208 citations in OpenAlex.
- Pooled it
- Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Musculoskeletal Pain and Hip Muscle Length Among Undergraduates: A Longitudinal Study of 1 Year.Medicina (Kaunas, Lithuania) · 2026Article
- Occupational physical behaviors and knee pain among eldercare workers: A prospective accelerometer study.Scandinavian journal of work, environment & health · 2026Article
- A Subject-Specific Surface EMG Model for Estimating L4/L5 Compressive Loading.Bioengineering (Basel, Switzerland) · 2026Article
- Development of a quantitative job exposure matrix for standing, walking, and forward bending among pregnant workers - The PRECISE JEM.Scandinavian journal of work, environment & health · 2025Article
- Risk Factors Associated With Low Back Pain in Bangladesh: A Cross-Sectional Study Conducted in 2023.Health science reports · 2025Article
- Prospective associations between 24-h device-measured occupational and leisure-time physical activity and register-based musculoskeletal-related primary healthcare utilization among Danish workers.Scientific reports · 2025Article
- From Single Movement Behaviors to Complete 24-h Behaviors Profiles and Multiple Health Outcomes-A Cross-Sectional Study Using Accelerometry.Scandinavian journal of medicine & science in sports · 2025Article
- Associations between knee pain and knee-loading physical activities at work and leisure - a cross-sectional study based on accelerometer measurements.BMC musculoskeletal disorders · 2025Observational
- Lumbar Sitting Behavior of Individuals with Low Back Pain: A Preliminary Study Using Extended Real-World Data.Sensors (Basel, Switzerland) · 2024Article
- The "sweet- and sour-spot" of occupational physical activity for back pain: a prospective accelerometer study among eldercare workers.Scandinavian journal of work, environment & health · 2024Article
- Prevalence of low back pain and associated factors among bank workers at Hawassa city, Northern Zone, Sidama Region, Southern Ethiopia.BMC musculoskeletal disorders · 2024Article
- Supporting athletes during a challenging situation: recommendations from a global insight of COVID-19 home-based training experience.BMC sports science, medicine & rehabilitation · 2024Article
- Impact of sitting at work on musculoskeletal complaints of German workers - results from the study on mental health at work (S-MGA).Journal of occupational medicine and toxicology (London, England) · 2024Article
- Daily activity patterns in older adults receiving initial support: the association between daily steps and sitting in bouts of at least 60 min.BMC geriatrics · 2024Article
- The Effect of an Active Break Intervention on Nonspecific Low Back Pain and Musculoskeletal Discomfort during Prolonged Sitting among Young People-Protocol for a Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- Working at the office or from home during the COVID-19 pandemic: a cross-sectional study of temporal patterns of sitting and non-sitting among normal-weight and overweight Brazilian office workers.Journal of activity, sedentary and sleep behaviors · 2023Article
- Does it matter for health if steps are taken during work or leisure? A prospective accelerometer study using register-based long-term sickness absence.The international journal of behavioral nutrition and physical activity · 2023Article
- How Does Occupational Lifting Affect Ambulatory Blood Pressure, Relative Aerobic Workload and Level of Physical Activity?Annals of work exposures and health · 2023Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies on the association between sitting time and low back pain (LBP) have found contrasting results. This may be due to the lack of objectively measured sitting time or because socioeconomic confounders were not considered in the analysis.
objectivesTo investigate the association between objectively measured sitting time (daily total, and occupational and leisure-time periods) and LBP among blue-collar workers.
methodsTwo-hundred-and-one blue-collar workers wore two accelerometers (GT3X+ Actigraph) for up to four consecutive working days to obtain objective measures of sitting time, estimated via Acti4 software. Workers reported their LBP intensity the past month on a scale from 0 (no pain) to 9 (worst imaginable pain) and were categorized into either low (≤ 5) or high (> 5) LBP intensity groups. In the multivariate-adjusted binary logistic regression analysis, total sitting time, and occupational and leisure-time sitting were both modeled as continuous (hours/day) and categorical variables (i.e. low, moderate and high sitting time).
resultsThe multivariate logistic regression analysis showed a significant positive association between total sitting time (per hour) and high LBP intensity (odds ratio; OR = 1.43, 95%CI = 1.15-1.77, P = 0.01). Similar results were obtained for leisure-time sitting (OR = 1.45, 95%CI = 1.10-1.91, P = 0.01), and a similar but non-significant trend was obtained for occupational sitting time (OR = 1.34, 95%CI 0.99-1.82, P = 0.06). In the analysis on categorized sitting time, high sitting time was positively associated with high LBP for total (OR = 3.31, 95%CI = 1.18-9.28, P = 0.03), leisure (OR = 5.31, 95%CI = 1.57-17.90, P = 0.01), and occupational (OR = 3.26, 95%CI = 0.89-11.98, P = 0.08) periods, referencing those with low sitting time.
conclusionSitting time is positively associated with LBP intensity among blue-collar workers. Future studies using a prospective design with objective measures of sitting time are recommended.
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