ArticleBMJ open2017
Predictors for future activity limitation in women with chronic low back pain consulting primary care: a 2-year prospective longitudinal cohort study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Change in self-reported activity in chronic low back pain after 13 years - a prospective longitudinal cohort study in primary healthcare.BMC musculoskeletal disorders · 2025Observational
- Functional disability mediates the relationship between pain severity and quality of life in pregnant women with pregnancy-related low back pain: a moderated mediation analysis.BMC pregnancy and childbirth · 2025Article
- Social factors contributing to the development of chronic low back pain: a scoping review.BMC musculoskeletal disorders · 2025Article
- The Effect of Dry Needling Compared to Lumbar Spine Mobilization on Functional Disability in Patients with Nonspecific Chronic Low Back Pain: Study Protocol for a Randomized Controlled Trial.Advanced biomedical research · 2025Article
- Article
- Predictors of response following standardized education and self-management recommendations for low back pain stratified by dominant pain location.North American Spine Society journal · 2021Article
- Article
- Stress and Self-Efficacy as Long-Term Predictors for Chronic Low Back Pain: A Prospective Longitudinal Study.Journal of pain research · 2020Article
- The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review.Systematic reviews · 2019Article
- Which psychosocial factors are related to severe pain and functional limitation in patients with low back pain?: Psychosocial factors related to severe low back pain.Brazilian journal of physical therapyArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess if body function, activity, participation, health-related quality of life and lifestyle behavioural factors can predict activity limitation in women with chronic low back pain (CLBP) in primary healthcare (PHC) 2 years later.
designA 2-year prospective longitudinal cohort study within PHC. SETTINGS: PHC in southwestern Sweden.
participantsThe cohort comprised 130 women with CLBP attending PHC at baseline 2004-2005 and were reassessed after 2 years. MEASURES: The dependent outcome variable was self-reported activity limitation (Roland Morris disability questionnaire (RMDQ)) at 2-year follow-up. Independent predictors at baseline were age, body mass index, smoking, alcohol consumption, sleep quantity and quality, leisure time physical activity, a questionnaire of clinical manifestation of stress (Stress and Crises Inventory (SCI-93)), pain localisation, pain intensity, fatigue, anxiety, depression, RMDQ, work status, private social support, health-related quality of life and measures of physical performance specified as 6 min walk test (6MWT) and hand grip strength. Relation between baseline predictors and variation in later self-reported activity limitation (RMDQ) was analysed using multivariate linear regression.
resultsNinety-five per cent (n=123/130) were followed up after 2 years. The participants were middle-aged (mean 45 (SD 10) years), mostly educated >9 years (88%; 108/123), mainly living with another adult (76%; 93/122) and born in Sweden (90%; 111/123). Seventy-nine per cent (97/123) were categorised as having work ability at baseline. The final prognostic model including 6MWT, SCI-93 and RMDQ at baseline explained 54% of the variance in self-reported activity limitation (RMDQ) at the 2-year follow-up.
conclusionsLower physical performance, more severe clinical stress symptoms and more severe activity limitation predicted activity limitation after 2 years in women with CLBP within PHC. The results can give guidance for interventional trials aiming to improve physical capacity and decrease stress. The impact of the interaction between prognostic factors and interventions on activity limitation needs further investigation.
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