Evidence map›Paper›PMID 31130170›Full record

ArticleBrazilian journal of physical therapy

Is occupational or leisure physical activity associated with low back pain? Insights from a cross-sectional study of 1059 participants.

Anita B Amorim, Milena Simic, Evangelos Pappas, Joshua R Zadro, Eduvigis Carrillo, Juan R Ordoñana, Paulo H Ferreira

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04765293 (The Effect of GRAVITY System Therapy on Chronic Low Back Pain in Disc Disease), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04765293 nacompletednot on this map

The Effect of GRAVITY System Therapy on Chronic Low Back Pain in Disc Disease

TypeinterventionalSponsorJózef Piłsudski University of Physical EducationRan2019 to 2020Enrolled50ConditionsPhysical Therapy, Low Back Pain, Chronic PainArmsPhysical Therapy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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  13. Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross-sectional epidemiological study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  14. Lumbopelvic sagittal standing posture associations with anthropometry, physical activity levels and trunk muscle endurance in healthy adults.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2021
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  19. Association of perceived physical overload at work with pain and disability in patients with chronic non-specific low back pain: a 6-month longitudinal study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Anita B AmorimDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia. Electronic address: abar3926@uni.sydney.edu.au.
Milena SimicDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
Evangelos PappasDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
Joshua R ZadroSchool of Public Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
Eduvigis CarrilloMurcia Twin Registry, Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain; Murcia Institute for Biomedical Research (IMIB-Arrixaca), Murcia, Spain.
Juan R OrdoñanaMurcia Twin Registry, Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain; Murcia Institute for Biomedical Research (IMIB-Arrixaca), Murcia, Spain.
Paulo H FerreiraDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
University of Sydney · AUUniversidad de Murcia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is a highly prevalent and disabling musculoskeletal disorder. Physical activity is widely used as a prevention strategy for numerous musculoskeletal disorders; however, there is still conflicting evidence as to whether physical activity is a protective or risk factor for low back pain or whether activity levels differ between people with and without low back pain.

objectiveTo investigate the association between low back pain and different types (occupational and leisure) and intensities (moderate and vigorous) of physical activity.

methodsThis is cross-sectional observational study. We included in this study a total of 1059 individuals recruited from a Spanish twin registry with data available on low back pain. OUTCOME: Self-reported leisure and occupational physical activity were the explanatory variables. The low back pain outcome used in this study was recurrent low back pain.

resultsOur results indicate that leisure physical activity is associated with a lower prevalence of recurrent low back pain. In contrast, occupational physical activity, such as carrying, lifting heavy weight while inclined, awkward postures (e.g. bending, twisting, squatting, and kneeling) are associated with a higher prevalence of recurrent low back pain. There was no statistically significant association between other occupational physical activities, such as sitting or standing, and low back pain.

conclusionLeisure and occupational physical activity are likely to have an opposed impact on low back pain. While leisure physical activity appears to be protective, occupational physical activity appears to be harmful to low back pain. Future longitudinal studies should assist in formulating guidelines addressing specific types and intensity of physical activity aimed at effectively preventing low back pain.

Indexed as

Cross-Sectional StudiesExerciseHumansLeisure ActivitiesLow Back PainMotor ActivityMusculoskeletal DiseasesPostureRisk FactorsSelf ReportEpidemiologyLeisure physical activityLow back painOccupational physical activitySedentary behavior

Identifiers

PMID31130170
PMCPMC6531628
OpenAlexW2810741524

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.