Evidence map›Paper›PMID 31160632›Full record

SynthesisScientific reports2019

The association between physical activity and low back pain: a systematic review and meta-analysis of observational studies.

Hosam Alzahrani, Martin Mackey, Emmanuel Stamatakis, Joshua Robert Zadro, Debra Shirley

Erratum issued Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07351851 (Effects of PEMM in Chronic Low Back Pain Women With Urinary Incontinence A Randomised Controlled Trial), which is not on this map. Cited by 102 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 12 pooled it
–field-weighted citation impact
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.

NCT07351851 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of PEMM in Chronic Low Back Pain Women With Urinary Incontinence A Randomised Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2025 to 2027Enrolled200ConditionsChronic Low-back Pain (cLBP), Urinary Incontinence (UI), Pelvic External Myofascial Mobilisation, Myofascial TechniquesArmsPEMM with Theragun, Active Comparator: Control
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  6. Dance for Chronic Pain Conditions: A Systematic Review.Pain medicine (Malden, Mass.) · 2022
    Pooled it
  7. COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis.International journal of environmental research and public health · 2022
    Pooled it
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  15. Observational
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Hosam AlzahraniDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, 2141, Australia. halz2656@uni.sydney.edu.au.
Martin MackeyDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, 2141, Australia.
Emmanuel StamatakisCharles Perkins Centre, Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, 2006, Australia.
Joshua Robert ZadroSydney School of Public Health, Sydney Medical School, The University of Sydney, Sydney, 2050, Australia.
Debra ShirleyDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, 2141, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this review was to investigate the association between total and domain-specific physical activity (PA) and non-specific low back pain (LBP) in adults. Seven databases were searched for cohort and cross-sectional studies. Pooled estimates of the association of medium and high levels PA and LBP, using the generic inverse-variance method with fixed- and random-effects models were calculated. Twenty-four studies (15 cohort and nine cross-sectional; 95,796 participants) were included. The pooled fully adjusted risk ratios (RR) from cohort studies comparing medium with lowest activity levels were 0.90 (95%CI 0.85 to 0.96) for total PA, and 0.90 (95%CI 0.85 to 0.96) for leisure-time PA (LTPA). The pooled RR comparing highest with lowest activity levels were 1.00 (95%CI 0.92 to 1.08) for total PA, and 1.01 (95%CI 0.93 to 1.10) for LTPA. The pooled fully adjusted odds ratios (OR) from cross-sectional studies comparing medium with lowest activity levels were 0.93 (95%CI 0.65 to 1.32) for total PA, and 0.77 (95%CI 0.62 to 0.96) for LTPA. The pooled OR comparing highest with lowest activity levels were 1.05 (95%CI 0.89 to 1.23) for total PA, and 0.85 (95%CI 0.79 to 0.93) for LTPA. PA seems to be associated with lower prevalence of LBP.

Indexed as

AdolescentAdultAgedAged, 80 and overCohort StudiesExerciseFemaleHumansLow Back PainMaleMiddle AgedObservational Studies as TopicYoung Adult

Identifiers

PMID31160632
PMCPMC6547713

What OpenQuestion holds

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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.