ArticleBMJ open2020
Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review.BMJ paediatrics open · 2022Pooled it
- Pediatric lumbar spine MRI: structural imaging findings and anatomical variants associated with disc herniation.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 · 2026Article
- Adherence to Health Behavior Recommendations among Youth with Obesity Classes I, II, and III.Childhood obesity (Print) · 2026Article
- Somatosensory Function and Pain: Associations Over 12 Months Postinjury in Youth With Acute Musculoskeletal Pain.The Clinical journal of pain · 2026Article
- Association between obesity and mental health problems among Spanish children aged 9 and 12 years: the ELOIN study.BMC public health · 2026Article
- Sex-specific BMI, 24-hour movement behaviors, motor skills, and executive functions in Tunisian preschool children: an observational cross-sectional study.Frontiers in physiology · 2026Article
- Nonspecific back pain in adolescents, its associated physical and psychological factors and urban-rural differences: a cross-sectional analytical study.Frontiers in public health · 2026Article
- Mental health in children and adolescents with overweight or obesity.BMC public health · 2023Article
- The burden of low back pain in children and adolescents with overweight and obesity: from pathophysiology to prevention and treatment strategies.Therapeutic advances in musculoskeletal disease · 2023Review
- Childhood Obesity and Incorrect Body Posture: Impact on Physical Activity and the Therapeutic Role of Exercise.International journal of environmental research and public health · 2022Review
- Narrative review of the prevalence and distribution of acute pain in children in the self-care setting.Paediatric & neonatal pain · 2022Review
- The explanatory role of sedentary screen time and obesity in the increase of chronic back pain amongst European adolescents: The HBSC study 2002-2014.European journal of pain (London, England) · 2022Article
- Prevalence and Characteristics of Back Pain in Children and Adolescents from the Region of Murcia (Spain): ISQUIOS Programme.International journal of environmental research and public health · 2022Article
- Neuromusculoskeletal Health in Pediatric Obesity: Incorporating Evidence into Clinical Examination.Current obesity reports · 2021Review
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesTo assess the association between age, sex, socioeconomic group, weight status and back pain risk in a large general population cohort of children. DESIGN AND
settingA dynamic cohort of children aged 4 years in the Information System for Research in Primary Care (SIDIAP) electronic primary care records data in Catalonia. Multivariable Cox models were fitted to explore the association between back pain and weight status categories according to the WHO 2007 growth reference groups (body mass index for age z-score). Models were adjusted for age, sex, socioeconomic status and nationality.
participantsChildren seen at age 4 years at paediatric primary care clinics between 1 January 2006 and 31 December 2013 and followed up until 31 December 2016 or age 15 years. OUTCOME MEASURES: Incident back pain registered by paediatricians at primary care using the International Statistical Classification of Diseases and Health Related Problems, 10th Edition code M54.
results466 997 children were followed for a median 5.0 years (IQR 5.1). In multivariable models, overweight and obesity increased back pain risk, with adjusted HRs of 1.18 (95% CI 1.09 to 1.27) and 1.34 (95%CI 1.19 to 1.51) for overweight and obesity, respectively. Females were at greater risk of back pain than males with adjusted HR 1.40 (95%CI 1.35 to 1.46). Adjusted HR was 1.43 (95%CI 1.33 to 1.55) for back pain in children from the most deprived socioeconomic groups compared with the least deprived socioeconomic groups.
conclusionsMaintaining a healthy weight from an early age may reduce the prevalence of back pain in both children and adults. Overweight female children from deprived socioeconomic groups are at greatest risk of back pain and represent a target population for intervention.
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