ArticleSao Paulo medical journal = Revista paulista de medicina2025
Physical activity and factors associated with the costs of low back pain among adults after 18 months of follow-up: a cohort study.
Article in Sao Paulo medical journal = Revista paulista de medicina, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Biopsychosocial and Cultural Determinants of Functioning and Healthcare Outcomes in Chronic Non-Cancer Pain: An Integrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Analysis of the outcome and costs of lower back pain should not only rely on electronic data but also use real-world experiences.Sao Paulo medical journal = Revista paulista de medicina · 2026Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic low back pain (CLBP) is a substantial health problem that causes considerable economic losses. Several studies have demonstrated the protective effect of habitual physical activity; however, little data are available regarding its impact on the costs associated with CLBP.
objectivesThe primary aim of this study was to analyze the costs of CLBP in the Brazilian Health System and associated factors among adults. DESIGN AND
settingAn 18-month cohort study was conducted in two basic health units in Presidente Prudente (SP), Brazil.
methodsA total of 198 patients were interviewed and evaluated four times: at baseline, with retrospective data covering the previous 12 months, and at six, 12, and 18 months. The Nordic and Baecke questionnaires were used to classify CLBP, and the Baecke questionnaire was used for physical activity assessment. The costs were calculated by reviewing the demand for services from medical records. Body mass index (kg/m2) was determined using body mass and height values collected during the interviews. The questionnaire included confounding variables, such as sex, age, ethnicity, and socioeconomic status.
resultsA high prevalence of CLBP was observed, which was associated with female sex and younger age. CLBP resulted in high costs for medical consultations (without: US$ 34.25 ± 23.21; with: US$ 39.62 ± 27.25; P = 0.049), while cycling was negatively associated with costs (rho = -0.289; P = 0.049).
conclusionLower back pain was associated with higher costs of medical consultations, while cycling was associated with reduced costs.
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