ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
The relationship between muscle mass and low back pain: a cross-sectional study.
Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo investigate the relationship between ASM/BMI (Appendicular Skeletal Muscle Mass/ body mass index) and low back pain.
methodsParticipants from the National Health and Nutrition Examination Survey (NHANES 1999 ~ 2004) were included. Multiple logistic regression modeling was used to explore the relationship between ASM/BMI and low back pain.
resultA total of 11,738 participants were included in this study, and there were significant differences between the pain group and non-pain group in terms of sex, race, poverty-to-income ratio, and educational attainment. We analyzed ASM/BMI by quartiles into Q1, Q2, Q3, and Q4 into four groups, and the results showed that participants in Q4 had a significantly lower risk of low back pain compared to those in Q1 (p = 0.003); No significant difference in low back pain risk was observed between Q2, Q3, and Q1. Subgroup analyses suggest that the role of elevated ASM/BMI in reducing the risk of low back pain may be more pronounced in women and in individuals aged 40-59 years.
conclusionThis study demonstrated that there is a negative correlation between ASM/BMI and low back pain, and that the negative correlation between ASM/BMI and low back pain is more significant in women and in individuals aged 40-59 years. This suggests that incorporating ASM/BMI assessment into clinical evaluations could improve risk stratification for low back pain, particularly in women and middle-aged populations (40-59 years).
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