Evidence map›Paper›PMID 42146264›Full record

ArticleJOR spine2026

Lifetime Physical Loading and Magnetic Resonance-Derived Intervertebral Disc Health in Adults With Chronic Low Back Pain: A Cross-Sectional Study.

Claire L Samanna, Christopher Neason, Scott D Tagliaferri, Ulrike H Mitchell, Michelle Caldwell, Ali Imran, Hana Rae Nez, Daniel L Belavý, Clint T Miller, David Scott and 3 more

Abstract read
In one paragraph

Article in JOR spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Claire L SamannaEastern Health Clinical School Monash University Melbourne Victoria Australia.ORCID https://orcid.org/0000-0001-5035-7006
Christopher NeasonEastern Health Clinical School Monash University Melbourne Victoria Australia.ORCID https://orcid.org/0000-0002-7937-7737
Scott D TagliaferriOrygen Parkville Victoria Australia.ORCID https://orcid.org/0000-0003-3669-4131
Ulrike H MitchellDepartment of Exercise Sciences Brigham Young University Provo Utah USA.ORCID https://orcid.org/0000-0002-2298-8756
Michelle CaldwellInstitute of Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University Geelong Victoria Australia.
Ali ImranDeakin University, School of Medicine Geelong Victoria Australia.ORCID https://orcid.org/0009-0007-6267-4093
Hana Rae NezIntegrated Pain Specialists South Jordan Utah USA.
Daniel L BelavýDivision of Physiotherapy, Department of Applied Health Sciences Bochum University of Applied Sciences Bochum Germany.ORCID https://orcid.org/0000-0002-9307-832X
Clint T MillerInstitute of Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University Geelong Victoria Australia.ORCID https://orcid.org/0000-0001-7743-6986
David ScottInstitute of Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University Geelong Victoria Australia.ORCID https://orcid.org/0000-0001-5226-1972
Niamh L MundellInstitute of Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University Geelong Victoria Australia.ORCID https://orcid.org/0000-0001-5406-3216
Paul BuntineEastern Health Clinical School Monash University Melbourne Victoria Australia.ORCID https://orcid.org/0000-0003-4329-3117
Patrick J OwenEastern Health Clinical School Monash University Melbourne Victoria Australia.ORCID https://orcid.org/0000-0003-3924-9375

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The intervertebral disc (IVD) is a mechanosensitive structure influenced by physical loading (physical activity/sport/exercise); however, the optimal type and parameters of physical loading for IVD health remain unclear. The Bone Physical Activity Questionnaire is validated to predict bone mineral density from lifetime exposure to physical loading; therefore, we explored the association between lifetime physical loading and IVD health. Methods: This cross-sectional study recruited 40 individuals with chronic low back pain. Outcomes were magnetic resonance imaging-derived IVD measures reported as both averages and across individual spinal levels T11/T12-L5/S1, including T2 (ms, measure of hydration), height-to-vertebral-body ratio, nucleus-to-annulus signal intensity ratio, volume (cm Results: Lifetime bone-related physical loading was not associated with IVD health across average spine values, except nucleus-to-annulus signal intensity ratio, which was negatively associated ( Conclusions: Physical activity loading necessary for improved IVD health appears to differ from loading previously reported for optimal bone health. Specifically, lifetime activity levels considered beneficial for bone were associated with less favourable L5/S1 IVD characteristics, highlighting distinct loading requirements across these tissues. Future studies could develop a questionnaire that captures optimal physical loading for IVD health, such as moderate physical loading.

Indexed as

back painlifespan exerciselumbar imagingspinal discspinesports

Identifiers

PMID42146264
PMCPMC13179145

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Registered trials

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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.