Evidence map›Paper›PMID 42174711›Full record

ArticleJournal of health, population, and nutrition2026

Interaction of Dietary Patterns and Physical Activity with Low Back Pain in Pre- to Post-Menopause: A Cross-Sectional Study.

Jing Zhao, Haiwen Lu, Sheng Wang, Rixin Niu, Xinyan Wang, Pengpu Wang, Hailin Li, Yanling Wang, Huiqiu Zheng, Yanling Li and 6 more

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Article in Journal of health, population, and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Jing Zhao *Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Haiwen Lu *Department of Medical Imaging, Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Medical University, Hohhot, 010050, China.
Sheng WangDepartment of Centers for Disease Control and Prevention in Ordos, Ordos, 017010, China.
Rixin NiuDepartment of Centers for Disease Control and Prevention in Ordos, Ordos, 017010, China.
Xinyan WangDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Pengpu WangDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Hailin LiDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Yanling WangDepartment of Child and Adolescent Health and Health Education, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Huiqiu ZhengDepartment of Child and Adolescent Health and Health Education, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Yanling LiDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Xin LiuDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Yingjie TianDepartment of Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan, 030607, China.
Qianqian DuDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Bowen ZhouDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Jingxia FanDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China.
Xuemei WangDepartment of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, 010110, China. wangxm_zsu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain (LBP) in perimenopause and postmenopausal women is an important public health concern because of its high prevalence and associated social and economic burden. Dietary patterns and physical activity have attracted increasing attention as modifiable determinants of LBP, but the impact of their interaction, particularly across menopausal stages, has not been well characterized.

methodsThis cross-sectional analysis included 1530 adult women from the Ordos Resident Health White Paper Program. Dietary patterns were derived using principal components analysis of food frequency questionnaire data. Physical activity was assessed using the International Physical Activity Questionnair. LBP was defined as self-reported pain, ache or discomfort in the lumbosacral region (Verbal Rating Scale score 1-3). Logistic regression models were used to examine associations between dietary patterns, physical activity and LBP. Interaction between dietary patterns and physical activity was assessed overall and stratified by menopausal status.

resultsThe prevalence of LBP was 12.6%. Three major dietary patterns were identified: a plant-based dietary pattern (PBDP), a northern pastoral dietary pattern (NPDP) and a northern traditional dietary pattern (NTDP). Only PBDP was significantly associated with LBP. Compared with women in the highest quartile of adherence to PBDP (Q4), those in the lowest quartile (Q1) had higher odds of LBP (adjusted OR = 2.879, 95% CI: 1.749-4.739). No significant association with LBP was observed for NPDP. In joint analyses, the highest odds of LBP were observed among women with higher-intensity physical activity and non-adherence to PBDP (Q1) (adjusted OR = 3.777, 95% CI: 1.991-7.166). In analyses stratified by menopausal status, the risk associated with higher-intensity physical activity and non-adherence to PBDP increased from perimenopausal to postmenopausal women, with adjusted ORs of 3.600 (95% CI: 1.029-12.592) and 5.752 (95% CI: 2.189-15.114), respectively.

conclusionsIn this population of midlife women, higher-intensity physical activity was associated with increased risk of LBP, and this risk rose from perimenopause to postmenopause. Adherence to PBDP attenuated the LBP risk associated with higher-intensity physical activity, with the beneficial effect becoming more pronounced after menopause. These findings suggest that menopause-specific combinations of dietary improvement and appropriate physical activity may help mitigate the burden of LBP in perimenopausal and postmenopausal women.

Indexed as

DietExerciseFeeding BehaviorLow Back PainPostmenopauseAdultCross-Sectional StudiesDiet, Plant-BasedFemaleHumansLogistic ModelsMiddle AgedPerimenopausePrevalenceRisk FactorsSurveys and QuestionnairesDietary patternInteractionLow back painPerimenopause and postmenopausal womenPhysical activityPlant-based diet

Identifiers

PMID42174711
PMCPMC13224425

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LicenceCC BY-NC-ND
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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.