Evidence map›Paper›PMID 42343407›Full record

SynthesisChiropractic & manual therapies2026

The association between low back pain and sleep quality in adults 60 years and older: a systematic review.

Pegah Rahbar, Jessica J Wong, Astrid DeSouza, Efrosini Papaconstantinou, Dan Wang, Sheilah Hogg-Johnson, Pierre Côté

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Chiropractic & manual therapies, 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

7 authors.

Pegah RahbarDepartment of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, ON, Canada. prahbar@cmcc.ca.
Jessica J WongDepartment of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
Astrid DeSouzaInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada.
Efrosini PapaconstantinouInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada.
Dan WangInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada.
Sheilah Hogg-JohnsonInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada.
Pierre CôtéInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poor sleep quality is a health concern in older adults, with low back pain (LBP) as a hypothesized risk factor. We aimed to synthesize evidence on the association between LBP and sleep quality among adults ≥ 60 years. We conducted a systematic review, registered protocol (Open Science framework #u7bc4) and reported it according to PRISMA. We searched MEDLINE, Embase, CINAHL, and PsycINFO (inception to December 2025). We included cross-sectional, cohort, and case-control studies on LBP and sleep quality among adults ≥ 60 years. We utilized a combination of OpenAI's ChatGPT and fluent members in our team to translate non-English studies after which we screened and assess their quality. We synthesized evidence from low and moderate risk of bias studies. Our search retrieved 2394 articles. After removing duplicates, we screened 2237 citations for eligibility, with 191 studies eligible for full-text screening. 13 studies were relevant and appraised. Our synthesis includes five studies of moderate to low risk of bias (three cross-sectional and two cohort studies). Although measures of LBP and sleep quality varied across the included studies, all demonstrated an overall positive small association between the two constructs. Chronic LBP is positively associated with poor sleep quality in aging adults. Our study highlights methodological limitations in existing research and calls for more rigorous epidemiological studies.

Indexed as

Low Back PainSleep QualitySleep Wake DisordersAgedCross-Sectional StudiesHumansMiddle AgedLow back painOlder adultsSleep qualitySystematic review

Identifiers

PMID42343407
PMCPMC13488236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.