Replacing sedentary time or light physical activity with moderate physical activity is associated with a lower prevalence of back pain: a cross-sectional study using isotemporal analysis

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy Pub Date : 2024-09-01 DOI:10.1016/j.bjpt.2024.101123

Crystian B.S. Oliveira , Tatiana M Damato , William R. Tebar , Guilherme H.D. Grande , Rubens V.C. Vidal , Gerson Ferrari , Bruna T.C. Saraiva , Diego G.D. Christofaro

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Abstract

Background

Evidence shows that lack of physical activity and sedentary time are associated with higher prevalence of low back pain (LBP).

Objective

To investigate the association between replacing sedentary time and light physical activity with a higher physical activity level with the prevalence of LBP.

Methods

Two hundred and sixty-six individuals from a city in southeastern Brazil were recruited to this cross-sectional study. Sedentary behavior and physical activity level were evaluated using an ActiGraph GT3X tri-axial accelerometer during 7 days. The prevalence of LBP was assessed using the Nordic questionnaire. Isotemporal substitution using logistic regression analyses were performed to investigate the association between replacing an activity with another in the prevalence of LBP.

Results

Replacing time spent in sedentary behavior with moderate physical activity slightly reduced the prevalence of LBP (odds ratio [OR]= 0.97; 95% CI: 0.95, 0.98). In addition, replacing time spent in light physical activity with moderate physical activity also slightly reduced the prevalence of LBP (OR= 0.97; 95% CI: 0.95, 0.98). There was no association for replacing sedentary time and light or moderate physical activity with vigorous physical activity on the prevalence of LBP.

Conclusions

The results suggest a small protective effect for LBP when replacing time in sedentary activities or light physical activity with moderate physical activity.

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用适度体力活动替代久坐或轻度体力活动与腰痛患病率降低有关：一项采用等时分析的横断面研究：等时替代与腰背痛发病率。

背景：有证据表明，缺乏体力活动和久坐不动与腰背痛（LBP）发病率较高有关：调查以较高的体力活动水平取代久坐时间和轻体力活动与腰背痛发病率之间的关系：这项横断面研究从巴西东南部的一个城市招募了 266 人。使用 ActiGraph GT3X 三轴加速度计对他们 7 天内的久坐行为和体力活动水平进行了评估。使用北欧调查问卷评估了枸杞多糖症的患病率。使用逻辑回归分析法进行了等时替代分析，以研究用一种活动替代另一种活动与枸杞痛患病率之间的关联：结果：以适度的体力活动取代久坐不动的时间，可略微降低枸杞痛的患病率（几率比 [OR]= 0.97; 95% CI: 0.95, 0.98）。此外，用中等强度的体力活动取代轻度体力活动也会略微降低枸杞痛的患病率（OR= 0.97；95% CI：0.95，0.98）。用剧烈运动替代久坐时间和轻度或中度体力活动与肺结核患病率没有关系：结论：研究结果表明，以中等强度的体力活动取代久坐不动或轻度体力活动对枸杞多糖症的发生率有轻微的保护作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brazilian Journal of Physical Therapy 医学-整形外科

CiteScore

6.10

自引率

8.80%

发文量

审稿时长

74 days

期刊介绍： The Brazilian Journal of Physical Therapy (BJPT) is the official publication of the Brazilian Society of Physical Therapy Research and Graduate Studies (ABRAPG-Ft). It publishes original research articles on topics related to the areas of physical therapy and rehabilitation sciences, including clinical, basic or applied studies on the assessment, prevention, and treatment of movement disorders.