The relationship between muscle mass and low back pain: a cross-sectional study.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2025-06-09 DOI:10.1007/s00586-025-09026-1

Rudong Chen, Congwen Yang, Xiaofu Tang, Shijie Han, Mingjie Kuang, Xiaoming Li

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引用次数: 0

Abstract

Objective: To investigate the relationship between ASM/BMI (Appendicular Skeletal Muscle Mass/ body mass index) and low back pain.

Methods: Participants 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.

Result: A 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.

Conclusion: This 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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肌肉质量与腰痛之间的关系：一项横断面研究。

目的：探讨阑尾骨骼肌质量/体重指数（ASM/BMI）与腰痛的关系。方法：选取1999 ~ 2004年全国健康与营养调查（NHANES）的调查对象。采用多元logistic回归模型探讨ASM/BMI与腰痛的关系。结果：共纳入11738名受试者，疼痛组与非疼痛组在性别、种族、贫困收入比、受教育程度等方面存在显著差异。我们将ASM/BMI按四分位数分为Q1、Q2、Q3和Q4四组，结果显示，与Q1组相比，Q4组的参与者腰痛的风险显著降低（p = 0.003）；Q2、Q3和Q1之间腰痛风险无显著差异。亚组分析表明，ASM/BMI升高对降低腰痛风险的作用在女性和40-59岁人群中更为明显。结论：本研究表明ASM/BMI与腰痛呈负相关，且ASM/BMI与腰痛的负相关在女性和40-59岁人群中更为显著。这表明，将ASM/BMI评估纳入临床评估可以改善腰痛的风险分层，特别是在女性和中年人群（40-59岁）中。

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

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe