Association between back pain and physical fitness in adolescents

Lars Bo Andersen*, Niels Wedderkopp, Charlotte Leboeuf-Yde

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

STUDY DESIGN.: A cross-sectional study of 9413 adolescents. OBJECTIVES.: To study the associations between back pain, physical activity, and physical fitness. SUMMARY OF BACKGROUND DATA.: A high physical fitness level, and especially muscle endurance in the back muscles, is associated with lower risk of back pain, but little is known about other types of physical fitness and back pain in adolescents. METHODS.: A cross-sectional study of 3956 boys and 5457 girls 17 years of age. The associations between self-reported back pain and different types of physical fitness and self-reported physical activity were analyzed in high schoolchildren in Denmark. RESULTS.: Back pain was reported by 43% of the girls and 37% of the boys. Back pain was associated with low isometric muscle endurance in the back extensors, and the highest quartile had a lower risk of back pain (odds ratio = 0.71; 95% confidence interval, 0.62-0.82) within the last month. No associations were found to aerobic fitness, functional strength, flexibility, or physical activity level after adjustment for muscle endurance. More girls than boys experienced back pain, and it was more common in taller adolescents. CONCLUSION.: Children with high isometric muscle endurance were less likely to report back pain. No other measures of physical fitness or level of self-reported physical activity were linked to back pain reporting.

Original languageEnglish
JournalSpine
Volume31
Issue number15
Pages (from-to)1740-1744
ISSN0362-2436
DOIs
Publication statusPublished - 1. Jul 2006

Fingerprint

Exercise
Muscles
Low Back Pain
Cross-Sectional Studies
Back Muscles
Denmark
Odds Ratio
Confidence Intervals

Keywords

  • Adolescents
  • Back pain
  • Physical activity
  • Physical fitness

Cite this

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title = "Association between back pain and physical fitness in adolescents",
abstract = "STUDY DESIGN.: A cross-sectional study of 9413 adolescents. OBJECTIVES.: To study the associations between back pain, physical activity, and physical fitness. SUMMARY OF BACKGROUND DATA.: A high physical fitness level, and especially muscle endurance in the back muscles, is associated with lower risk of back pain, but little is known about other types of physical fitness and back pain in adolescents. METHODS.: A cross-sectional study of 3956 boys and 5457 girls 17 years of age. The associations between self-reported back pain and different types of physical fitness and self-reported physical activity were analyzed in high schoolchildren in Denmark. RESULTS.: Back pain was reported by 43{\%} of the girls and 37{\%} of the boys. Back pain was associated with low isometric muscle endurance in the back extensors, and the highest quartile had a lower risk of back pain (odds ratio = 0.71; 95{\%} confidence interval, 0.62-0.82) within the last month. No associations were found to aerobic fitness, functional strength, flexibility, or physical activity level after adjustment for muscle endurance. More girls than boys experienced back pain, and it was more common in taller adolescents. CONCLUSION.: Children with high isometric muscle endurance were less likely to report back pain. No other measures of physical fitness or level of self-reported physical activity were linked to back pain reporting.",
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Association between back pain and physical fitness in adolescents. / Bo Andersen, Lars; Wedderkopp, Niels; Leboeuf-Yde, Charlotte.

In: Spine, Vol. 31, No. 15, 01.07.2006, p. 1740-1744.

Research output: Contribution to journalJournal articleResearchpeer-review

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N2 - STUDY DESIGN.: A cross-sectional study of 9413 adolescents. OBJECTIVES.: To study the associations between back pain, physical activity, and physical fitness. SUMMARY OF BACKGROUND DATA.: A high physical fitness level, and especially muscle endurance in the back muscles, is associated with lower risk of back pain, but little is known about other types of physical fitness and back pain in adolescents. METHODS.: A cross-sectional study of 3956 boys and 5457 girls 17 years of age. The associations between self-reported back pain and different types of physical fitness and self-reported physical activity were analyzed in high schoolchildren in Denmark. RESULTS.: Back pain was reported by 43% of the girls and 37% of the boys. Back pain was associated with low isometric muscle endurance in the back extensors, and the highest quartile had a lower risk of back pain (odds ratio = 0.71; 95% confidence interval, 0.62-0.82) within the last month. No associations were found to aerobic fitness, functional strength, flexibility, or physical activity level after adjustment for muscle endurance. More girls than boys experienced back pain, and it was more common in taller adolescents. CONCLUSION.: Children with high isometric muscle endurance were less likely to report back pain. No other measures of physical fitness or level of self-reported physical activity were linked to back pain reporting.

AB - STUDY DESIGN.: A cross-sectional study of 9413 adolescents. OBJECTIVES.: To study the associations between back pain, physical activity, and physical fitness. SUMMARY OF BACKGROUND DATA.: A high physical fitness level, and especially muscle endurance in the back muscles, is associated with lower risk of back pain, but little is known about other types of physical fitness and back pain in adolescents. METHODS.: A cross-sectional study of 3956 boys and 5457 girls 17 years of age. The associations between self-reported back pain and different types of physical fitness and self-reported physical activity were analyzed in high schoolchildren in Denmark. RESULTS.: Back pain was reported by 43% of the girls and 37% of the boys. Back pain was associated with low isometric muscle endurance in the back extensors, and the highest quartile had a lower risk of back pain (odds ratio = 0.71; 95% confidence interval, 0.62-0.82) within the last month. No associations were found to aerobic fitness, functional strength, flexibility, or physical activity level after adjustment for muscle endurance. More girls than boys experienced back pain, and it was more common in taller adolescents. CONCLUSION.: Children with high isometric muscle endurance were less likely to report back pain. No other measures of physical fitness or level of self-reported physical activity were linked to back pain reporting.

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