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Characteristics Associated With People With Chronic Low Back Pain Meeting Physical Activity Guidelines and Recommendations for Sedentary Behavior: A Cross-Sectional Study
Institution:1. Department of Physical Therapy, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil;2. Department of Physical Therapy, University Center UNA, Contagem, Minas Gerais, Brazil;3. Department of Physical Therapy, Federal, University of Minas Gerais (UFMG), Belo Horizonte, Brazil;1. Research Department, National University of Health Sciences, Lombard, Illinois;2. Private Practice, Wheaton, Illinois;3. Private Practice, Charlottesville, Virginia;1. Health Services Research, Southern California University of Health Sciences, Whittier, California;2. Southern California University of Health Sciences, Whittier, California;3. RAND Corporation, Santa Monica, California;1. Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gimhae-si, Gyeongsangnam-do, Republic of Korea;2. Department of Rehabilitation and Science, The Graduate School, Inje University, Gimhae-si, Gyeongsangnam-do, Republic of Korea;1. School of Health Jean Piaget Algarve, Piaget Institute, Enxerim, Silves, 8300-025, Portugal;2. National School of Public Health, NOVA University of Lisbon, Lisbon, Portugal;3. Faculty of Human Kinetics, Technical University of Lisbon, Lisbon, Portugal
Abstract:ObjectiveThe purpose of this study was to identify factors associated with meeting physical activity guidelines and sedentary recommendations in people with chronic low back pain (LBP).MethodsThis was a cross-sectional study including 171 people with chronic LBP. Trained assessors collected information regarding demographic, anthropometric, and clinical data. Physical activity levels and sedentary time were objectively measured using a tri-axial accelerometer. Participants were classified as being physically active (ie, performing at least 150 minutes of moderate or 75 minutes of vigorous physical activity per week) and sedentary (ie, more than 8 hours of time spent in sedentary activities per day). Multivariable logistic regression analyses were used to determine the association of being physically active or sedentary with the range of demographic, anthropometric and clinical variables.ResultsOur results showed that although lower body mass index (odds ratio OR] = 0.91; 95% CI: 0.85-0.98) and higher self-reported levels of leisure time physical activity (OR = 3.46; 95% CI: 1.94-6.15) were associated with being physically active, lower self-reported levels of physical activity at work (OR = 0.56; 95% CI: 0.39-0.81) was associated with being sedentary.ConclusionOur findings showed that, in people with LBP, lower body mass index and higher levels of leisure time physical activity may be important factors for identifying those physically active. In contrast, lower levels of physical activity at work may be considered when identifying sedentary people with LBP. Future studies should consider these factors when designing interventions aiming to promote physical activity and decrease sedentary behavior in this population.
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