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Sedentary lifestyle as a risk factor for low back pain: a systematic review

PainSci » bibliography » Chen et al 2009
Tags: etiology, back pain, biomechanics, sedentariness, posture, prevention, pro, pain problems, spine

Seven articles on PainSci cite Chen 2009: 1. The Trouble with Chairs2. Does Posture Matter?3. How to Treat Sciatic Nerve Pain4. The Complete Guide to Low Back Pain5. The Complete Guide to Neck Pain & Cricks6. Microbreaking7. 6 Main Causes of Morning Back Pain

PainSci notes on Chen 2009:

This systematic review of 15 studies, 8 classified as high quality, “confirms that sedentary lifestyle by itself is not associated with low back pain.” Only one of the high-quality studies reported a link.

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

OBJECTIVES: To review systematically studies examining the association between sedentary lifestyle and low back pain (LBP) using a comprehensive definition of sedentary behaviour including prolonged sitting both at work and during leisure time.

METHODS: Journal articles published between 1998 and 2006 were obtained by searching computerized bibliographical databases. Quality assessment of studies employing a cohort or case-control design was performed to assess the strength of the evidence.

RESULTS: Using pre-determined keywords, we identified 1,778 titles of which 1,391 were considered irrelevant. Then, 20 of the remaining 387 publications were scrutinized for full review after an examination of all the 387 abstracts. Finally, 15 studies (10 prospective cohorts and 5 case-controls) were included in the methodological quality assessment, of which 8 (6 cohorts and 2 case-controls; 53%) were classified as high-quality studies. One high-quality cohort study reported a positive association, between LBP and sitting at work only; all other studies reported no significant associations. Hence, there was limited evidence to demonstrate that sedentary behaviour is a risk factor for developing LBP.

CONCLUSIONS: The present review confirms that sedentary lifestyle by itself is not associated with LBP.

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