Skip to main content
Erschienen in: International Archives of Occupational and Environmental Health 7/2009

01.07.2009 | Review

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

verfasst von: Shu-Mei Chen, Mei-Fang Liu, Jill Cook, Shona Bass, Sing Kai Lo

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 7/2009

Einloggen, um Zugang zu erhalten

Abstract

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.
Literatur
Zurück zum Zitat Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S504. doi:10.1097/00005768-200009001-00009 PubMedCrossRef Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S504. doi:10.​1097/​00005768-200009001-00009 PubMedCrossRef
Zurück zum Zitat Bernard BP (ed) (1997) Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Department of Health and Human Services, National Institute of Occupational Safety and Health, USA, No. 97–141, Cincinnati, Ohio Bernard BP (ed) (1997) Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Department of Health and Human Services, National Institute of Occupational Safety and Health, USA, No. 97–141, Cincinnati, Ohio
Zurück zum Zitat Bovenzi M, Hulshof CT (1999) An updated review of epidemiologic studies on the relationship between exposure to whole-body vibration and low back pain (1986–1997). Int Arch Occup Environ Health 72:351–365. doi:10.1007/s004200050387 PubMedCrossRef Bovenzi M, Hulshof CT (1999) An updated review of epidemiologic studies on the relationship between exposure to whole-body vibration and low back pain (1986–1997). Int Arch Occup Environ Health 72:351–365. doi:10.​1007/​s004200050387 PubMedCrossRef
Zurück zum Zitat Egger GJ, Vogels N, Westerterp KR (2001) Estimating historical changes in physical activity levels. Med J Aust 175:635–636PubMed Egger GJ, Vogels N, Westerterp KR (2001) Estimating historical changes in physical activity levels. Med J Aust 175:635–636PubMed
Zurück zum Zitat Guyatt GH, Sackett DL, Sinclair JC, Hayward R, Cook DJ, Cook RJ (1995) Users’ guides to the medical literature. IX. A method for grading health care recommendations. Evidence-Based Medicine Working Group. JAMA 274:1800–1804. doi:10.1001/jama.274.22.1800 PubMedCrossRef Guyatt GH, Sackett DL, Sinclair JC, Hayward R, Cook DJ, Cook RJ (1995) Users’ guides to the medical literature. IX. A method for grading health care recommendations. Evidence-Based Medicine Working Group. JAMA 274:1800–1804. doi:10.​1001/​jama.​274.​22.​1800 PubMedCrossRef
Zurück zum Zitat Hartvigsen J, Leboeuf-Yde C, Lings S, Corder EH (2000) Is sitting-while-at-work associated with low back pain? A systematic, critical literature review. Scand J Public Health 28:230–239PubMed Hartvigsen J, Leboeuf-Yde C, Lings S, Corder EH (2000) Is sitting-while-at-work associated with low back pain? A systematic, critical literature review. Scand J Public Health 28:230–239PubMed
Zurück zum Zitat Hartvigsen J, Bakketeig LS, Leboeuf-Yde C, Engberg M, Lauritzen T (2001) The association between physical workload and low back pain clouded by the “healthy worker” effect: population-based cross-sectional and 5-year prospective questionnaire study. Spine 26:1788–1792. doi:10.1097/00007632-200108150-00011 (discussion 1792–1783)PubMedCrossRef Hartvigsen J, Bakketeig LS, Leboeuf-Yde C, Engberg M, Lauritzen T (2001) The association between physical workload and low back pain clouded by the “healthy worker” effect: population-based cross-sectional and 5-year prospective questionnaire study. Spine 26:1788–1792. doi:10.​1097/​00007632-200108150-00011 (discussion 1792–1783)PubMedCrossRef
Zurück zum Zitat Hestbaek L, Larsen K, Weidick F, Leboeuf-Yde C (2005) Low back pain in military recruits in relation to social background and previous low back pain. A cross-sectional and prospective observational survey. BMC Musculoskelet Disord 6:25. doi:10.1186/1471-2474-6-25 PubMedCrossRef Hestbaek L, Larsen K, Weidick F, Leboeuf-Yde C (2005) Low back pain in military recruits in relation to social background and previous low back pain. A cross-sectional and prospective observational survey. BMC Musculoskelet Disord 6:25. doi:10.​1186/​1471-2474-6-25 PubMedCrossRef
Zurück zum Zitat Hildebrandt VH, Bongers PM, Dul J, van Dijk FJ, Kemper HC (2000) The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health 73:507–518. doi:10.1007/s004200000167 PubMedCrossRef Hildebrandt VH, Bongers PM, Dul J, van Dijk FJ, Kemper HC (2000) The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health 73:507–518. doi:10.​1007/​s004200000167 PubMedCrossRef
Zurück zum Zitat Juul-Kristensen B, Sogaard K, Stroyer J, Jensen C (2004) Computer users’ risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health 30:390–398PubMed Juul-Kristensen B, Sogaard K, Stroyer J, Jensen C (2004) Computer users’ risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health 30:390–398PubMed
Zurück zum Zitat Katzmarzyk PT, Gledhill N, Shephard RJ (2000) The economic burden of physical inactivity in Canada. CMAJ 163:1435–1440PubMed Katzmarzyk PT, Gledhill N, Shephard RJ (2000) The economic burden of physical inactivity in Canada. CMAJ 163:1435–1440PubMed
Zurück zum Zitat Levangie PK (1999b) Association of low back pain with self-reported risk factors among patients seeking physical therapy services. Phys Ther 79:757–766PubMed Levangie PK (1999b) Association of low back pain with self-reported risk factors among patients seeking physical therapy services. Phys Ther 79:757–766PubMed
Zurück zum Zitat Lievense A, Bierma-Zeinstra S, Verhagen A, Verhaar J, Koes B (2001) Influence of work on the development of osteoarthritis of the hip: a systematic review. J Rheumatol 28:2520–2528PubMed Lievense A, Bierma-Zeinstra S, Verhagen A, Verhaar J, Koes B (2001) Influence of work on the development of osteoarthritis of the hip: a systematic review. J Rheumatol 28:2520–2528PubMed
Zurück zum Zitat Smedley J, Inskip H, Buckle P, Cooper C, Coggon D (2005) Epidemiological differences between back pain of sudden and gradual onset. J Rheumatol 32:528–532PubMed Smedley J, Inskip H, Buckle P, Cooper C, Coggon D (2005) Epidemiological differences between back pain of sudden and gradual onset. J Rheumatol 32:528–532PubMed
Zurück zum Zitat Thorbjornsson CO, Alfredsson L, Fredriksson K, Koster M, Michelsen H, Vingard E, Torgen M, Kilbom A (1998) Psychosocial and physical risk factors associated with low back pain: a 24 year follow up among women and men in a broad range of occupations. Occup Environ Med 55:84–90. doi:10.1136/oem.55.2.84 PubMedCrossRef Thorbjornsson CO, Alfredsson L, Fredriksson K, Koster M, Michelsen H, Vingard E, Torgen M, Kilbom A (1998) Psychosocial and physical risk factors associated with low back pain: a 24 year follow up among women and men in a broad range of occupations. Occup Environ Med 55:84–90. doi:10.​1136/​oem.​55.​2.​84 PubMedCrossRef
Zurück zum Zitat Thorbjornsson CB, Alfredsson L, Fredriksson K, Michelsen H, Punnett L, Vingard E, Torgen M, Kilbom A (2000) Physical and psychosocial factors related to low back pain during a 24-year period. A nested case–control analysis. Spine 25:369–374. doi:10.1097/00007632-200002010-00019 (discussion 375)PubMedCrossRef Thorbjornsson CB, Alfredsson L, Fredriksson K, Michelsen H, Punnett L, Vingard E, Torgen M, Kilbom A (2000) Physical and psychosocial factors related to low back pain during a 24-year period. A nested case–control analysis. Spine 25:369–374. doi:10.​1097/​00007632-200002010-00019 (discussion 375)PubMedCrossRef
Zurück zum Zitat Vingard E, Alfredsson L, Hagberg M, Kilbom A, Theorell T, Waldenstrom M, Hjelm EW, Wiktorin C, Hogstedt C (2000) To what extent do current and past physical and psychosocial occupational factors explain care-seeking for low back pain in a working population? Results from the Musculoskeletal Intervention Center-Norrtalje Study. Spine 25:493–500. doi:10.1097/00007632-200002150-00017 PubMedCrossRef Vingard E, Alfredsson L, Hagberg M, Kilbom A, Theorell T, Waldenstrom M, Hjelm EW, Wiktorin C, Hogstedt C (2000) To what extent do current and past physical and psychosocial occupational factors explain care-seeking for low back pain in a working population? Results from the Musculoskeletal Intervention Center-Norrtalje Study. Spine 25:493–500. doi:10.​1097/​00007632-200002150-00017 PubMedCrossRef
Zurück zum Zitat WHO (2001) International classification of functioning, disability, and health (ICF). WHO, Geneva WHO (2001) International classification of functioning, disability, and health (ICF). WHO, Geneva
Zurück zum Zitat Zacharkow D (1988) Posture: sitting, standing, chair design and exercise. Charles C Thomas, Springfield, Illinois Zacharkow D (1988) Posture: sitting, standing, chair design and exercise. Charles C Thomas, Springfield, Illinois
Metadaten
Titel
Sedentary lifestyle as a risk factor for low back pain: a systematic review
verfasst von
Shu-Mei Chen
Mei-Fang Liu
Jill Cook
Shona Bass
Sing Kai Lo
Publikationsdatum
01.07.2009
Verlag
Springer-Verlag
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 7/2009
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-009-0410-0

Weitere Artikel der Ausgabe 7/2009

International Archives of Occupational and Environmental Health 7/2009 Zur Ausgabe