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Association of Overweight and Elevation with Chronic Knee and Low Back Pain: A Cross-Sectional Study

Author

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  • Tsuyoshi Hamano

    (Center for Community-based Health Research and Education (COHRE), Organization for the Promotion of Project Research, Shimane University, 223-8 Enya-cho, Izumo, Shimane 693-8501, Japan)

  • Masamitsu Kamada

    (Department of Health Promotion and Exercise, National Institute of Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8636, Japan
    Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, 900 Commonwealth Avenue East, Boston, MA 02215, USA
    Japan Society for the Promotion of Science, 5-3-1, Kojimachi, Chiyoda-ku, Tokyo 102-0083, Japan
    Physical Education and Medicine Research Center UNNAN, 1212-3 Mitoya, Mitoya, Unnan, Shimane 690-2404, Japan)

  • Jun Kitayuguchi

    (Physical Education and Medicine Research Center UNNAN, 1212-3 Mitoya, Mitoya, Unnan, Shimane 690-2404, Japan)

  • Kristina Sundquist

    (Center for Primary Health Care Research, Lund University, Clinical Research Centre (CRC), Floor 11, Building 28, Jan Waldenströms Gata 35, Skåne University Hospital, SE-205 02 Malmö, Sweden
    Stanford Prevention Research Center, Stanford University, Medical School Office Building (MSOB), 251 Campus Drive, MC 5411, Stanford, CA 94305, USA)

  • Jan Sundquist

    (Center for Primary Health Care Research, Lund University, Clinical Research Centre (CRC), Floor 11, Building 28, Jan Waldenströms Gata 35, Skåne University Hospital, SE-205 02 Malmö, Sweden
    Stanford Prevention Research Center, Stanford University, Medical School Office Building (MSOB), 251 Campus Drive, MC 5411, Stanford, CA 94305, USA)

  • Kuninori Shiwaku

    (Center for Community-based Health Research and Education (COHRE), Organization for the Promotion of Project Research, Shimane University, 223-8 Enya-cho, Izumo, Shimane 693-8501, Japan
    Department of Environmental and Preventive Medicine, Shimane University School of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, Japan)

Abstract

It is known that overweight is associated with chronic knee pain (CKP) and chronic low back pain (CLBP). Several risk factors for these conditions have been postulated, including age, sex, overweight, occupation, and socioeconomic factors. In addition, physical environment has been studied as a potential risk factor in recent years. However, the associations of overweight and physical environment with CKP and CLBP remains unclear. The aim of this study conducted in a rural mountainous region was to examine whether overweight individuals living at higher elevations have an increased probability of experiencing CKP and CLBP. In 2009, we conducted a mail survey with a random sample aged between 40 to 79 years. Questionnaires were sent to 6,000 individuals and a total of 4,559 individuals responded to this survey. After excluding the respondents with missing data, we conducted a logistic regression analysis of the data for 3,109 individuals. There was statistically significantly higher adjusted odds ratio (aOR) of CKP for those who were overweight living at low elevation (aOR = 1.90, 95% CI = 1.21–2.98), moderate elevation (aOR = 1.73, 95% CI = 1.05–2.87), and high elevation (aOR = 2.13, 95% CI = 1.31–3.46) than those who were not overweight living at low elevation. However, similar patterns were not observed for CLBP. Our results show that specific overweight–elevation associations were observed for CKP in a rural mountainous region.

Suggested Citation

  • Tsuyoshi Hamano & Masamitsu Kamada & Jun Kitayuguchi & Kristina Sundquist & Jan Sundquist & Kuninori Shiwaku, 2014. "Association of Overweight and Elevation with Chronic Knee and Low Back Pain: A Cross-Sectional Study," IJERPH, MDPI, vol. 11(4), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:4:p:4417-4426:d:35323
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    References listed on IDEAS

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    1. Ichida, Yukinobu & Kondo, Katsunori & Hirai, Hiroshi & Hanibuchi, Tomoya & Yoshikawa, Goshu & Murata, Chiyoe, 2009. "Social capital, income inequality and self-rated health in Chita peninsula, Japan: a multilevel analysis of older people in 25 communities," Social Science & Medicine, Elsevier, vol. 69(4), pages 489-499, August.
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    1. Tsuyoshi Hamano & Keiichi Onoda & Miwako Takeda & Kristina Sundquist & Shuhei Yamaguchi & Toru Nabika, 2015. "Geographic Elevation and Cognitive Function among Elderly Residents in Rural Mountainous Areas: Shimane CoHRE Study," IJERPH, MDPI, vol. 12(10), pages 1-7, October.
    2. Takafumi Abe & Kenta Okuyama & Tsuyoshi Hamano & Miwako Takeda & Masayuki Yamasaki & Minoru Isomura & Kunihiko Nakano & Kristina Sundquist & Toru Nabika, 2021. "Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(9), pages 1-11, April.
    3. Miwako Takeda & Tsuyoshi Hamano & Kunie Kohno & Shozo Yano & Kuninori Shiwaku & Toru Nabika, 2015. "Association Between Geographic Elevation, Bone Status, and Exercise Habits: The Shimane CoHRE Study," IJERPH, MDPI, vol. 12(7), pages 1-8, June.

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