IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0121159.html
   My bibliography  Save this article

Is Objectively Measured Sitting Time Associated with Low Back Pain? A Cross-Sectional Investigation in the NOMAD study

Author

Listed:
  • Nidhi Gupta
  • Caroline Stordal Christiansen
  • David M Hallman
  • Mette Korshøj
  • Isabella Gomes Carneiro
  • Andreas Holtermann

Abstract

Background: Studies on the association between sitting time and low back pain (LBP) have found contrasting results. This may be due to the lack of objectively measured sitting time or because socioeconomic confounders were not considered in the analysis. Objectives: To investigate the association between objectively measured sitting time (daily total, and occupational and leisure-time periods) and LBP among blue-collar workers. Methods: Two-hundred-and-one blue-collar workers wore two accelerometers (GT3X+ Actigraph) for up to four consecutive working days to obtain objective measures of sitting time, estimated via Acti4 software. Workers reported their LBP intensity the past month on a scale from 0 (no pain) to 9 (worst imaginable pain) and were categorized into either low (≤5) or high (>5) LBP intensity groups. In the multivariate-adjusted binary logistic regression analysis, total sitting time, and occupational and leisure-time sitting were both modeled as continuous (hours/day) and categorical variables (i.e. low, moderate and high sitting time). Results: The multivariate logistic regression analysis showed a significant positive association between total sitting time (per hour) and high LBP intensity (odds ratio; OR=1.43, 95%CI=1.15-1.77, P=0.01). Similar results were obtained for leisure-time sitting (OR=1.45, 95%CI=1.10-1.91, P=0.01), and a similar but non-significant trend was obtained for occupational sitting time (OR=1.34, 95%CI 0.99-1.82, P=0.06). In the analysis on categorized sitting time, high sitting time was positively associated with high LBP for total (OR=3.31, 95%CI=1.18-9.28, P=0.03), leisure (OR=5.31, 95%CI=1.57-17.90, P=0.01), and occupational (OR=3.26, 95%CI=0.89-11.98, P=0.08) periods, referencing those with low sitting time. Conclusion: Sitting time is positively associated with LBP intensity among blue-collar workers. Future studies using a prospective design with objective measures of sitting time are recommended.

Suggested Citation

  • Nidhi Gupta & Caroline Stordal Christiansen & David M Hallman & Mette Korshøj & Isabella Gomes Carneiro & Andreas Holtermann, 2015. "Is Objectively Measured Sitting Time Associated with Low Back Pain? A Cross-Sectional Investigation in the NOMAD study," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-18, March.
    • Handle: RePEc:plo:pone00:0121159
    DOI: 10.1371/journal.pone.0121159
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0121159
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0121159&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0121159?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Pilar Sainz de Baranda & Antonio Cejudo & María Teresa Martínez-Romero & Alba Aparicio-Sarmiento & Olga Rodríguez-Ferrán & Mónica Collazo-Diéguez & José Hurtado-Avilés & Pilar Andújar & Fernando Santo, 2020. "Sitting Posture, Sagittal Spinal Curvatures and Back Pain in 8 to 12-Year-Old Children from the Region of Murcia (Spain): ISQUIOS Programme," IJERPH, MDPI, vol. 17(7), pages 1-18, April.
    2. David M Hallman & Tatiana Sato & Jesper Kristiansen & Nidhi Gupta & Jørgen Skotte & Andreas Holtermann, 2015. "Prolonged Sitting is Associated with Attenuated Heart Rate Variability during Sleep in Blue-Collar Workers," IJERPH, MDPI, vol. 12(11), pages 1-17, November.
    3. Maria Carolina Barreto Moreira Couto & Ila Rocha Falcão & Juliana dos Santos Müller & Ivone Batista Alves & Wendel da Silva Viana & Verônica Maria Cadena Lima & Paulo Gilvane Lopes Pena & Courtney Geo, 2019. "Prevalence and Work-Related Factors Associated with Lower Back Musculoskeletal Disorders in Female Shellfish Gatherers in Saubara, Bahia-Brazil," IJERPH, MDPI, vol. 16(5), pages 1-15, March.
    4. David M. Hallman & Niklas Krause & Magnus Thorsten Jensen & Nidhi Gupta & Marie Birk Jørgensen & Andreas Holtermann, 2019. "Objectively Measured Sitting and Standing in Workers: Cross-Sectional Relationship with Autonomic Cardiac Modulation," IJERPH, MDPI, vol. 16(4), pages 1-16, February.
    5. Katarzyna Kliniec & Mateusz Mendowski & Patrycja Zuziak & Mateusz Sobieski & Urszula Grata-Borkowska, 2023. "The Correlation of Frequency of Work-Related Disorders with Type of Work among Polish Employees," IJERPH, MDPI, vol. 20(2), pages 1-20, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0121159. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.