Research article

Association of meeting 24-hour movement guidelines with low back pain among adults

  • Received: 27 July 2023 Revised: 13 October 2023 Accepted: 09 November 2023 Published: 24 November 2023
  • Background 

    According to recently published 24-hour movement guidelines, adults should spend: ≥150 minutes/week in moderate-to-vigorous physical activity (MVPA); <8 hours/day in sedentary behaviour (SB); and 7–9 hours/day sleeping.

    Objective 

    We explored the association between meeting these recommendations and low back pain (LBP)—the most common musculoskeletal disorder.

    Methods 

    We collected self-reported data from 2333 adults about: MVPA, SB and sleep duration; frequency and intensity of LBP; and sociodemographic and lifestyle characteristics.

    Results 

    Meeting a combination of SB and sleep recommendations was associated with lower odds of LBP in the past week and past month (adjusted odds ratio [OR]: 0.64 and 0.52, respectively; p < 0.05 for both). Among LBP sufferers, meeting any combination of recommendations that includes sleep was associated with lower odds of frequent (OR range: 0.49–0.61; p < 0.05 for all) and intense (OR range: 0.39–0.66; p < 0.05 for all) LBP in the past week, while meeting a combination of SB and sleep recommendations or all three recommendations was associated with lower odds of intense LBP in the past month and past year (OR range: 0.50–0.68; p < 0.05 for all). The likelihood of experiencing higher frequency and intensity of LBP decreased with the number of recommendations met (p for linear trend < 0.05).

    Conclusion 

    Meeting the SB and sleep recommendations in combination is associated with a lower likelihood of LBP, while adhering to the overall 24-hour movement guidelines or any combination of recommendations that includes sleep is associated with lower frequency and intensity of LBP among LBP sufferers.

    Citation: Kaja Kastelic, Nejc Šarabon, Michael D. Burnard, Dean Lipovac, Željko Pedišić. Association of meeting 24-hour movement guidelines with low back pain among adults[J]. AIMS Public Health, 2023, 10(4): 964-979. doi: 10.3934/publichealth.2023062

    Related Papers:

  • Background 

    According to recently published 24-hour movement guidelines, adults should spend: ≥150 minutes/week in moderate-to-vigorous physical activity (MVPA); <8 hours/day in sedentary behaviour (SB); and 7–9 hours/day sleeping.

    Objective 

    We explored the association between meeting these recommendations and low back pain (LBP)—the most common musculoskeletal disorder.

    Methods 

    We collected self-reported data from 2333 adults about: MVPA, SB and sleep duration; frequency and intensity of LBP; and sociodemographic and lifestyle characteristics.

    Results 

    Meeting a combination of SB and sleep recommendations was associated with lower odds of LBP in the past week and past month (adjusted odds ratio [OR]: 0.64 and 0.52, respectively; p < 0.05 for both). Among LBP sufferers, meeting any combination of recommendations that includes sleep was associated with lower odds of frequent (OR range: 0.49–0.61; p < 0.05 for all) and intense (OR range: 0.39–0.66; p < 0.05 for all) LBP in the past week, while meeting a combination of SB and sleep recommendations or all three recommendations was associated with lower odds of intense LBP in the past month and past year (OR range: 0.50–0.68; p < 0.05 for all). The likelihood of experiencing higher frequency and intensity of LBP decreased with the number of recommendations met (p for linear trend < 0.05).

    Conclusion 

    Meeting the SB and sleep recommendations in combination is associated with a lower likelihood of LBP, while adhering to the overall 24-hour movement guidelines or any combination of recommendations that includes sleep is associated with lower frequency and intensity of LBP among LBP sufferers.



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    Acknowledgments



    The authors gratefully acknowledge the European Commission for funding the InnoRenew CoE project (Grant Agreement #739574) under the Horizon2020 Widespread-Teaming program and the Republic of Slovenia (Investment funding of the Republic of Slovenia and the European Union of the European Regional Development Fund). The authors also acknowledge the Slovenian Research and Innovation Agency for funding the infrastructure group at the University of Primorska (research core funding No. IO–0035). This article is a part of the PhD project of the first author, KK, supervised by MDB (associate supervisor), NŠ (associate supervisor), and ŽP (principal supervisor).

    Conflict of Interest



    All authors declare no conflicts of interest in this paper.

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