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Association of overweight and elevation with chronic knee and low back pain: a cross-sectional study.

Hamano, Tsuyoshi; Kamada, Masamitsu; Kitayuguchi, Jun; Sundquist, Kristina LU ; Sundquist, Jan LU and Shiwaku, Kuninori (2014) In International Journal of Environmental Research and Public Health 11(4). p.4417-4426
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Environmental Research and Public Health
volume
11
issue
4
pages
4417 - 4426
publisher
Multidisciplinary Digital Publishing Institute (MDPI)
external identifiers
  • pmid:24758895
  • wos:000335762700048
  • scopus:84899134989
ISSN
1660-4601
DOI
10.3390/ijerph110404417
language
English
LU publication?
yes
id
5e52afa7-a735-45f8-865c-edb4f0ac2e40 (old id 4429566)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24758895?dopt=Abstract
date added to LUP
2014-05-03 23:08:53
date last changed
2017-01-01 03:43:55
@article{5e52afa7-a735-45f8-865c-edb4f0ac2e40,
  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.},
  author       = {Hamano, Tsuyoshi and Kamada, Masamitsu and Kitayuguchi, Jun and Sundquist, Kristina and Sundquist, Jan and Shiwaku, Kuninori},
  issn         = {1660-4601},
  language     = {eng},
  number       = {4},
  pages        = {4417--4426},
  publisher    = {Multidisciplinary Digital Publishing Institute (MDPI)},
  series       = {International Journal of Environmental Research and Public Health},
  title        = {Association of overweight and elevation with chronic knee and low back pain: a cross-sectional study.},
  url          = {http://dx.doi.org/10.3390/ijerph110404417},
  volume       = {11},
  year         = {2014},
}