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Prevalence and Predictors of Low Back Pain Among the Iranian Population: Results From the Persian Cohort Study Publisher



Ghafouri M1 ; Teymourzadeh A2 ; Nakhostinansari A1, 3 ; Sepanlou SG4 ; Dalvand S5, 6 ; Moradpour F7 ; Bavarsad AH8 ; Boogar SS9 ; Dehghan M10 ; Ostadrahimi A11 ; Aghazadehattari J12 ; Kahnooji M13 ; Hosseinipour A14 ; Gohari A15 Show All Authors
Authors
  1. Ghafouri M1
  2. Teymourzadeh A2
  3. Nakhostinansari A1, 3
  4. Sepanlou SG4
  5. Dalvand S5, 6
  6. Moradpour F7
  7. Bavarsad AH8
  8. Boogar SS9
  9. Dehghan M10
  10. Ostadrahimi A11
  11. Aghazadehattari J12
  12. Kahnooji M13
  13. Hosseinipour A14
  14. Gohari A15
  15. Hosseini SV16
  16. Mirzaei M17
  17. Khorram A18
  18. Shahmoradi M19
  19. Pourfarzi F20
  20. Moosazadeh M21
  21. Mansourghanaei F22
  22. Marioryad H23
  23. Najafi F24
  24. Genevay S25
  25. Moghadam N1
  26. Kordi R1
Show Affiliations
Authors Affiliations
  1. 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  8. 8. Department of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  9. 9. Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  10. 10. Department of Orthopedics, School of Medicine, And Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  11. 11. Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  12. 12. Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
  13. 13. Department of Internal Medicine, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
  14. 14. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
  15. 15. Department of Clinical Biochemistry and Nutrition, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
  16. 16. Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  17. 17. Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  18. 18. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  19. 19. Endocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  20. 20. Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  21. 21. Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
  22. 22. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  23. 23. Yasuj University of Medical Sciences, Yasuj, Iran
  24. 24. Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  25. 25. Division of Rheumatology, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland

Source: Annals of Medicine and Surgery Published:2022


Abstract

Background and objectives: Low back pain (LBP) is a common health condition in populations. Limited large-scale population-based studies evaluated the prevalence and predictors of LBP in developing countries. This study aimed to evaluate the prevalence and factors associated with LBP among the Iranian population. Methods: We used baseline information from the Prospective Epidemiological Research Studies in Iran (PERSIAN), including individuals from 16 provinces of Iran. LBP was defined as the history of back pain interfering with daily activities for more than one week during an individual's lifetime. Various factors hypothesized to affect LBP, such as age, sex, marital status, educational status, ethnicity, living area, employment status, history of smoking, body mass index (BMI), physical activity, sleep duration, wealth score, history of joint pain, and history of morning stiffness in the joints were evaluated. Results: In total, 163770 Iranians with a mean age of 49.37 (SD = 9.15) were included in this study, 44.8% of whom were male. The prevalence of LBP was 25.2% among participants. After adjusting for confounders, the female gender [OR:1.244(1.02–1.50)], middle and older ages [OR:1.23(1.10–1.33) and OR:1.13(1.07–1.42), respectively], being overweight or obese [OR:1.13(1.07–1.19) and OR:1.21(1.16–1.27), respectively], former and current smokers (OR:1.25(1.16–1.36) and OR:1.28(1.17–1.39), respectively], low physical activity [OR:1.07(1.01–1.14)], and short sleep duration [OR: 1.09(1.02–1.17)] were significantly associated with LBP. Conclusion: In this large-scale study, we found the lifetime prevalence of LBP to be lower among the Iranian population in comparison to the global prevalence of LBP; further studies are warranted to evaluate the causality of risk factors on LBP. © 2022 The Authors