| Peer-Reviewed

Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study

Received: 23 December 2014    Accepted: 11 January 2015    Published: 22 January 2015
Views:       Downloads:
Abstract

Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p < 0.05). Logistic regression revealed BMI >25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.

Published in European Journal of Preventive Medicine (Volume 3, Issue 1)
DOI 10.11648/j.ejpm.20150301.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Low Back Pain (LBP), Low Physical Activity, Vitamin D, Risk Factors

References
[1] Tomita S, Arphorn S, Muto T, Koetkhlai K, Naing SS, Chaikittiporn C. Prevalence and risk factors of low back pain among Thai and Myanmar migrant seafood processing factory workers in Samut Sakorn Province, Thailand. Ind Health. 2010; 48 (3):283-91.
[2] Manek JN, MacGregor AJ: Epidemiology of back disorders: Prevalence, risk factors and prognosis. Curr Opin Rheumatol.2005; 17: 134-140.
[3] Tavafian SS, Jamshidi A, Mohammad K, Montazeri A. Low back pain education and short term quality of life: a randomized trial. BMC Musculoskelet Dis. 2007; 8:21.
[4] Samad N, Abdullah H, Moin S, Tamrin S, Hashim Z. Prevalence of low back pain and its risk factors among school teachers. Am J Appl Sc. 2010; 7(5):634–639.
[5] Louw QA, Morris LD, Grimmer-Somers K. The Prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Dis. 2007; 8:105.
[6] Freburger JK1, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, Castel LD, Kalsbeek WD, Carey TS.The rising prevalence of chronic low back pain. Arch Intern Med. 2009; 169(3):251–258.
[7] Vindigni D, Walker BF, Jamison JR, Da Costa C, Parkinson L, Blunden S. Low back pain risk factors in a large rural Australian Aboriginal community. An opportunity for managing co-morbidities? Chirop & Osteopat. 2005; 13:21.
[8] De Torrenté de la Jara, G., Pécoud, A., & Favrat, B. Female asylum seekers with musculoskeletal pain: the importance of diagnosis and treatment of hypovitaminosis D. BMC am Pract.2006; 23(7), 4.
[9] Elmahgoub, S. S., Calders, P., Lambers, S., Stegen, S. M., Van Laethem, C., & Cambier, D. C. (2011). The effect of combined exercise training in adolescents who are overweight or obese with intellectual disability: The role of training frequency. Journal of Strength and Conditioning Research, 25(8), 1.
[10] Rosen, L.J., Zucker, D.M., Rosen, B.J., Connolly, G.N. Second-hand smoke levels in Israeli bars, pubs and cafes before and after implementation of smoke-free legislation. Eur. J. Public Health 2011, 21, 15–20.
[11] Bernard, J.C., Bard, R., Pujol, A., Combey, A., Boussard, D., Begue, C. & Salghetti, A.M. Muscle assessment in healthy teenagers, comparison with teenagers with Low back pain. Ann. Readapt. Med. Phy. 2008; 51: 263-283
[12] Poussa, M.S., Heliövaara, M.M., Seitsamo, J.T., Könönen, M.H., Hurmerinta, K.A. & Nissinen, M.J. Anthropometric measurements and growth as predictors of low back pain: A cohort study of children followed up from the age of 11 to 22 years. Eur. Spine. J. 2005; 14: 595-598.
[13] Chaiwanichsiri D, Jiamworakul A, Jitapunkul S. Lumbar disc degeneration in Thai elderly: a populationbased study. J Med Assoc Thai. 2007; 90, 2477–81.
[14] Omokhodion FO, Sanya AO. Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occup Med. 2003; 53(4):287–289.
[15] Yip YB, Ho SC, Chan SG. Tall stature, overweight and the prevalence of low back pain in Chinese middle-aged women. Int J Obes. 2001; 25(6):887–892.
[16] Heuch I, Heuch I, Hagen K, Zwart JA. Body mass index as a risk factor for developing chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. Spine (Phila Pa 1976). 2013; 38(2):133-9.
[17] Chung, Y.L., Kratter, R., Duvoisin, N., Taskin, N.D.A. & Schilling, J. Cross-sectional view of factors associated with back pain. Int. Arch. Occup. Environ. Health. 2005; 78: 319 -324
[18] Grimmer, K. & Williams, K. Gender-age environment associates of adolescent low back pain. Appl. Ergon. 2000; 31:343-360.
[19] Bjorck-van Dijken C, Fjellman-Wiklund A, Hildingsson C. Low back pain, lifestyle factors and physical activity: a population based-study. J Rehabil Med. 2008; 40, 864–9.
[20] Nagasu M, Sakai K, Ito A, Tomita S, Temmyo Y, Ueno M, Miyagi S. Prevalence and risk factors for low back pain among professional cooks working in school lunch services. BMC Public Health. 2007; 7, 171.
[21] Miranda H, Viikari-Juntura E, Punnett L, Riihimaki H. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand JWork Environ Health. 2008; 34, 411–9.
[22] Hincapie CA, Cassidy JD, Cote P (Is a history of work-related low back injury associated with prevalent low back pain and depression in the general population? BMC Musculoskelet Disord. 2008; 9, 22.
[23] O’Sullivan, P.B., Smith, A.J., Beales, D.J. & Straker, L.M. Association of biopsychosocial factors with degree of slump in sitting posture and self-report of back pain in adolescents: A cross-sectional study. Phys. Ther. 2011; 91(4): 470-483.
[24] Callaghan, J.P. & McGill, S.M. Low back joint loading and kinematics during standing and unsupported sitting. Ergon. 2001; 44: 280-294.
[25] Harrison, D.D., Harrison, S.O., Croft, A.C., Harrison, D.E. & Troyanovich, S.J. Sitting biomechanics part I: Review of the literature. J. Manip. Physiol. Ther. 1999; 22: 594-609.
[26] Solomonow, M., Bratta, R.V., Zhou, B.H., Burger, E., Zieske, A. & Gedalia, A. Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. J. Electromyogr. Kinesiol. 2003; 13: 381-396.
[27] Holick, M. F. Vitamin D deficiency: what a pain it is. Mayo Clin Proc, 2003; 78(12), 1457-9.
[28] Moussavi M, Heidarpur R, Aminorroaya A, Pournaghshband Z, Amini M. Prevalence of vitamin D deficiency in Isfahani high school students in 2004. Horm Res. 2005; 64:144–148.
[29] Meddeb N, Sahli H, Chahed M et al. Vitamin D deficiency in Tunisia. Osteoporos Int. 2005; 16:180–183.
[30] Heidari, B., Shirvani, J. S., Firouzjahi, A., Heidari, P., & Hajian-Tilaki, K. O. Association between nonspecific skeletal pain and vitamin D deficiency. Int J Rheum Dis. 2010; 13(4), 340-6.
[31] e Silva AV, Lacativa PG, Russo LA, de Gregório LH, Pinheiro RA, Marinheiro LP. Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass. BMC Musculoskelet Disord. 2013; 12;140-184.
[32] Block, S. R.Vitamin D deficiency is not associated with nonspecific musculoskeletal pain syndromes including fibromyalgia. Mayo Clin Proc. 2004; 79(12), 1585-6.
[33] Warner, A. E., & Arnspiger, S. A. Diffuse musculoskeletal pain is not associated with low vitamin D levels or improved by treatment with vitamin D. J Clin Rheumatol, 2008;14(1), 12-6.
[34] Holick MF, Garabedian M. Vitamin D: photobiology, metabolism, mechanism of action, and clinical applications. In: Favus MJ, ed. Primer on the metabolic bone diseases and disorders of mineral metabolism. 6th ed. Washington, DC: American Society for Bone and Mineral Research, 2006:129-
Cite This Article
  • APA Style

    Ahmed M. S. Hegazy, Basem M. M. Salama, Ahmed M. M. Elgaml, Ahmed Ramzy Alzyat. (2015). Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. European Journal of Preventive Medicine, 3(1), 1-5. https://doi.org/10.11648/j.ejpm.20150301.11

    Copy | Download

    ACS Style

    Ahmed M. S. Hegazy; Basem M. M. Salama; Ahmed M. M. Elgaml; Ahmed Ramzy Alzyat. Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. Eur. J. Prev. Med. 2015, 3(1), 1-5. doi: 10.11648/j.ejpm.20150301.11

    Copy | Download

    AMA Style

    Ahmed M. S. Hegazy, Basem M. M. Salama, Ahmed M. M. Elgaml, Ahmed Ramzy Alzyat. Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. Eur J Prev Med. 2015;3(1):1-5. doi: 10.11648/j.ejpm.20150301.11

    Copy | Download

  • @article{10.11648/j.ejpm.20150301.11,
      author = {Ahmed M. S. Hegazy and Basem M. M. Salama and Ahmed M. M. Elgaml and Ahmed Ramzy Alzyat},
      title = {Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ejpm.20150301.11},
      url = {https://doi.org/10.11648/j.ejpm.20150301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150301.11},
      abstract = {Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p 25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study
    AU  - Ahmed M. S. Hegazy
    AU  - Basem M. M. Salama
    AU  - Ahmed M. M. Elgaml
    AU  - Ahmed Ramzy Alzyat
    Y1  - 2015/01/22
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150301.11
    DO  - 10.11648/j.ejpm.20150301.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150301.11
    AB  - Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p 25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.
    VL  - 3
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Anatomy Department, Benha Faculty of Medicine, Benha University, Benha, Egypt

  • Community Medicine Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

  • Clinical Pathology Department, Cairo Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Rheumatology Department, Cairo Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Sections