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Dear Sir,
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mented the association between high body mass in-
1
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2 In a large cross-sectional study by Capkin and col- dex (BMI) and LBP [4]. Although, it seemed that the 27
leagues, they well investigated associated risk factors role different measures of body size (such as: height, 28
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3
4 of low back pain (LBP) in a population of Turkey and weight, waist and hip circumferences and fat mass and 29
5 revealed that smoking cigarettes, female gender, mar- etc.) on LBP has not firmly determined so far but in 30
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6 ital status, a low level of education and presence of the latest cohort study Heuch and colleagues compared 31
7 chronic disease were identified as independent risk fac- the relationships of several of body size measures with 32
ed
8 tors for LBP [1]. Their high quality study is being ap- LBP and represented the significant positive associa- 33
9 preciated but unfortunately, they underestimated the tions between LBP and body weight, BMI, waist cir- 34
14 back pain was the matter of various investigations. Re- costly to obtain such information in large populations 40
15 cent meta-analyses showed that over-weight and obe- but single body weight and height as suitable measure 41
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16 sity increase the risk of low back pain. Based on the of obesity can provide valuable information regarding 42
17 data from cross-sectional studies, obesity was associ- the association between obesity and LBP. 43
18 ated with increased prevalence of low back pain in
19 the past 1 year and chronic low back pain. Besides,
20 overweight and obesity have the strongest association Conflict of interest 44
21 with seeking care for low back pain and chronic low
22 back pain [2]. Also, being overweight or obese in early The authors declare that they have no competing in- 45
1112190971; Mobile: +98 9112120205; E-mail: aminzarghami18@ manuscript for important intellectual content and ap- 51
ISSN 1053-8127/16/$35.00
c 2016 IOS Press and the authors. All rights reserved
Galley Proof 11/11/2016; 15:44 File: bmr1-bmr160523.tex; BOKCTP/wyn p. 2
2 A. Zarghami and P. Nazari / Obesity: An inevitable risk factor in evaluation of Low Back Pain
54 [1] Capkin E, Karkucak M, H. Cakrbay, Topbas M, Karaca A, teoarthritis. J Back Musculoskelet Rehabil. 2015; 28(2): 409- 68
55 Kse MM, et al. The prevalence and risk factors of low back 14. 69
56 pain in the eastern Black Sea region of Turkey. J Back Muscu- [5] Heuch I, Heuch I, Hagen K, Zwart J-A. A Comparison of An- 70
57 loskelet Rehabil. 2015; 28(4): 7837. thropometric Measures for Assessing the Association between 71
58 [2] Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari- Body Size and Risk of Chronic Low Back Pain: The HUNT 72
59 Juntura E. The Association Between Obesity and Low Back Study. PLoS One. 2015; 10(10): e0141268. 73
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