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Galley Proof 11/11/2016; 15:44 File: bmr1-bmr160523.tex; BOKCTP/wyn p.

Journal of Back and Musculoskeletal Rehabilitation -1 (2016) 12 1


DOI 10.3233/BMR-160523
IOS Press

Letter to the Editor

Obesity: An inevitable risk factor in


evaluation of Low Back Pain
Amin Zarghamia, and Pouya Nazarib
a
Department of Neurology, Ayatollah Rohani Hospital, Babol University of Medical Sciences, Babol, Iran
b
Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA

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Dear Sir,
er
mented the association between high body mass in-
1
fv 26

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
pr

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

cumference and hip circumference [5]. 35


ct

10 role of anthropometric status among their study popu-


Altogether, it is suggested that future investigations 36
11 lation (e.g. overweight and obesity) in their study de-
rre

particularly in population-based studies should not un- 37


12 sign and multivariate data analysis.
derestimate the role of body composition in their study 38
13 The role of obesity in the pathophysiology of low
design to assess risk factors of LBP. Although, it is 39
co

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
un

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

23 adulthood could increases the risk of radiating but not terests. 46

24 non-specific LBP [3]. On the other hand, in patients


25 with underlying rheumatologic disease it was docu- Authors contributions 47

AZ contributed to the conception of the study and 48


Corresponding
author: Amin Zarghami, Ganjafrouz Avenue, Ay- drafting of the manuscript. PN contributed to the vali- 49
atollah Rohani Hospital, Department of Neurology, Babol Univer-
sity of Medical Sciences, Babol, Mazandaran, Iran. Tel./Fax: +98
dating the presented documents, critical revision of the 50

1112190971; Mobile: +98 9112120205; E-mail: aminzarghami18@ manuscript for important intellectual content and ap- 51

yahoo.com. prove the final manuscript. 52

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

53 References [4] Tanaka S, Matsumoto S, Fujii K, Tamari K, Mitani S, Tsuba- 66


hara A. Factors related to low back pain in patients with hip os- 67

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

60 Pain: A Meta-Analysis. Am J Epidemiol. 2010; 171(2): 135


61 54.
62 [3] Frilander H, Solovieva S, Mutanen P, Pihlajamki H, Heli-
63 vaara M, Viikari-Juntura E. Role of overweight and obesity in
64 low back disorders among men: A longitudinal study with a life
65 course approach. BMJ Open. 2015; 5: e007805.

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