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Most studies have not shown a correlation between fat-free mass and LBP, while one study has demonstrated a negative association but only in women [ 34 ].
The android fat mass relative to gynoid fat has a greater correlation with LBP [ 22 ]. The results of this large cross-sectional study are inconsistent with those of previous studies. No significant associations were found between all measures of fat mass, fat-free mass, and LBP after adjusting for confounders.
To the best of our knowledge, only one study has shown similar results to those of previous studies. In that study, it was concluded that the correlation between obesity, fat mass, and LBP disappeared after adjusting for genetics and early environmental factors shared by twins [ 39 ].
Recent research has been focused on investigating various factors while adjusting the higher incidence of LBP in older adults and women, as previously revealed [ 40, 41 ]. A study reported that adverse risk factors of LBP included characteristics of the individual, such as older age [ 10 ].
On the contrary, another study has demonstrated that LBP was more common in women than in man, and declined with increasing age [ 17 ].
According to these studies, age does seem to have effect on LBP. Therefore, this study was adjusted by age as the confounding factor. Generally, acute back pain is defined as lasting less than 4 weeks, subacute back pain lasting for 4—12 weeks, and chronic back pain lasting for more than 12 weeks; the questionnaire that we used for this study includes only back pain lasting for more than 30 days.
Therefore, we were not able to include the data on acute and subacute back pain. Patients with chronic LBP were defined as individuals in this survey who had complained of LBP for more than 30 days during the past 3 months. This study has a few limitations.
The analyzed LBP was nonspecific not classified as disc herniation or spinal stenosis. Although disc herniation, spinal stenosis, and back muscle degenerative change are regarded as important factors to be considered in LBP in several studies [ 5, 7 ], our study does not present such data. Additionally, it was not possible to analyze the characteristics of back pain, such as whether or not it was accompanied by radiating pain.
This study is contrary to previous studies that concluded that there is a correlation between obesity and fat mass and LBP. This shows that statistical significance cannot be found when risk factors for LBP and age and sex that can become compounders are adjusted.
It is worth noting that the results of this study are contrary to those of previous studies, as the analysis was conducted on a large number of participants.
Additionally, the Institutional Review Board of Kangbuk Samsung Hospital waived the need for approval because our study involves the analysis of public-use datasets approval No.
KBSMC Jae-Geum Shim and Sung Hyun Lee conceived the study. Kyoung-Ho Ryu and Eun-Ah Cho did the data acquisition. Jin Hee Ahn and Jiyeon Park did interpretation of data.
Hyo-Won Lee and Suji Kang did the statistical analysis. So Young Han drafted the manuscript. Sung Hyun Lee supervised and contributed to finalizing the manuscript. Sign In or Create an Account. Search Dropdown Menu. header search search input Search input auto suggest. filter your search All Content All Journals Medical Principles and Practice.
Advanced Search. Skip Nav Destination Close navigation menu Article navigation. Volume 32, Issue Materials and Methods. Statement of Ethics. Conflict of Interest Statement. Funding Sources. Author Contributions. Data Availability Statement.
Article Navigation. Research Articles August 07 Association between Body Composition and Chronic Low Back Pain in Korean Adults Aged over 50 Years: The Korea National Health and Nutrition Examination Survey KNHANES — Subject Area: General Medicine. Jae-Geum Shim ; Jae-Geum Shim.
a Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
This Site. Google Scholar. Kyoung-Ho Ryu ; Kyoung-Ho Ryu. Eun-Ah Cho ; Eun-Ah Cho. Jin Hee Ahn ; Jin Hee Ahn. Jiyeon Park ; Jiyeon Park. Hyo-Won Lee ; Hyo-Won Lee.
Suji Kang ; Suji Kang. So Young Han ; So Young Han. b Department of Ophthalmology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea.
Med Princ Pract 32 : — Article history Received:. Cite Icon Cite. toolbar search Search Dropdown Menu. toolbar search search input Search input auto suggest. Journal Section:.
Highlights of the Study. View large Download slide. Table 1. Characteristics of participants according to LBP. p value. Age, years View Large.
Table 2. Association between LBP and BMI and body composition. Model 1. Model 2. Model 1 is adjusted by age and sex. The authors have no conflicts of interest to declare. There was no external funding in the preparation of this manuscript. Injury I, Prevalence C.
Over the past 20 years, research is showing that obesity is playing an ever-increasing role in diseases. Below are just a few diseases where obesity is proving to play a role. Excess body weight contributes in up to 20 percent of all cancer deaths, according to the American Cancer Society.
However, science and medicine need to know more about the causes of obesity and why weight loss is so difficult for most people. Overweight and obesity also raise the risk for breast cancer in post-menopausal women.
Scientists and clinicians worldwide continue to research the causes and controls for the many types of cancer. Given that obesity plays such a prominent role in cancer — even in largely preventable varieties like colon cancer — more investigation into the factors that link obesity with cancer holds the promise of further reducing cancer rates.
And its link to obesity is undeniable. The good news is diabetes is largely controllable if obesity can be controlled. However, the obesity epidemic increasingly drives the rates of type 2 diabetes, the most common form of the disease. About 26 million people it the U. have diabetes, up from about 17 million a decade ago.
As obesity rates increase in children, it puts them at greater risk of developing type 2 diabetes as adults. Obese children and adolescents are more likely to have pre-diabetes, a condition in which blood glucose levels put the person at high risk for developing diabetes.
Left uncontrolled, diabetes can lead to severe kidney damage and failure, limb amputations associated with poor circulation, and death.
Treating diabetes and all of its fallout effects puts a tremendous extra financial burden on employers, insurers, care providers and individuals.
Health Effects of Overweight and Obesity. Español Spanish Print. Minus Related Pages. Want to learn more? References 1 NHLBI. Top of Page.
Connect with Nutrition, Physical Activity, and Obesity. Last Reviewed: September 24, Source: Division of Nutrition, Physical Activity, and Obesity , National Center for Chronic Disease Prevention and Health Promotion. Facebook Twitter LinkedIn Syndicate. home Healthy Weight, Nutrition, and Physical Activity.
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