Association of meeting 24-hour movement guidelines with low back pain among adults

Abstract

<abstract><sec> <title>Background</title> <p>According to recently published 24-hour movement guidelines, adults should spend: ≥150 minutes/week in moderate-to-vigorous physical activity (MVPA); &lt;8 hours/day in sedentary behaviour (SB); and 7–9 hours/day sleeping.</p> </sec><sec> <title>Objective</title> <p>We explored the association between meeting these recommendations and low back pain (LBP)—the most common musculoskeletal disorder.</p> </sec><sec> <title>Methods</title> <p>We collected self-reported data from 2333 adults about: MVPA, SB and sleep duration; frequency and intensity of LBP; and sociodemographic and lifestyle characteristics.</p> </sec><sec> <title>Results</title> <p>Meeting a combination of SB and sleep recommendations was associated with lower odds of LBP in the past week and past month (adjusted odds ratio [<italic>OR</italic>]: 0.64 and 0.52, respectively; <italic>p</italic> &lt; 0.05 for both). Among LBP sufferers, meeting any combination of recommendations that includes sleep was associated with lower odds of frequent (<italic>OR</italic> range: 0.49–0.61; <italic>p</italic> &lt; 0.05 for all) and intense (<italic>OR</italic> range: 0.39–0.66; <italic>p</italic> &lt; 0.05 for all) LBP in the past week, while meeting a combination of SB and sleep recommendations or all three recommendations was associated with lower odds of intense LBP in the past month and past year (<italic>OR</italic> range: 0.50–0.68; <italic>p</italic> &lt; 0.05 for all). The likelihood of experiencing higher frequency and intensity of LBP decreased with the number of recommendations met (<italic>p</italic> for linear trend &lt; 0.05).</p> </sec><sec> <title>Conclusion</title> <p>Meeting the SB and sleep recommendations in combination is associated with a lower likelihood of LBP, while adhering to the overall 24-hour movement guidelines or any combination of recommendations that includes sleep is associated with lower frequency and intensity of LBP among LBP sufferers.</p> </sec></abstract>