Analysis of the association between low back and neck pain with cardiovascular risk factors according to different domains of physical activity: longitudinal study.
8 affiliations
- 1Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil.
- 2Departament of Education, Physical Education in the National Network (PROEF), Presidente Prudente, Brazil.
- 3School of Physical Education, Physical Therapy, and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
- 4Department of Physical Education, Federal University of Sergipe (UFS), São Cristóvão, Brazil.
- 5Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle Upon Tyne, UK.
- 6Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia, Chile.
- 7Escuela de Ciencias de la Actividad Física, el deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago, Chile.
- 8Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil. [email protected].
Abstract
Background
Physical activity (PA) is promoted for treating and preventing low back and neck pain and cardiovascular risk factors, but which specific levels and domains are associated with cardiovascular risks in these individuals remain unclear. The aim of this study is to evaluate the association between individuals with persistent low back pain and neck pain (pain in baseline and follow-up) and cardiovascular risk factors, considering different domains and levels of PA.Methods
This prospective cohort study with a 2-year follow-up analyzed the association between different levels and domains of PA and cardiovascular risk factors in 331 adults followed longitudinally with persistent low back and/or neck pain. Data were collected through in-person interviews covering age, sex, socioeconomic status, PA, low back and neck pain, and self-reported cardiovascular risk factors. PA was assessed using a validated questionnaire and participants were categorized as persistently active, persistently inactive, or inactive at one time point (baseline or follow-up) across different PA domains. Binary logistic regression was used for analysis, with all models adjusted for age, sex, and socioeconomic status.Results
In the sport PA domain, individuals inactive at one time point with neck pain showed an association with hypertension (OR = 2.96 [95%CI = 1.13; 7.78] p = 0.027), while an association between low back pain and high cholesterol was observed among persistently inactive individuals (OR = 3.70 [95%CI = 1.27; 10.75] p = 0.016). In the leisure-time PA and locomotion domain, persistently active individuals with neck pain showed an association with diabetes (OR = 8.46 [95%CI = 1.26; 56.73] p = 0.028), whereas individuals with low back pain who were persistently inactive were associated with high triglycerides (OR = 4.22 [95%CI = 1.21; 14.70] p = 0.028) and high LDL cholesterol (OR = 4.96 [95%CI = 1.82; 13.53] p = 0.001). In the occupational PA domain, individuals inactive at one time point with low back pain showed an association with high LDL cholesterol (OR = 3.09 [95%CI = 1.06; 8.98] p = 0.040).Conclusion
Persistent physical inactivity was more frequently associated with unfavorable cardiovascular risk factors among adults with low back pain, whereas associations among individuals with neck pain varied according to PA domain and level.
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BibTeX
@article{mottaoishi2026analysis,
title = {{Analysis of the association between low back and neck pain with cardiovascular risk factors according to different domains of physical activity: longitudinal study.}},
author = {Anna Amélia P Motta-Oishi and William R Tebar and Claudiele C M Silva and Rafael Z Pinto and Italo R Lemes and Danilo R P Silva and Gabriel G Cucato and Eduardo R de Victo and Gerson Ferrari and Diego G D Christofaro},
journal = {BMC public health},
year = {2026},
month = jul,
doi = {10.1186/s12889-026-28755-6},
url = {https://europepmc.org/article/MED/42902193},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Analysis of the association between low back and neck pain with cardiovascular risk factors according to different domains of physical activity: longitudinal study.
AU - Anna Amélia P Motta-Oishi
AU - William R Tebar
AU - Claudiele C M Silva
AU - Rafael Z Pinto
AU - Italo R Lemes
AU - Danilo R P Silva
AU - Gabriel G Cucato
AU - Eduardo R de Victo
AU - Gerson Ferrari
AU - Diego G D Christofaro
PY - 2026
DA - 2026/07/01
JO - BMC public health
DO - 10.1186/s12889-026-28755-6
UR - https://europepmc.org/article/MED/42902193
AB - Background Physical activity (PA) is promoted for treating and preventing low back and neck pain and cardiovascular risk factors, but which specific levels and domains are associated with cardiovascular risks in these individuals remain unclear. The aim of this study is to evaluate the association between individuals with persistent low back pain and neck pain (pain in baseline and follow-up) and cardiovascular risk factors, considering different domains and levels of PA.Methods This prospective cohort study with a 2-year follow-up analyzed the association between different levels and domains of PA and cardiovascular risk factors in 331 adults followed longitudinally with persistent low back and/or neck pain. Data were collected through in-person interviews covering age, sex, socioeconomic status, PA, low back and neck pain, and self-reported cardiovascular risk factors. PA was assessed using a validated questionnaire and participants were categorized as persistently active, persistently inactive, or inactive at one time point (baseline or follow-up) across different PA domains. Binary logistic regression was used for analysis, with all models adjusted for age, sex, and socioeconomic status.Results In the sport PA domain, individuals inactive at one time point with neck pain showed an association with hypertension (OR = 2.96 [95%CI = 1.13; 7.78] p = 0.027), while an association between low back pain and high cholesterol was observed among persistently inactive individuals (OR = 3.70 [95%CI = 1.27; 10.75] p = 0.016). In the leisure-time PA and locomotion domain, persistently active individuals with neck pain showed an association with diabetes (OR = 8.46 [95%CI = 1.26; 56.73] p = 0.028), whereas individuals with low back pain who were persistently inactive were associated with high triglycerides (OR = 4.22 [95%CI = 1.21; 14.70] p = 0.028) and high LDL cholesterol (OR = 4.96 [95%CI = 1.82; 13.53] p = 0.001). In the occupational PA domain, individuals inactive at one time point with low back pain showed an association with high LDL cholesterol (OR = 3.09 [95%CI = 1.06; 8.98] p = 0.040).Conclusion Persistent physical inactivity was more frequently associated with unfavorable cardiovascular risk factors among adults with low back pain, whereas associations among individuals with neck pain varied according to PA domain and level.
SN - 1471-2458
ER -