Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
European Spine Journal
Published in: European Spine Journal 3/2014

01-03-2014 | Original Article

Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

Authors: Sanna Kääriä, Juhani Kirjonen, Risto Telama, Leena Kaila-Kangas, Päivi Leino-Arjas

Published in: European Spine Journal | Issue 3/2014

Login to get access

Abstract

Study design

Prospective cohort study.

Objective

To study the associations between strenuous leisure time physical activity (LTPA) and subsequent hospitalization due to back disorders.

Summary of background data

Socioeconomic and lifestyle factors are associated with back-related hospitalization, but the significance of strenuous LTPA in the working population is unclear.

Methods

The cohort (n = 902) was drawn from among employees in the metal industry (n = 2,653). Data were collected by a questionnaire and a structured interview on LTPA. Activity regarding strenuous (>500 kcal/h) LTPA was categorized as none, some, and high. Information from national registers on hospitalizations and deaths during 28 years of follow-up was linked to the data. Cox proportional hazards regression was used.

Results

Subjects with a high level of strenuous LTPA had a decreased risk of hospitalization due to back disorders (hazard ratio 0.40; 95 % CI 0.21–0.79) compared with persons with no strenuous activity, after adjustment for age and gender. The association persisted (0.48; 0.24–0.96) when further adjusted for occupational class, self-reported back diseases, smoking, and body mass index at baseline.

Conclusion

Strenuous LTPA decreased the risk of inpatient hospital care for back disorders among industrial employees.
Literature
1.
Hayden JA, van Tulder MW, Malmivaara AV, Koes BW (2005) Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med 1429:765–775CrossRef
2.
Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM (1999) Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health 25:387–403PubMedCrossRef
3.
Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L (2011) Physical activity and low back pain: a systematic review of recent literature. Eur Spine J 20:826–845PubMedCentralPubMedCrossRef
4.
Henchoz Y, Kai-Lik So A (2008) Exercise and nonspecific low back pain: a literature review. Jt Bone Spine 75:533–539CrossRef
5.
Heliövaara M, Knekt P, Aromaa A (1987) Incidence and risk factors of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis 40:251–258PubMedCrossRef
6.
Kaila-Kangas L, Leino-Arjas P, Riihimäki H, Luukkonen R, Kirjonen J (2003) Smoking and overweight as predictors of hospitalization for back disorders. Spine (Phila Pa 1976) 28:1860–1868CrossRef
7.
Sorensen IG, Jacobsen P, Gyntelberg F, Suadicani P (2011) Occupational and other predictors of herniated lumbar disc disease-a 33-year follow-up in the copenhagen male study. Spine (Phila Pa 1976) 36:1541–1546CrossRef
8.
Kirjonen J, Telama R, Luukkonen R, Kääriä S, Kaila-Kangas L, Leino-Arjas P (2006) Stability and prediction of physical activity in 5-, 10-, and 28-year follow-up studies among industrial employees. Scand J Med Sci Sports 16:201–208PubMedCrossRef
9.
Heneweer H, Picavet HS, Staes F, Kiers H, Vanhees L (2012) Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population. Eur Spine J 21:1265–1272PubMedCentralPubMedCrossRef
10.
Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW et al (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380:258–271PubMedCrossRef
Metadata
Title
Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?
Authors
Sanna Kääriä
Juhani Kirjonen
Risto Telama
Leena Kaila-Kangas
Päivi Leino-Arjas
Publication date
01-03-2014
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 3/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-013-3083-z

Other articles of this Issue 3/2014

European Spine Journal 3/2014 Go to the issue

Original Article

Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?

Original Article

Biological performance of a polycaprolactone-based scaffold plus recombinant human morphogenetic protein-2 (rhBMP-2) in an ovine thoracic interbody fusion model

Original Article

Long-term result of vocal cord paralysis after anterior cervical disectomy

Original Article

Biomechanical effects of cervical arthroplasty with U-shaped disc implant on segmental range of motion and loading of surrounding soft tissue

Original Article

Multiaxial high-modularity spinopelvis (HMSP) fixation device in neuromuscular scoliosis: a comparative study

Open Operating Theatre (OOT)

Revision surgery for implant failure after PSO