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Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study

Received: 23 December 2014     Accepted: 11 January 2015     Published: 22 January 2015
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Abstract

Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p < 0.05). Logistic regression revealed BMI >25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.

Published in European Journal of Preventive Medicine (Volume 3, Issue 1)
DOI 10.11648/j.ejpm.20150301.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Chronic Low Back Pain (LBP), Low Physical Activity, Vitamin D, Risk Factors

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  • APA Style

    Ahmed M. S. Hegazy, Basem M. M. Salama, Ahmed M. M. Elgaml, Ahmed Ramzy Alzyat. (2015). Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. European Journal of Preventive Medicine, 3(1), 1-5. https://doi.org/10.11648/j.ejpm.20150301.11

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    ACS Style

    Ahmed M. S. Hegazy; Basem M. M. Salama; Ahmed M. M. Elgaml; Ahmed Ramzy Alzyat. Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. Eur. J. Prev. Med. 2015, 3(1), 1-5. doi: 10.11648/j.ejpm.20150301.11

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    AMA Style

    Ahmed M. S. Hegazy, Basem M. M. Salama, Ahmed M. M. Elgaml, Ahmed Ramzy Alzyat. Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study. Eur J Prev Med. 2015;3(1):1-5. doi: 10.11648/j.ejpm.20150301.11

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  • @article{10.11648/j.ejpm.20150301.11,
      author = {Ahmed M. S. Hegazy and Basem M. M. Salama and Ahmed M. M. Elgaml and Ahmed Ramzy Alzyat},
      title = {Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ejpm.20150301.11},
      url = {https://doi.org/10.11648/j.ejpm.20150301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150301.11},
      abstract = {Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p 25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Association of Low Back Pain with Vitamin D Deficiency and other Common Risk Factors: A Hospital Based Case-Control Study
    AU  - Ahmed M. S. Hegazy
    AU  - Basem M. M. Salama
    AU  - Ahmed M. M. Elgaml
    AU  - Ahmed Ramzy Alzyat
    Y1  - 2015/01/22
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150301.11
    DO  - 10.11648/j.ejpm.20150301.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150301.11
    AB  - Background: low back pain (LBP) is an extremely common health Problem in Asian communities. It is a major cause of activity limitation. Aim of this study was to identify the association of vitamin D and modifiable risk factors of low back pain among female patients in the childbearing period. Subject and methods: It was a hospital based case-control approach done at rheumatology and rehabilitation outpatient clinic of Arar hospital in Saudi Arabia during a period of 10 months from September 2010 to June 2011. The study population comprised Saudi female in the childbearing period (20-45years) (to exclude rickets in younger females and post menopausal osteoporosis in older ones). Cases were patients who had the complaints of chronic LBP (lasting more than three months) at the time of data collection. For each case, one control was selected from the same age group from patients with no LBP but attend the same units for other reasons. Data were collected with a semi-structured Check list and 174 participants were interviewed from which 87 had back pain (cases). Venous sampling 5 ml was done for both cases and control for serum calcium, phosphate, alkaline phosphatase, PTH and 25- hydroxy cholecalciferol (vitamin D3). Results: Univariate analysis showed that low back pain was significantly associated with age of the patients, low physical activity, body mass index (BMI) >25kg/m, prolonged sitting, history of back trauma (p 25kg/m and hypovitaminosis D as an independent risk factors for low back pain. Conclusion: Low back pain among Saudi female was associated with BMI, physical activity, sitting posture and hypovitaminosis D. All these risk factors could be regarded as the indicators of low back pain, and some relevant preventive measures should be taken to reduce low back pain risk.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Anatomy Department, Benha Faculty of Medicine, Benha University, Benha, Egypt

  • Community Medicine Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

  • Clinical Pathology Department, Cairo Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Rheumatology Department, Cairo Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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