Association between device-measured physical activity and lumbar Modic changes
Abstract Background Modic changes (MC) in the lumbar spine are considered one potential etiological factor behind low back pain (LBP). Multiple risk factors for MC have been suggested, including male gender, smoking and factors affecting hyperloading and mechanical stress such as high body mass inde...
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crspringernat:10.1186/s12891-020-03638-y 2023-05-15T17:42:48+02:00 Association between device-measured physical activity and lumbar Modic changes Modarress Julin, Marella Saukkonen, Jesperi Oura, Petteri Niemelä, Maisa Junno, Juho-Antti Määttä, Juhani Niinimäki, Jaakko Jämsä, Timo Korpelainen, Raija Karppinen, Jaro 2020 http://dx.doi.org/10.1186/s12891-020-03638-y https://link.springer.com/content/pdf/10.1186/s12891-020-03638-y.pdf https://link.springer.com/article/10.1186/s12891-020-03638-y/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 CC-BY BMC Musculoskeletal Disorders volume 21, issue 1 ISSN 1471-2474 Orthopedics and Sports Medicine Rheumatology journal-article 2020 crspringernat https://doi.org/10.1186/s12891-020-03638-y 2022-01-04T16:36:15Z Abstract Background Modic changes (MC) in the lumbar spine are considered one potential etiological factor behind low back pain (LBP). Multiple risk factors for MC have been suggested, including male gender, smoking and factors affecting hyperloading and mechanical stress such as high body mass index (BMI), strenuous physical work and high occupational and leisure-time physical activity (PA). So far, the effect of PA on the occurrence of MC has remained under debate due to contradictory findings. The purpose of this study was to investigate the possible association between device-measured moderate-to-vigorous PA (MVPA) (≥ 3.5 METs) and lumbar MC. Methods The study had 1374 participants from the Northern Finland Birth Cohort 1966. At the age of 46–48, PA was measured by a wrist-worn accelerometer, and lumbar magnetic resonance imaging (MRI) was carried out to determine MC. We analyzed the association between Type 1 (MC1) and Type 2 (MC2) MC and daily amount of MVPA (min/day) using sex-stratified logistic regression models before and after adjustment for BMI, socioeconomic status, smoking, and accelerometer wear time. Results Among men, increased amount of MVPA was positively associated with any MC (adjusted OR corresponding to every 60 min/day of MVPA 1.41; 95% confidence interval (CI) 1.01 to 1.95) and MC2 (OR 1.54; 95% CI 1.14 to 2.08), but not with MC1 (OR 1.06; 95% CI 0.80 to 1.39). Among women, we only found a positive association between MVPA and MC1 before adjustments (unadjusted OR 1.42; 95% CI 1.06 to 1.92). Conclusion Among men, increased amount of MVPA was associated with increased odds of any MC and particularly MC2. Among women, MVPA was not independently associated with MC. Article in Journal/Newspaper Northern Finland Springer Nature (via Crossref) BMC Musculoskeletal Disorders 21 1 |
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Springer Nature (via Crossref) |
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English |
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Orthopedics and Sports Medicine Rheumatology |
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Orthopedics and Sports Medicine Rheumatology Modarress Julin, Marella Saukkonen, Jesperi Oura, Petteri Niemelä, Maisa Junno, Juho-Antti Määttä, Juhani Niinimäki, Jaakko Jämsä, Timo Korpelainen, Raija Karppinen, Jaro Association between device-measured physical activity and lumbar Modic changes |
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Orthopedics and Sports Medicine Rheumatology |
description |
Abstract Background Modic changes (MC) in the lumbar spine are considered one potential etiological factor behind low back pain (LBP). Multiple risk factors for MC have been suggested, including male gender, smoking and factors affecting hyperloading and mechanical stress such as high body mass index (BMI), strenuous physical work and high occupational and leisure-time physical activity (PA). So far, the effect of PA on the occurrence of MC has remained under debate due to contradictory findings. The purpose of this study was to investigate the possible association between device-measured moderate-to-vigorous PA (MVPA) (≥ 3.5 METs) and lumbar MC. Methods The study had 1374 participants from the Northern Finland Birth Cohort 1966. At the age of 46–48, PA was measured by a wrist-worn accelerometer, and lumbar magnetic resonance imaging (MRI) was carried out to determine MC. We analyzed the association between Type 1 (MC1) and Type 2 (MC2) MC and daily amount of MVPA (min/day) using sex-stratified logistic regression models before and after adjustment for BMI, socioeconomic status, smoking, and accelerometer wear time. Results Among men, increased amount of MVPA was positively associated with any MC (adjusted OR corresponding to every 60 min/day of MVPA 1.41; 95% confidence interval (CI) 1.01 to 1.95) and MC2 (OR 1.54; 95% CI 1.14 to 2.08), but not with MC1 (OR 1.06; 95% CI 0.80 to 1.39). Among women, we only found a positive association between MVPA and MC1 before adjustments (unadjusted OR 1.42; 95% CI 1.06 to 1.92). Conclusion Among men, increased amount of MVPA was associated with increased odds of any MC and particularly MC2. Among women, MVPA was not independently associated with MC. |
format |
Article in Journal/Newspaper |
author |
Modarress Julin, Marella Saukkonen, Jesperi Oura, Petteri Niemelä, Maisa Junno, Juho-Antti Määttä, Juhani Niinimäki, Jaakko Jämsä, Timo Korpelainen, Raija Karppinen, Jaro |
author_facet |
Modarress Julin, Marella Saukkonen, Jesperi Oura, Petteri Niemelä, Maisa Junno, Juho-Antti Määttä, Juhani Niinimäki, Jaakko Jämsä, Timo Korpelainen, Raija Karppinen, Jaro |
author_sort |
Modarress Julin, Marella |
title |
Association between device-measured physical activity and lumbar Modic changes |
title_short |
Association between device-measured physical activity and lumbar Modic changes |
title_full |
Association between device-measured physical activity and lumbar Modic changes |
title_fullStr |
Association between device-measured physical activity and lumbar Modic changes |
title_full_unstemmed |
Association between device-measured physical activity and lumbar Modic changes |
title_sort |
association between device-measured physical activity and lumbar modic changes |
publisher |
Springer Science and Business Media LLC |
publishDate |
2020 |
url |
http://dx.doi.org/10.1186/s12891-020-03638-y https://link.springer.com/content/pdf/10.1186/s12891-020-03638-y.pdf https://link.springer.com/article/10.1186/s12891-020-03638-y/fulltext.html |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
BMC Musculoskeletal Disorders volume 21, issue 1 ISSN 1471-2474 |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s12891-020-03638-y |
container_title |
BMC Musculoskeletal Disorders |
container_volume |
21 |
container_issue |
1 |
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1766144724545044480 |