PMID: 16515418Mar 7, 2006Paper

Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity

The Australian Journal of Physiotherapy
Michelle D SmithPaul W Hodges

Abstract

Although obesity and physical activity have been argued to predict back pain, these factors are also related to incontinence and breathing difficulties. Breathing and continence mechanisms may interfere with the physiology of spinal control, and may provide a link to back pain. The aim of this study was to establish the association between back pain and disorders of continence and respiration in women. We conducted a cross-sectional analysis of self-report, postal survey data from the Australian Longitudinal Study on Women's Health. We used multinomial logistic regression to model four levels of back pain in relation to both the traditional risk factors of body mass index and activity level, and the potential risk factors of incontinence, breathing difficulties, and allergy. A total of 38,050 women were included from three age-cohorts. When incontinence and breathing difficulties were considered, obesity and physical activity were not consistently associated with back pain. In contrast, odds ratios (OR) for often having back pain were higher for women often having incontinence compared to women without incontinence (OR were 2.5, 2.3 and 2.3 for young, mid-age and older women, respectively). Similarly, mid-aged and older women h...Continue Reading

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Citations

Dec 2, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Michelle D SmithPaul W Hodges
Aug 1, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Michelle D SmithPaul W Hodges
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