{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:55:32Z","timestamp":1792806932926,"version":"4.5.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T00:00:00Z","timestamp":1682035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An association between body mass index (BMI; weight (kg)\/height (m)2) and low back pain (LBP) has long been debated, but inconsistent measurements of BMI and varying definitions of LBP have produced conflicting findings. We explored this association using measured BMI and physician documentation of recurrent LBP among healthy young adults. Data were extracted from the Israel Defense Forces electronic medical record system. All Israeli citizens with compulsory military service during January 2008\u2013March 2019 were included (n\u00a0=\u00a0705,840). Exclusion criteria were spine deformities, disc pathologies, spinal surgeries, arthropathies, connective tissue diseases, pain syndromes, low bone density disorders, cancers, and psychiatric illnesses. LBP was defined as electronic medical record system documentation of 1) 2 medical visits at least 6 weeks apart with a diagnosis of LBP or \u201cLBP with radiation\u201d or 2) 1 medical visit resulting in referral to an orthopedic surgeon. Logistic regression models were used to explore the association between BMI category and LBP; 619,969 (87.8%) individuals (mean\u00a0age =\u00a018.9 (standard deviation, 0.97) years; 56.9% male) were included. LBP prevalence was 9.2% (n\u00a0=\u00a056,918) and higher among males (9.7%) than females (8.5%). Overweight (odds ratio\u00a0=\u00a01.123, 95% confidence interval: 1.096, 1.151) and obesity (odds ratio\u00a0= 1.137, 95% confidence interval: 1.096, 1.179) were associated with LBP. The association remained significant after accounting for various sociodemographic factors. Maintaining a healthy BMI may aid in the prevention of LBP in young adults.<\/jats:p>","DOI":"10.1093\/aje\/kwad102","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T13:22:47Z","timestamp":1682083367000},"page":"1371-1378","source":"Crossref","is-referenced-by-count":18,"title":["Association Between Body Mass Index and Nonspecific Recurrent Low Back Pain in Over 600,000 Healthy Young Adults"],"prefix":"10.1093","volume":"192","author":[{"given":"Maya","family":"Nitecki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galina","family":"Shapiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omri","family":"Orr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehud","family":"Levitin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadasa","family":"Sharshevsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorit","family":"Tzur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilad","family":"Twig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shachar","family":"Shapira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"issue":"6","key":"2023080423143655000_ref1","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1002\/art.34347","article-title":"A systematic review of the global prevalence of low back pain","volume":"64","author":"Hoy","year":"2012","journal-title":"Arthritis Rheum."},{"issue":"6","key":"2023080423143655000_ref2","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1136\/annrheumdis-2013-204428","article-title":"The global burden of low back pain: estimates from the Global Burden of Disease 2010 Study","volume":"73","author":"Hoy","year":"2014","journal-title":"Ann Rheum Dis."},{"issue":"9995","key":"2023080423143655000_ref3","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/S0140-6736(15)60692-4","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990\u20132013: a systematic analysis for the Global Burden of Disease Study 2013","volume":"386","author":"Vos","year":"2015","journal-title":"Lancet."},{"issue":"8","key":"2023080423143655000_ref4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.5694\/j.1326-5377.2008.tb02119.x","article-title":"Chronic disease and labour force participation among older Australians","volume":"189","author":"Schofield","year":"2008","journal-title":"Med J Aust."},{"issue":"2","key":"2023080423143655000_ref5","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1097\/00007632-199801150-00015","article-title":"At what age does low back pain become a common problem? 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