{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T05:36:51Z","timestamp":1776836211694,"version":"3.51.2"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to investigate the prevalence of non-specific low back pain (NLBP) over the past 12\u202fmonths and to determine its associated factors among Chinese older people aged 60\u202fyears and over.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study on NLBP prevalence was conducted at seven communities between July 2024 and January 2025. Data on demographic characteristics, lifestyle, and labor-related factors were also collected. This study included those who had suffered from LBP over the past 12\u202fmonths. The univariate and multivariate Poisson regression analyses were used to examine the factors for the prevalence of LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 286 participants, 129 (45.1%) were females and 174 (60.8%) were in the 60\u201374\u202fyear age group. Overall, the prevalence of NLBP in Chinese people aged 60 and above was 26.2% (95% CI: 21.1, 31.4). Females (adjusted prevalence ratio [aPR]: 6.09, 95% CI: 3.09, 12.00), participants aged 85\u202fyears and over (aPR: 1.86, 95% CI: 1.26, 2.73), participants with a body mass index (BMI) ranged from 25.0 and 29.9\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (aPR: 2.23, 95% CI: 1.29, 3.85), being current smokers (aPR: 4.39, 95% CI: 1.99, 9.69), being former drinkers (aPR: 1.58, 95% CI: 1.04, 2.38), having daily sitting reaching 8\u202fh or longer (aPR: 1.73, 95% CI: 1.26, 2.39), no weekly exercise (aPR: 2.36, 95% CI: 1.50, 3.73), and daily work involving bending (aPR: 2.66, 95% CI: 1.58, 4.48) were associated with NLBP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NLBP was common in Chinese people aged 60\u202fyears and above. Gender, age, BMI, smoking, alcohol drinking, daily sitting reaching 8\u202fh or longer, weekly exercise, and daily work involving bending were associated with the prevalence of NLBP. This study calls for tailored interventions such as launching public health campaigns, organizing social and sporting events, encouraging ergonomic adaptations, and establishing surveillance systems to reduce the LBP burden among Chinese older people.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1789937","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:37:26Z","timestamp":1776832646000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Non-specific low back pain prevalence and associated factors among Chinese people aged 60\u202fyears and older: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Ningjing","family":"Chen","sequence":"first","affiliation":[{"name":"School of Nursing, Putian University","place":["Putian, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengnan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgical Anesthesiology, Zhongshan Hospital Xiamen University","place":["Xiamen, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The Fifth Affiliated Hospital Sun Yat-sen University","place":["Zhuhai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaying","family":"Li","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The Nethersole School of Nursing, Chinese University of Hong Kong","place":["Hong Kong, Hong Kong SAR, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, The Fifth Affiliated Hospital Sun Yat-sen University","place":["Zhuhai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"487","DOI":"10.5271\/sjweh.4116","article-title":"The global health and economic impact of low-back pain attributable to occupational ergonomic factors in the working-age population by age, sex, geography in 2019","volume":"49","author":"Chen","year":"2023","journal-title":"Scand J Work Environ Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e2144198","DOI":"10.1001\/jamanetworkopen.2021.44198","article-title":"Secular trends in musculoskeletal rehabilitation needs in 191 countries and territories from 1990 to 2019","volume":"5","author":"Chen","year":"2022","journal-title":"JAMA Netw Open"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e789","DOI":"10.6061\/clinics\/2019\/e789","article-title":"Prevalence of low back pain in the elderly population: a systematic review","volume":"74","author":"de Souza","year":"2019","journal-title":"Clinics"},{"key":"ref4","volume-title":"Ageing and Health","year":"2025"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/s2665-9913(23)00098-x","article-title":"Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021","volume":"5","author":"Ferreira","year":"2023","journal-title":"Lancet Rheumatol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e0230902","DOI":"10.1371\/journal.pone.0230902","article-title":"Low back pain should be considered a health and research priority in Brazil: lost productivity and healthcare costs between 2012 to 2016","volume":"15","author":"Carregaro","year":"2020","journal-title":"PLoS One"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.berh.2017.10.004","article-title":"Chronic musculoskeletal pain and its impact on older people","volume":"31","author":"Blyth","year":"2017","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1007\/s00586-024-08154-4","article-title":"Obesity increases the odds of intervertebral disc herniation and spinal stenosis; an MRI study of 1634 low back pain patients","volume":"33","author":"Segar","year":"2024","journal-title":"Eur Spine J"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1146\/annurev.psych.51.1.29","article-title":"The pain of being sick: implications of immune-to-brain communication for understanding pain","volume":"51","author":"Watkins","year":"2000","journal-title":"Annu Rev Psychol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e70118","DOI":"10.1002\/msc.70118","article-title":"Associations between type-specific sedentary behaviour and low back pain: evidence from a large-scale cohort study","volume":"23","author":"Lee","year":"2025","journal-title":"Musculoskeletal Care"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1007\/s00586-025-08727-x","article-title":"Association between lumbar paraspinal muscle activities and quality in chronic low back pain: a cross-sectional analysis","volume":"34","author":"Zhang","year":"2025","journal-title":"Eur Spine J"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1097\/01.brs.0000192636.69129.fb","article-title":"Mechanical load of the lumbar spine during forward bending motion of the trunk-a biomechanical study","volume":"31","author":"Takahashi","year":"2006","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref13","volume-title":"Ageing and Health in China","year":""},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1493","DOI":"10.1186\/s12889-022-13730-8","article-title":"Prevalence and risk factors analysis for low back pain among occupational groups in key industries of China","volume":"22","author":"Jia","year":"2022","journal-title":"BMC Public Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2162","DOI":"10.1016\/s0140-6736(24)00933-4","article-title":"Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021","volume":"403","author":"Brauer","year":"2024","journal-title":"Lancet"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.bja.2022.03.010","article-title":"Association between alcohol consumption and chronic pain: a systematic review and meta-analysis","volume":"129","author":"Karimi","year":"2022","journal-title":"Br J Anaesth"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1732","DOI":"10.1056\/NEJMcp2032396","article-title":"Nonspecific low back pain","volume":"386","author":"Chiarotto","year":"2022","journal-title":"N Engl J Med"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br J Sports Med"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.4269\/ajtmh.23-0794","article-title":"Knowledge and perceptions about diagnosis, clinical management, and prevention of dengue fever among physicians during the 2023 outbreak: a cross-sectional study in Peru","volume":"111","author":"Araoz-Salinas","year":"2024","journal-title":"Am J Trop Med Hyg"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"113066","DOI":"10.1016\/j.exger.2026.113066","article-title":"Association between dietary carbohydrate-to-fiber ratio and sleep duration among American adults with constipation: a cross-sectional study","volume":"216","author":"Zhang","year":"2026","journal-title":"Exp Gerontol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1016\/j.jpain.2021.07.012","article-title":"Prevalence, incidence, and factors associated with non-specific chronic low back pain in community-dwelling older adults aged 60 years and older: a systematic review and meta-analysis","volume":"23","author":"Wong","year":"2022","journal-title":"J Pain"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1097\/brs.0000000000003719","article-title":"The prevalence of back and leg pain and the cross-sectional association with adverse health outcomes in community dwelling older adults in England","volume":"46","author":"Williamson","year":"2021","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1111\/add.16404","article-title":"Health and economic burden of low back pain and rheumatoid arthritis attributable to smoking in 192 countries and territories in 2019","volume":"119","author":"Chen","year":"2024","journal-title":"Addiction"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1038\/nri803","article-title":"Effects of cigarette smoke on the immune system","volume":"2","author":"Sopori","year":"2002","journal-title":"Nat Rev Immunol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1093\/eurpub\/ckaf226","article-title":"Association between alcohol consumption and musculoskeletal pain among employed and retired British civil servants: a multiple group latent class analysis","volume":"36","author":"Zhao","year":"2026","journal-title":"Eur J Pub Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"116ra6","DOI":"10.1126\/scitranslmed.3002902","article-title":"Alcohol consumption induces endogenous opioid release in the human orbitofrontal cortex and nucleus accumbens","volume":"4","author":"Mitchell","year":"2012","journal-title":"Sci Transl Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1007\/s10926-012-9375-z","article-title":"Cumulative low back load at work as a risk factor of low back pain: a prospective cohort study","volume":"23","author":"Coenen","year":"2013","journal-title":"J Occup Rehabil"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1186\/s12883-025-04158-9","article-title":"Risk factors of chronic low back pain among Syrian patients: a cross- sectional study","volume":"25","author":"Khadour","year":"2025","journal-title":"BMC Neurol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1186\/s13018-023-03988-y","article-title":"Effects of exercise therapy on disability, mobility, and quality of life in the elderly with chronic low back pain: a systematic review and meta-analysis of randomized controlled trials","volume":"18","author":"Zhang","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e70041","DOI":"10.1002\/ejp.70041","article-title":"The impact of smoking on low back pain and disability","volume":"29","author":"Sch\u00f6nnagel","year":"2025","journal-title":"Eur J Pain"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1789937\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:37:46Z","timestamp":1776832666000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1789937\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":30,"alternative-id":["10.3389\/fpubh.2026.1789937"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1789937","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]},"article-number":"1789937"}}