{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:16:37Z","timestamp":1786569397650,"version":"build-2736575974"},"reference-count":54,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders globally, significantly impacting quality of life across diverse populations. Despite its association with middle-aged and older populations, evidence indicates that LBP is increasingly prevalent among younger age groups. Health science students are considered a potential risk factor for LBP; however, longitudinal studies are scarce. This study aims to determine the risk factors for LBP among health science students over a 2-year follow-up. Methods: One hundred ninety-seven of the third-class health science students (Nursing, Physiotherapy, Medical laboratory science, and Emergency Medical services) were contacted in June 2024. A self-administered modified version of the Standardized Nordic Questionnaire, and data about sedentary and physical activity behavior, as well as 1-month LBP (lasting at least 12 h and numeric rating scale &gt; 5) and stress scores, were recorded. Results: A total of 172\/197 (87.3%) respondents completed the questionnaire at the end of the 2-year follow-up. The mean age was 25 \u00b1 3.5 (years) and body mass index (BMI) value 23.5 \u00b1 4.3 (kg\/m2). About 49% (n = 84) and 20% (n = 34) of the participants had 1-month LBP and functional disability, respectively. No significant association was found between health science programs and the presence of 1-month LBP (\u03c72 = 0.55, p &gt; 0.05). The logistic regression analyses found that males (OR = 0.269, p = 0.005) and a history of pain frequency (OR = 3.377, p = 0.001) had a significant association with LBP over time. Conclusions: This prospective study shows a high prevalence of 1-month LBP (48.8%) among health science students at Zefat Academic College. LBP was significantly related to sex (female) and pain frequency, but not to health science students. We believe that implementing ergonomic and educational strategies is recommended for this population.<\/jats:p>","DOI":"10.3390\/jcm15020684","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:47:37Z","timestamp":1768405657000},"page":"684","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Low Back Pain Characteristics Among Health Science Undergraduates: A Prospective Study for 2-Year Follow Up"],"prefix":"10.3390","volume":"15","author":[{"given":"Janan","family":"Abbas","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saher","family":"Abu-Leil","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Hamoud","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherin","family":"Joubran","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Zhang, C., Qin, L., Yin, F., Chen, Q., and Zhang, S. (2024). Global, regional, and national burden and trends of Low back pain in middle-aged adults: Analysis of GBD 1990\u20132021 with projections to 2050. BMC Musculoskelet. Disord., 25.","DOI":"10.1186\/s12891-024-08002-y"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back pain, 1990\u20132020, 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":"ref_3","doi-asserted-by":"crossref","unstructured":"Al Amer, H.S. (2020). Low back pain prevalence and risk factors among health workers in Saudi Arabia: A systematic review and meta-analysis. J. Occup. Health, 62.","DOI":"10.1002\/1348-9585.12155"},{"key":"ref_4","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."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Alshehri, M.M., Alqhtani, A.M., Gharawi, S.H., Sharahily, R.A., Fathi, W., Alnamy, S.G., A Alothman, S., Alshehri, Y.S., Alhowimel, A.S., and Alqahtani, B.A. (2023). Prevalence of lower back pain and its associations with lifestyle behaviors among college students in Saudi Arabia. BMC Musculoskelet. Disord., 24.","DOI":"10.1186\/s12891-023-06683-5"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1136\/annrheumdis-2020-eular.6299","article-title":"AB0962 Low back pain among medical students: Prevalence and risk factors","volume":"79","author":"Daldoul","year":"2020","journal-title":"Ann. Rheum. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s00590-017-2034-5","article-title":"Prevalence of low back pain among health sciences students","volume":"28","author":"AlShayhan","year":"2018","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"8317906","DOI":"10.1155\/2018\/8317906","article-title":"Low Back pain among medical students in Belgrade (Serbia): A cross-sectional study","volume":"2018","author":"Vujcic","year":"2018","journal-title":"Pain Res. Manag."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4103\/1357-6283.120702","article-title":"Low back pain and associated risk factors among undergraduate students of a medical college in Delhi","volume":"26","author":"Aggarwal","year":"2013","journal-title":"Educ. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1007\/s00586-010-1646-9","article-title":"Increased prevalence of low back pain among physiotherapy students compared to medical students","volume":"20","author":"Falavigna","year":"2011","journal-title":"Eur. Spine J."},{"key":"ref_11","unstructured":"Hafeez, K., Memon, A.A., Jawaid, M., Usman, S., Usman, S., and Haroon, S. (2013). Back pain\u2013are health care undergraduates at risk?. Iran. J. Public. Health, 42."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Parto, D.N., Wong, A.Y., and Macedo, L. (2023). Prevalence of musculoskeletal disorders and associated risk factors in canadian university students. BMC Musculoskelet. Disord., 24.","DOI":"10.1186\/s12891-023-06630-4"},{"key":"ref_13","first-page":"423","article-title":"Low back pain and associated risk factors among health science undergraduates","volume":"43","author":"Nordin","year":"2014","journal-title":"Sains Malays."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Taha, Y.A., Al Swaidan, H.A., Alyami, H.S., Alwadany, M.M., Al-Swaidan, M.H., Alabbas, Y.H., Dhaen, H.M., and A Faidhi, A. (2023). The prevalence of low back pain among medical students: A cross-sectional study from Saudi Arabia. Cureus, 15.","DOI":"10.7759\/cureus.38997"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"12","DOI":"10.14235\/bs.2016.618","article-title":"Incidence and Risk Factors of Low Back Pain in Students Studying at a Health University","volume":"4","author":"Yucel","year":"2016","journal-title":"Bezmialem Sci."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Crawford, R.J., Volken, T., Schaffert, R., and Bucher, T. (2018). Higher low back and neck pain in final year Swiss health professions\u2019 students: Worrying susceptibilities identified in a multi-centre comparison to the national population. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-6105-2"},{"key":"ref_17","first-page":"247","article-title":"Associated Factors of Lower Back and Neck Pain Among Health Sciences Undergraduate Students in a Public University in Malaysia","volume":"18","author":"Isa","year":"2022","journal-title":"Malays. J. Med. Health Sci."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Hasan, M.M., Yaqoob, U., Ali, S.S., and Siddiqui, A.A. (2018). Frequency of musculoskeletal pain and associated factors among undergraduate students. Case Rep. Clin. Med., 7.","DOI":"10.4236\/crcm.2018.72011"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Algarni, A.D., Al-Saran, Y., Al-Moawi, A., Bin Dous, A., Al-Ahaideb, A., and Kachanathu, S.J. (2017). The prevalence of and factors associated with neck, shoulder, and low-back pains among medical students at university hospitals in Central Saudi Arabia. Pain Res. Treat., 1.","DOI":"10.1155\/2017\/1235706"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1136\/oem.57.2.116","article-title":"The role of physical and psychological factors in occupational low back pain: A prospective cohort study","volume":"57","author":"Feyer","year":"2000","journal-title":"Occup. Environ. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"741","DOI":"10.2519\/jospt.2017.7376","article-title":"Understanding adolescent low back pain from a multidimensional perspective: Implications for management","volume":"47","author":"Smith","year":"2017","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Abbas, J., Yousef, M., Hamoud, K., and Joubran, K. (2025). Low Back Pain Among Health Sciences Undergraduates: Results Obtained from a Machine-Learning Analysis. J. Clin. Med., 14.","DOI":"10.20944\/preprints202502.1403.v1"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/0003-6870(87)90010-X","article-title":"Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms","volume":"18","author":"Kuorinka","year":"1987","journal-title":"Appl. Ergon."},{"key":"ref_24","unstructured":"Jessor, R., Turbin, M.S., and Costa, M.F. (2021, December 15). Survey of Personal and Social Development at CU, Available online: http:\/\/www.colorado.edu\/ibs\/jessor\/questionnaires\/questionnaire_spsd2.pdf."},{"key":"ref_25","unstructured":"Thompson, W.R., Gordon, N.F., and Pescatello, L.S. (2014). American College of Sport Medicine. ACSM\u2019s Guidelines for Exercise Testing and Prescription, Lippincott Williams and Wilkins. [9th ed.]."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/BRS.0b013e31815e7f94","article-title":"A consensus approach toward the standardization of back pain definitions for use in prevalence studies","volume":"33","author":"Dionne","year":"2008","journal-title":"Spine"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2038","DOI":"10.1080\/07448481.2021.1953505","article-title":"Has the COVID-19 outbreak altered the prevalence of low back pain among physiotherapy students?","volume":"71","author":"Abbas","year":"2023","journal-title":"J. Am. Coll. Health"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Nyland, L.J., and Grimmer, K.A. (2003). Is undergraduate physiotherapy study a risk factor for low back pain? A prevalence study of LBP in physiotherapy students. BMC Musculoskelet. Disord., 4.","DOI":"10.1186\/1471-2474-4-22"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Awad, M.Y.H., Warasna, H.J.M., Awad, B.Y.H., and Shaaban, M.E. (2025). Prevalence of lower back pain and its associations with lifestyle behaviors among university students in the West Bank, Palestine: A cross-sectional study. Ann. Med., 57.","DOI":"10.1080\/07853890.2025.2522974"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Feleke, M., Getachew, T., Shewangizaw, M., Gebremickael, A., and Boshe, M. (2024). Prevalence of low back pain and associated factors among medical students in Wachemo University Southern Ethiopia. Sci. Rep., 14.","DOI":"10.1038\/s41598-024-72597-4"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"296","DOI":"10.4103\/jnsm.jnsm_132_20","article-title":"Low back pain prevalence and associated risk factors among medical students at four major medical colleges in Saudi Arabia","volume":"4","author":"Alrabai","year":"2021","journal-title":"J. Nat. Sci. Med."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Behairy, M., Odeh, S., Alsourani, J., Talic, M., Alnachef, S., Qazi, S., Mazhar, M.A., and Tamim, H. (2025). Prevalence of Lower Back Pain (LBP) and Its Associated Risk Factors Among Alfaisal University Medical Students in Riyadh, Saudi Arabia: A Cross-Sectional Study. Healthcare, 13.","DOI":"10.3390\/healthcare13131490"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1093\/ptj\/pzx067","article-title":"Can recurrence after an acute episode of low back pain be predicted?","volume":"97","author":"Machado","year":"2017","journal-title":"Phys. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.jphys.2019.04.010","article-title":"Recurrence of low back pain is common: A prospective inception cohort study","volume":"65","author":"Mills","year":"2019","journal-title":"J. Physiother."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/AJP.0b013e3181cd16e1","article-title":"Identification of modifiable personal factors that predict new-onset low back pain: A prospective study of female nursing students","volume":"26","author":"Mitchell","year":"2010","journal-title":"Clin. J. Pain"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0003-6870(00)00002-8","article-title":"Gender-age environmental associates of adolescent low back pain","volume":"31","author":"Grimmer","year":"2000","journal-title":"Appl. Ergon."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1097\/01.BRS.0000131432.72531.96","article-title":"The frequency and associated factors of low back pain among a younger population in Turkey","volume":"29","author":"Cakmak","year":"2004","journal-title":"Spine"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s10067-018-4323-8","article-title":"Low back pain in Brazilian medical students: A cross-sectional study in 629 individuals","volume":"38","author":"Tavares","year":"2019","journal-title":"Clin. Rheumatol."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Sany, S.A., Tanjim, T., and Hossain, M.I. (2021). Low back pain and associated risk factors among medical students in Bangladesh: A cross-sectional study. F1000Research, 10.","DOI":"10.12688\/f1000research.55151.1"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1097\/BRS.0000000000003067","article-title":"Low Back Pain Among Medical Students: A Burden and an Impact to Consider!","volume":"44","author":"Amelot","year":"2019","journal-title":"Spine"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"610","DOI":"10.4184\/asj.2017.11.4.610","article-title":"Prevalence and Risk Factors for Low Back Pain in 1,355 Young Adults: A Cross-Sectional Study","volume":"11","author":"Ganesan","year":"2017","journal-title":"Asian Spine J."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Li, Y., Zou, C., Guo, W., Han, F., Fan, T., Zang, L., and Huang, G. (2024). Global burden of low back pain and its attributable risk factors from 1990 to 2021: A comprehensive analysis from the global burden of disease study 2021. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1480779"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Alanazi, S.A., and Kashoo, F.Z. (2025). Musculoskeletal Pain Among University Students and Its Correlations with Risk Factors: A Cross-Sectional Study. J. Clin. Med., 14.","DOI":"10.3390\/jcm14176076"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.3390\/clinpract13060122","article-title":"Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review","volume":"13","author":"Bizzoca","year":"2023","journal-title":"Clin. Pract."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Dev, R., Raparelli, V., Bacon, S.L., Lavoie, K.L., Pilote, L., Norris, C.M., and iCARE Study Team (2022). Impact of biological sex and gender-related factors on public engagement in protective health behaviors during the COVID-19 pandemic: Cross-sectional analyses from a global survey. BMJ Open, 12.","DOI":"10.1136\/bmjopen-2021-059673"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Nielsen, M.W., Stefanick, M.L., Peragine, D., Neilands, T.B., Ioannidis, J.P.A., Pilote, L., Prochaska, J.J., Cullen, M.R., Einstein, G., and Klinge, I. (2021). Gender-related variables for health research. Biol. Sex Differ., 12.","DOI":"10.1186\/s13293-021-00366-3"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.jpain.2008.12.001","article-title":"Sex, gender, and pain: A review of recent clinical and experimental findings","volume":"10","author":"Fillingim","year":"2009","journal-title":"J. Pain"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1002\/pmrj.12560","article-title":"Prevalence\/Incidence of Low Back Pain and Associated Risk Factors Among Nursing and Medical Students: A Systematic Review and Meta-Analysis","volume":"13","author":"Wong","year":"2021","journal-title":"PMR"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1007\/s10389-020-01201-6","article-title":"Musculoskeletal problems and associated risk factors among health science students in Ethiopia: A cross-sectional study","volume":"29","author":"Wami","year":"2020","journal-title":"J. Public Health."},{"key":"ref_51","first-page":"19","article-title":"Low Back Pain in Student Nurses: Literature Review and Prospective Cohort Study","volume":"13","author":"Menzel","year":"2016","journal-title":"Int. J. Nurs. Educ. Sch."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Kanchanomai, S., Janwantanakul, P., Pensri, P., and Jiamjarasrangsi, W. (2011). Risk factors for the onset and persistence of neck pain in undergraduate students: 1-year prospective cohort study. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-566"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Jensen, J.N., Holtermann, A., Clausen, T., Mortensen, O.S., Carneiro, I.G., and Andersen, L.L. (2012). The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load?. BMC Musculoskelet. Disord., 13.","DOI":"10.1186\/1471-2474-13-87"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1002\/art.24696","article-title":"Predicting persistent low back pain in schoolchildren: A prospective cohort study","volume":"61","author":"Jones","year":"2009","journal-title":"Arthritis Rheum."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/2\/684\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:51:29Z","timestamp":1768405889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/2\/684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,14]]},"references-count":54,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["jcm15020684"],"URL":"https:\/\/doi.org\/10.3390\/jcm15020684","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,14]]}}}