Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

in Journal of Aging and Physical Activity
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Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

Jesus-Moraleida is with the Physical Therapy Department, Faculty of Medicine, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil. Jesus-Moraleida, Silva, R.C. Dias, J.M.D. Dias, Assis, and Pereira are with the Post Graduate Program in Rehabilitation Sciences, School of Physical Education, Physiotherapy, and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Ferreira is with the Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia. Andrade is with the Post Graduate Program in Sport Sciences, School of Physical Education, Physiotherapy, and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Jesus-Moraleida (fabiannamoraleida@gmail.com) is corresponding author.
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