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Background: There are several studies on the relationship between low back pain and physical activity. However, the results of these studies vary, and the relationship between them remains unclear. Therefore, we conducted a cross-sectional study to evaluate the association between objectively measured physical activity and low back pain in Japanese men. Methods: The study included 4022 Japanese men [average age: 47 (10) y]. Daily amount of moderate to vigorous physical activity and step counts were measured using an accelerometer. Low back pain, drinking and smoking, and lifestyle-related diseases were surveyed using a self-administered questionnaire. A logistic regression model was used to evaluate the relationship between physical activity and step counts with persistent low back pain after adjusting for confounders. Results: Persistent low back pain was reported in 428 participants. The multivariable-adjusted odds ratios of presenting persistent low back pain across quartiles of amount of moderate to vigorous physical activity were 1.00 (reference); 0.93 (95% confidence interval, 0.70–1.22); 0.97 (95% confidence interval, 0.74–1.28); and 0.67 (95% confidence interval, 0.50–0.90); P for linearity = .012. Conclusion: We found a significant inverse relationship between objectively measured physical activity and persistent low back pain.

Hashimoto and Naito are with the Juntendo University, Chiba, Japan. Matsudaira is with The University of Tokyo Hospital, Tokyo, Japan. Sawada, Gando, and Miyachi are with the National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. Kawakami is with the Waseda University, Saitama, Japan. Kinugawa, Okamoto, and Tsukamoto are with the Tokyo Gas Co, Ltd, Tokyo, Japan. Blair is with the University of South Carolina, Columbia, SC.

Sawada (yususumi@gmail.com) is corresponding author.
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