Correlation between Body Mass Index and Disability in Patient with Chronic Low Back Pain
Abstract: Low back pain is
discomfort presented below the margin of the 12th thoracic rib and above the inferior
gluteal fold with or without leg pain. It is also a major cause of disability.
Several risk factors have been identified for contributing low back pain. It is
important to determine whether body mass index (BMI) can affect the disability
in patients with chronic low back pain. Oswestry disability index (ODI)
questionnaire has been used to measure the severity of disability. Thus, the
focus of study was to determine correlation between BMI and disability in
patients with chronic low back pain.
Methods: Sixty two patients aged 18 years old or more who were clinically
diagnosed as having low back pain at least 3 months participated in this study
in the period of October to November 2015 in the Department of Physical
Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung.
Total sampling method was used. Gender, age, weight, height, BMI and disability
were recorded using ODI questionnaire. This analytical study was cross
sectional study and the ordinal variable was analyzed using linear regression
analysis.
Results: Females had higher proportion (77). Chronic low back pain
patients were equally distributed on normal weight and overweight categories.
Patient with chronic low back pain had higher chances of developing moderate
disability. There were positive correlation between BMI and disability.
Nevertheless, there was no statistically analysis difference between model 1
and 2.
Conclusions: The BMI affects the disability in patients with chronic low
back pain.
Keywords: Body mass index,
disability, low back pain, Oswestry disability index questionnaire
Author: Tiang Soon Teck,
Tertianto Prabowo, Nani Kurniani
Journal Code: jpkedokterangg160296