Is BAI better than BMI in estimating the increment of lumbar lordosis for the Caucasian population?

Abstract

BACKGROUND: One of the complications of obesity is low back pain, frequently associated with postural disorders. Body adiposity index (BAI) can be calculated without weighing, which may be rendered useful in settings where measuring accurate body weight is problematic. OBJECTIVE: The aim of this study was to compare two indices of somatic structure, i.e., BAI and BMI regarding their accuracy (specific and sensitive) in predicting postural aberrations. METHODS: The study group comprised of 1281 participants aged 20–22 years, who were students from universities in southern Poland. Anteroposterior spinal curvatures were measured using the Rippstein plurimeter. All subjects were measured for body height (BH) and mass, waist and hip circumference (WC and HC, respectively). RESULTS: In both male and female groups classified according to BAI cut-off points, a significant linear relationship was noted for the lumbar lordosis angle, i.e., the latter increased along with the BAI increase. The analysis of variance confirmed statistically significant differences in lordosis angles in both groups (women f= 19.6, p< 0.001; men f= 21.18, p< 0.001). These data evidenced a weak relationship between LL and the BAI. Pearson correlation coefficient (r) between LL and BAI was 0.2 and 0.21 for men and women, respectively. CONCLUSIONS: We concluded that, contrary to BAI, BMI value did not indicate a significant difference in lumbar lordosis angle between normal weight and obese participants (women and men).

Back Pain Related with Age, Anthropometric Variables, Sagittal Spinal Curvatures, Hamstring Extensibility, Physical Activity and Health Related Quality of Life in Male and Female High School Students

“…For example, adolescents prefer to spend their leisure time in sedentary activities with friends as opposed to performing a physical activity (PA) [ 29 ]. As a result, the importance of these factors on SP and their interinfluence can be different depending on sex [ 23 , 24 , 30 ] and age [ 31 ]. As a consequence, it is necessary to analyze the prevalence of SP risk SP depending of these variables from a global point of view and including pain in the different areas of the spine to understand how to focus interventions in high school and what could be the most influencing factors for each age and sex.…”

Dolor de espalda en adolescentes: factores asociados desde un enfoque multifactorial (Back pain in adolescents: associated factors with a multifactorial approach)

“…Los resultados de las investigaciones previas respecto a este tópico son contradictorios. Mientras que algunas investigaciones presentan una mayor prevalencia de dolor de espalda de manera significativa del SF frente al SM (Andersen et al, 2006;Martínez-Crespo et al, 2009;Sheir-Neiss et al, 2003;Zwierzchowska et al, 2020), Tabla 3. Variables antropométricas, de resistencia de la musculatura del tronco y de flexibilidad isquiosural en función del sexo, el dolor de espalda y la práctica de actividad física.…”

The Effects of Patients BMI on Lumbo Pelvic Parameters in Patients with Chronic Low Back Pain in Jos North Central Nigeria

“…Obesity has been associated with an onset of low back pain and has been shown to alter the course of low back pain, has an adverse effect on patients with low back pain, and affect treatment in patients undergoing non operative or operative treatments for low back pain conditions. [12,20,22,24,25] Obesity has been noticed to be on the rise worldwide and particularly in the west and in countries who are embracing more westernized diets and whose lifestyles are becoming more sedentary. [17,18].…”

“…[11] Increased BMI has been found to be a contributing factor in the onset and course of degenerative spine disease and in other forms of low back pain. [1,12] Increased weight especially around the trunk affects the dynamics of posturing and results in an increase in contact forces around the spinal unit. The alteration in the lumbopelvic parameters determine whether the forces act more on the discs and vertebral bodies (anteriorly) or on the facet joints and ligaments (posteriorly).…”