Obesity Is Associated With Reduced Disc Height in the Lumbar Spine but Not at the Lumbosacral Junction

Urquhart, Donna M.; Kurniadi, Ivan; Triangto, Kevin; Wang, Yuanyuan; Wluka, Anita E.; O’Sullivan, Richard; Jones, Graeme; Cicuttini, Flavia Maria

doi:10.1097/brs.0000000000000411

Cited by 41 publications

(35 citation statements)

References 17 publications

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“…These are similar to results of Donna and colleagues' study in 2014 about correlation between obesity and disc height in lumbar spine, in which the mean and total disc heights were less in the obese individuals compared with the nonobese individuals (mean: 1.04 vs 1.14, total: 4.17 vs 4.56). Also the mean disc heights were less in the obese individuals compared with the nonobese individuals at L 1 -L 2 and L 3 -L 4 [8].…”

Section: Discussionmentioning

confidence: 78%

“…Several studies have been directed to identify the relationship between obesity and disc height and disc herniation, some of them have examined disc height at a single lumbar disc level [5], others have reported aggregate measures at levels from L 1 to L 4 [6,7]. However, no study to date has examined the effect of high body mass index (BMI) on disc height at different levels of lumbar spine [8]. The studies about disc herniation are similar.…”

Section: Introductionmentioning

confidence: 99%

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Concomitance of Obesity and Overweight with Disc Height and Disc Herniation in Lumbar Spine

Arzpeyma

Mahfoozi

Pour

2016

IrJNS

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Background & Aim: Low back pain is the most debilitating condition, and can lead to decreased physical function, compromised quality of life, and psychological distress. Several studies have been conducted to recognize the risk factors of low back pain, but despite of strong relationship between obesity and low back pain, the underlying mechanisms are unclear. The aim of this study was to evaluate the association between obesity/overweight and disc height and disc bulging at each level and total levels in lumbar vertebra, considering occupational risk factors.Methods & Materials/Patients: This is a cross-sectional study on 102 patients with low back pain referring to MRI department in Poursina hospital in Rasht. Body mass index (kg/m 2 ) categories modified for Asian populations based on World Health Organization guidelines were used. Disc height and disc herniation were evaluated in sagittal T 1 , sagittal T 2 and axial T 2 MRI images. We used four risk factors agreed by US-NIOSH (USA-National Institute for Occupational Safety and Health), to evaluate the occupational risk factors. Regression test was used for statistical analysis. Results:Of the 102 patients, 36.3% were men and 63.7% were women. The age range was 15 to 75 years. Results showed that 26.5% of patients had normal body mass index, 39.2% were overweight and 34.3% were obese. Low, moderate, and high level of occupational risk factors were distributed as 36.3%, 17.6%, and 46.1%, respectively. Analysis with regression test showed that the relationship between obesity and overweight and disc height was negative at total levels and all levels, unless L 5 -S 1 . At L 5 -S 1 level, there was no association. There was a positive relationship between obesity and total score of disc herniation at L 1 -S 1 . There was no association between overweight and total score at this level. At L 1 -L 2 , L 2 -L 3 and L 5 -S 1 , there were no association between obesity and overweight and disc herniation, and at L 3 -L 4 and L 4 -L 5 , there were negative relationships between obesity and disc herniation. Conclusion:Our study noted the positive and significant association between obesity/overweight and disc degenerative changes in lumbar spine. Since there is abundant evidence in the literature demonstrating the strong association of disc degeneration on MRI with low back pain, prevention and treatment of being overweight or obese must be a public health priority. Keywords: Concomitance of Obesity and Overweight with Disc Height and Disc Herniation in Lumbar Spine

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Concomitance of Obesity and Overweight with Disc Height and Disc Herniation in Lumbar Spine

Arzpeyma

Mahfoozi

Pour

2016

IrJNS

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“…128 Obesity was associated with reduced disk height in the lumbar spine and recent pain, suggesting that structural changes contribute to back pain and may, in part, explain the association between obesity and back pain. 129 Certain types of exercises appear to be less traumatic for obese patients. For example, thorough biomechanical evaluation suggests that slow uphill walking may be appropriate exercise for obese individuals at risk for musculoskeletal pathology or pain.…”

Section: Biomechanical and Structural Mechanismsmentioning

confidence: 99%

Obesity and Chronic Pain

Narouze

Souzdalnitski

2015

Regional Anesthesia and Pain Medicine

114

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The combination of obesity and pain may worsen a patient's functional status and quality of life more than each condition in isolation. We systematically searched PubMed/MEDLINE and the Cochrane databases for all reports published on obesity and pain. The prevalence of combined obesity and pain was substantial. Good evidence shows that weight reduction can alleviate pain and diminish pain-related functional impairment. However, inadequate pain control can be a barrier to effective lifestyle modification and rehabilitation. This article examines specific pain management approaches for obese patients and reviews novel interventional techniques for treatment of obesity. The infrastructure for simultaneous treatment of obesity and pain already exists in pain medicine (eg, patient education, behavioral medicine approaches, physical rehabilitation, medications, and interventional treatment). Screening for obesity, pain-related disability, and behavioral disorders as well as monitoring of functional performance should become routine in pain medicine practices. Such an approach requires additional physician and staff training. Further research should focus on better understanding the interplay between these 2 very common conditions and the development of effective treatment strategies.

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“…Our previous study found significant associations between obesity and lumbar intervertebral disc height at all levels except L5 17 and hypothesised that this may be attributable to the difference in surface area of the superior and inferior aspects of the L5 vertebral body 17 . Measures at L5…”

Section: Discussionmentioning

confidence: 95%

Shorter Lumbar Paraspinal Fascia Is Associated With High Intensity Low Back Pain and Disability

Ranger

Teichtahl

Cicuttini

et al. 2016

SPINE

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Obesity Is Associated With Reduced Disc Height in the Lumbar Spine but Not at the Lumbosacral Junction

Cited by 41 publications

References 17 publications

Concomitance of Obesity and Overweight with Disc Height and Disc Herniation in Lumbar Spine

Concomitance of Obesity and Overweight with Disc Height and Disc Herniation in Lumbar Spine

Obesity and Chronic Pain

Shorter Lumbar Paraspinal Fascia Is Associated With High Intensity Low Back Pain and Disability

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