“…Furthermore, our findings are similar to those of studies that found an association between the presence of chronic disease [51], anxiety [44,51] and depression [44,51] and low back pain. In contrast, other studies also reported no significant association between low back pain and sex [36,39,44,53], age [36,39,44,51,53], BMI [51,53] and smoking [39,44,53], although some of these studies found significant differences in neck pain based on sex [36,39,44], age [39,44] and smoking status [44]. We found a higher risk of falls among pilgrims who suffered from pain at several spinal sites, including head, neck and thoracic pain.…”