Cigarette smoking and chronic low back pain in the adult population

Alkherayf, Fahad; Agbi, Charles
October 2009
Clinical & Investigative Medicine;Oct2009, Vol. 32 Issue 5, pE360
Academic Journal
Purpose: Chronic low back pain (LBP) is one of the main causes of disability in the community. Although there have been studies suggesting an association between smoking and LBP, these studies were limited by the small numbers of patients, and they did not control for confounders. The objective of this study was to determine whether cigarette smoking is associated with an increased risk of chronic LBP among adults. Methods: Using Canadian Community Health Survey (cycle 3.1) data, 73,507 Canadians aged 20 to 59 yr were identified. Self-reported chronic LBP status, smoking habits, sex, age, height, weight, level of activity and level of education were identified as well. Back pain secondary to fibromyalgia was excluded. Multivariate logistic regression analysis was used to detect effect modification and to adjust for covariates. Design effects associated with complex survey design were taken into consideration. Results: The prevalence of chronic LBP was 23.3% in daily smokers and only 15.7% in non-smokers. Age and sex were found to be effect modifiers (P < 0.0001), and the relationship between smoking and chronic LBP risk was dependent on sex and age. The association between daily smoking and the risk of chronic LBP was stronger among younger individuals. Occasional smoking slightly increased the odds of having chronic LBP. Conclusion: Daily smoking increases the risk of LBP among young adults, and this effect seems to be dosedependent. Back pain treatment programs may benefit from integrating smoking habit modification. Further research is required to develop effective prevention strategies.


Related Articles

  • Exploring the Next Frontier for Tobacco Control: Nondaily Smoking among New York City Adults. Sacks, Rachel; Coady, Micaela H.; Mbamalu, Ijeoma G.; Kansagra, Susan M. // Journal of Environmental & Public Health;2012, p1 

    Objective. Among current smokers, the proportion of Nondaily smokers is increasing. A better understanding of the characteristics and smoking behaviors of Nondaily smokers is needed. Methods. We analyzed data from the New York City (NYC) Community Health Survey to explore Nondaily smoking among...

  • Smoking Status and Severity of Ischemic Stroke. A Population-Based Study. Béjot, Yannick; Jacquin, Agnès; Daubail, Benoit; Lainay, Claire; Janoura, Samer; Aboa-Eboulé, Corine; Durier, Jérôme; Giroud, Maurice // European Neurology;Feb2014, Vol. 71 Issue 1/2, p59 

    We aimed to investigate the impact of smoking status on clinical severity in patients with ischemic stroke event (IS). Patients were prospectively identified among residents of the city of Dijon, France (ca. 151,000 inhabitants), using a population-based registry, between 2006 and 2011....

  • Social capital, institutional (vertical) trust and smoking: A study of daily smoking and smoking cessation among ever smokers. Lindström, Martin; Janzon, Ellis // Scandinavian Journal of Public Health;Oct2007, Vol. 35 Issue 5, p460 

    Objectives: The associations between vertical (institutional) trust in the healthcare system and the mass media (newspapers and television), and daily smoking and smoking cessation were investigated. Methods: The 2004 public-health survey in Scania is a cross-sectional study. A total of 27,757...

  • Cigarette smoking in middle age and a long-term risk of impaired activities of daily living: NIPPON DATA80. Takashima, Naoyuki; Miura, Katsuyuki; Hozawa, Atsushi; Okamura, Tomonori; Hayakawa, Takehito; Okuda, Nagako; Kadowaki, Takashi; Murakami, Yoshitaka; Kita, Yoshikuni; Nakamura, Yasuyuki; Okayama, Akira; Ueshima, Hirotsugu // Nicotine & Tobacco Research;Sep2010, Vol. 12 Issue 9, p944 

    Introduction: Few studies have reported the relationship between smoking in middle age and long-term risk of impaired activities of daily living (ADL). Methods: We analyzed 2,276 men and women aged 47-59 years at the baseline survey of NIPPON DATA80 in 1980. At the follow-up survey in 1999, ADL...

  • Adults With Asthma Who Smoke - A Neglected Population? Jackson, Tracy; Roberts, Cynthia; Pearlman, Deborah N. // Medicine & Health Rhode Island;Oct2011, Vol. 94 Issue 10, p306 

    The article focuses on the Rhode Island Behavioral Risk Factor Surveillance System (BRFSS) survey conducted to examine the correlates of smoking among adults with asthma in Rhode Island. It compares medication use and asthma-related quality of life among adults with asthma who smoke to that of...

  • Do Common Mental Disorders Increase Cigarette Smoking? Results from Five Waves of a Population-based Panel Cohort Study. Ismail, Khalida; Sloggett, Andy; De Stavola, Bianca // American Journal of Epidemiology;Oct2000, Vol. 152 Issue 7, p651 

    A prospective panel cohort design was used to investigate whether mental disorders common in the general population increase the likelihood of increased cigarette smoking at 12 months follow-up. By 1995, the last year for which data were available, a random sample of 12,057 persons aged...

  • Chapter 24: Effect of Number of Cigarettes Daily Consumed on Offspring Sex Ratio. Khan, Umar Ali; Adil, Malik Muhammad // Journal of Medical Chemical, Biological & Radiological Defense;2010, Vol. 8, p189 

    Objective: A number of developed countries have demonstrated a significant decline in male to female ratio of children during the past few decades. The current work assessed the offspring sex ratio ( male to female ) when the subjects smoked less than 14 cigarettes per day compared with the...

  • Cigarette Smoking and Carotid Plaque Echodensity in the Northern Manhattan Study. Yang, Dixon; Iyer, Sunil; Gardener, Hannah; Della-Morte, David; Crisby, Milita; Dong, Chuanhui; Cheung, Ken; Mora-McLaughlin, Consuelo; Wright, Clinton B.; Elkind, Mitchell S.; Sacco, Ralph L.; Rundek, Tatjana // Cerebrovascular Diseases;Sep2015, Vol. 40 Issue 3/4, p136 

    Background: We sought to determine the association between cigarette smoking and carotid plaque ultrasound morphology in a multiethnic cohort. Methods: We analyzed 1,743 stroke-free participants (mean age 65.5 ± 8.9 years; 60% women; 18% white, 63% Hispanic, 19% black; 14% current and 38%...

  • Characteristics associated with self-identification as a regular smoker and desire to quit among college students who smoke cigarettes. Harris, Jennifer B.; Schwartz, Stephen M.; Thompson, Beti // Nicotine & Tobacco Research;Jan2008, Vol. 10 Issue 1, p69 

    Tobacco use among college students increased substantially during the 1990s. Better understanding of college smokers is warranted to develop interventions specific to the needs of this population. We examined sociodemographic and tobacco-use characteristics associated with self-identification as...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics