Central Obesity as a Risk Factor for Low Back Pain
DOI:
https://doi.org/10.53089/medula.v14i11.1380Keywords:
Central Obesity, Low Back Pain, Waist CircumferenceAbstract
Central obesity, or abdominal obesity, is a condition marked by excessive fat accumulation around internal organs, leading to a variety of health complications such as cardiovascular disease, type 2 diabetes, and musculoskeletal disorders, including low back pain (LBP). Central obesity is defined by increased waist circumference, with values greater than 80 cm in women and 90 cm in men. The condition is primarily influenced by factors such as physical inactivity, poor eating habits, and aging. The relationship between central obesity and LBP is supported by studies indicating that abdominal fat increases mechanical load on the lumbar spine, contributing to disc degeneration and pain. Additionally, adipose tissue secretes pro-inflammatory cytokines that exacerbate inflammation and pain sensitization in the spine, leading to LBP. Obesity-related complications, such as muscle weakness and sleep disturbances, can further reduce quality of life. Preventive measures for LBP include physical exercise, weight reduction, and posture correction. Effective treatment options range from pharmacological therapies to physical rehabilitation and alternative medicine approaches. Understanding the link between central obesity and LBP is critical in developing preventive strategies and improving the management of this common condition.
References
Alwash SM, McIntyre HD, Mamun A. The association of general obesity, central obesity and visceral body fat with the risk of gestational diabetes mellitus: Evidence from a systematic review and meta-analysis. Obes Res Clin Pract. 2021;15(5):30-425.
Peiris WL, Cicuttini FM, Hussain SM, Estee MM, Romero L, et al. Is adiposity associated with back and lower limb pain? A systematic review. PLoS One. 2021;16(9).
Mohammed GY, Amin FS, Aneis YM. Correlation between different degrees of obesity and non-specific low back pain. Egypt J of Appl Sci. 2020; 35(7): 84-99.
Wong MCS, Huang J, Wang J, Chan PSF, Lok V, Chen X, et al. Global, regional and time-trend prevalence of central obesity: a systematic review and meta-analysis of 13.2 million subjects. Eur J Epidemiol. 2020;35(7): 83-673.
Badan Penelitian dan Pengembangan Kesehatan. Survei Kesehatan Indonesia (SKI) 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023.
Heuch I, Heuch I, Hagen K, et al. Overweight and obesity as risk factors for chronic low back pain: a new follow-up in the HUNT Study. BMC Public Health. 2024;24:2618.
World Health Organization. Low Back Pain [Internet]. Geneva: World Health Organization; 2023 [cited 2024 Dec 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/low-back-pain
World Health Organization. Musculoskeletal Health [Internet]. Geneva: World Health Organization; 2022 [cited 2024 Dec 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
Ferreira LS, Silva MPE, Saragiotto BT, Magalhães MO. Attitudes And Beliefs Of Brazilian Physical Therapists About Chronic Nonspecific Low Back Pain And Its Impact On Clinical Decision-Making: An Online Survey Study. Musculoskelet Sci Pract. 2023;67:2468–7812.
Kementerian Kesehatan Republik Indonesia. Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2019.
Abere G, Yenealem DG, Worede EA. Prevalence And Associated Factors Of Low Back Pain Among Taxi Drivers In Gondar City, Northwest Ethiopia: A community-based cross-sectional study. BMJ Open. 2023;13(5).
Zagórski K, Kozik M, Skalska-Dziobek N, Małagocka W, Chybowska K, et al. The Role Of Overweight, Obesity And Exercise Therapy On Low-Back Pain. Qual Sport. 2024;36:56440.
Butzen D, Smolders Y, Stroobants T, Verleye G, Thijs D, Van de Kelft E. Correlation Between Spinopelvic Parameters, Body Mass Index, Waist Circumference, And Chronic Non-Specific Low Back Pain. Life. 2025;15(1):16.
You Q, Jiang Q, Li D, Wang T, Wang S, Cao S. Waist Circumference, Waist-Hip Ratio, Body Fat Rate, Total Body Fat Mass And Risk Of Low Back Pain: A Systematic Review And Meta-Analysis. Eur Spine J. 2022;31(1):35-123.
Bayartai ME, Luomajoki H, Tringali G, De Micheli R, Abbruzzese L, Sartorio A. Differences In Spinal Posture And Mobility Between Adults With Obesity And Normal Weight Individuals. Sci Rep. 2023;13(1):13409.
Achsan BN, Widjaya JAC, Ekie ND, Abada HA, Rabbani RY, Prabawati RK, et al. Faktor Risiko Obesitas Dengan Low Back Pain Kronis: Tinjauan Sistematik. CoMPHI J. 2024;4(3).
Arif M, Gaur DK, Gemini N, Iqbal ZA, Alghadir AH. Correlation of Percentage Body Fat, Waist Circumference and Waist-to-Hip Ratio with Abdominal Muscle Strength. Healthcare (Basel). 2022;10(12):2467.
Pibriyanti K, Fathimah F, Nurohmi S, Ummah S. Risk Factors of Central Obesity among Female Students. Proceedings of the U-Go Healthy International Conference; 2020 Mar 2; Pacitan: East Java Indonesia. 2020.
Setiorini A. Kekuatan otot pada lansia. Jurnal Kedokteran Universitas Lampung. 2021;5(1):69-74.
Mustofa S. Pengantar Metabolisme Lemak. Bandar Lampung: CV. Rizky Karunia Mandiri; 2024.
Cahya A, Santoso WM, Husna M, Munir B, Kurniawan SN. Low Back Pain. J Pain Headache Vertigo. 2021;2(1):13–17.
American Spine Society. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis & Treatment of Low Back Pain. Burr Ridge: North American Spine Society; 2020.
Mayasari D, Saftarina F, Sari MI, Sirajudin A. Analysis of Manual Material Handling Technique and Its Association with Low Back Pain (LBP) Among Fisherman in Kangkung Village Bandar Lampung, in The 3rd International Meeting of Public Health and The 1st Young Scholar Symposium on Public Health. KnE Life Science. 2019; 228-234.
Bayartai ME, Määttä J, Karppinen J, Oura P, Takatalo J, Auvinen J, Raija K, Niemelä M, Luomajoki H. Association Of Accelerometer-Measured Physical Activity, Back Static Muscular Endurance And Abdominal Obesity With Radicular Pain And Non-Specific Low Back Pain. Sci Rep. 2023;13(1):7736.
Nijs J, D’Hondt E, Clarys P, Deliens T, Polli A, Malfliet A, Coppieters I, Willaert W, Tumkaya Yilmaz S, Elma O, Ickmans K. Lifestyle and chronic pain across the lifespan: an inconvenient truth? Pharm Manag PM R. 2020;12(4):410-419.
Baradaran Mahdavi S, Riahi R, Vahdatpour B, Kelishadi R. Association between sedentary behavior and low back pain: A systematic review and meta-analysis. Health Promot Perspect. 2021 Dec 19;11(4):393-410.
Chen X, Tang H, Lin J, Zeng R. Causal relationships of obesity on musculoskeletal chronic pain: A two-sample Mendelian randomization study. Front Endocrinol. 2022;13:971997.
Poot-Franco JA, Mena-Balan A, Perez-Navarrete A, Huchim O, Azcorra-Perez H, Mendez-Dominguez N. Association between the thickness of lumbar subcutaneous fat tissue and the presence of hernias in adults with persistent, non-traumatic low back pain. Tomography. 2024 Feb 13;10(2):277-285.
Verma B, Rana S, Narang K. Association between metabolic syndrome and chronic musculoskeletal pain: An updated review. Int J Health Sci Res. 2024;14(8):337-346.
Varkey RM, Philipose JJ. Variations in anthropometry and physical characteristics of staff with low back pain working in a tertiary hospital. Int J Res Orthop. 2021;7(3):531.
Liao J, Hu M, Imm K, Holmes CJ, Zhu J, Cao C, et al. Association of daily sitting time and leisure-time physical activity with body fat among U.S. adults. J Sport Health Sci. 2024;13(2):195–203.
Maria, et al. Body Mass Index and its influence on chronic low back pain in the Spanish population: A secondary analysis from the European Health Survey (2020). Biomedicines. 2020;11(8):2175.
Hao-Wei X, Xin-Yue F, Chen H, Sheng-Jie C, Chang-Xu R, Xiao-Yong G, Shan-Jin W. The effects of abdominal obesity and sagittal imbalance on sacroiliac joint pain after lumbar fusion. Pain Physician. 2024;27(1):59.
Toussirot E. The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases. Biomedicines. 2023;11(2):536.
Kementerian Kesehatan Republik Indonesia. Nyeri Punggung Bawah. Jakarta: Kemenkes; 2022 [cited 2025 Jan 3]. Available from: https://ayosehat.kemkes.go.id/topik-penyakit/kelainan-muskuloskeletal/nyeri-punggung-bawah.
Luomajoki et al. Low Back Pain: Value of Prevention and Physiotherapy. Ther Umsch. 2023;80(4):175-182.
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, van Tulder MW. Exercise therapy for chronic low back pain. Cochrane Database Syst Rev. 2021;9(9).
Smrcina Z, Woelfel S, Burcal C. A systematic review of the effectiveness of core stability exercises in patients with non-specific low back pain. Int J Sports Phys Ther. 2022;17(5):766-774.
Owen PJ, Miller CT, Mundell NL, Verswijveren SJJM, Tagliaferri SD, Brisby H, Bowe SJ, Belavy DL. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med. 2020;54(21):1279-1287.
Gera C, Malik M, Kaur J, Saini M. A systematic review and meta-analysis on the effect of spinal mobilization and manipulation on cardiovascular responses. Hong Kong Physiother J. 2020;40(2):75-87.
Mohamed SH, Seyed MA. Low Back Pain: A Comprehensive Review on the Diagnosis, Treatment Options, and the Role of Other Contributing Factors. Open Access Maced J Med Sci. 2021;9(F):347-359.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Medical Profession Journal of Lampung

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.