Lower Back Pain, Physical Activity and the Quality of Life
Volume 16, Issue 1 (2026)
Volume 16, Issue 1 (2026)
Lower Back Pain, Physical Activity and the Quality of Life
Abstract:
Lumbar pain is one of the key problems that affects people with reduced physical activity. This study aims at identifying different frequencies of pain in patients with lumbar syndrome and to determine differences in their quality of life. From a total sample of 202 subjects (93 men and 109 women, mean age 47.5 ± 13.85 years), 3 subsamples of respondents were stratified depending on the frequency of back pain: those with occasional back pain, those with frequent episodes of back pain and those whose episodes of back pain occur very often. The data in the study were collected using a measuring instrument, which is intended to be used for self-assessment of the quality of life. The non-parametric statistical method Chi-squared test was used to determine the differences between groups of subjects. Statistically significant differences (p = 0.00) were identified in three analyzed variables: I can declare that my quality of life is, How would you assess your physical fitness and How often do you walk continuously for 60 minutes, whereby the survey results obtained for the variable assessing the quality of life significantly differ in favor of respondents who only occasionally experience pain compared to the other two groups of respondents who reported frequent or very frequent incidences of back pain. Respondents occasionally affected with lower back pain had a better assessment of their lives, their physical fitness was at a higher level and were shown to be more active when it came to continuous walking for 60 minutes.
Keywords:
lumbar syndrome, frequency of pain, quality of life
Full Text:
References:
Andersson, G. B. J. (1999). Epidemiological feature of chronic low-back pain. The Lancet, 354(9178), 581-585.
Barkhordari, A., Halvani, G., & Barkhordari, M. (2013). The prevalence of low back pain among nurses in Yazd, Southeast Iran. International Journal
of Occupational Hygiene, 5(1), 19-22.
Bošković, K., Todorović-Tomašević, S., Naumović, N., Grajić, M., Knežević, A. (2009). Quality of life of conservatively treated patients with lumbar
radiculopathy. Military medical review, 66(10), 807-812.
Božić, A. (2017). Risk factors for the occurrence of lumbar syndrome in nurses – medical technicians. Doctoral dissertation. Novi Sad: University of
Novi Sad, Faculty of Medicine.
Carey, T. S., Garret, J. M. & Jackman, A. M. (2000). Beyond the Good Prognosis: Examination of an Inception Cohort of Patients with Chronic Low
Back Pain. Spine, 25(1), 115–120.
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for healthrelated
research. Public Health Reports, 100(2), 126–131.
Chou, R. & Huffman, L. H. (2007). Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain
Society/American College of Physicians clinical practice guideline. Annals of Internal Medicine, 147(7), 492-504.
Dionne, C. E., Dunn, K. M. & Croft, P. R. (2006). Does back pain prevalence really decrease with increasing age? A systematic review. Age and Ageing,
35(3), 229–334.
Franca, F. R., Burke, F. N., Caffaro, R. R., Ramos, L. A. & Marques, A. M. (2012). Effects of Muscular Stretching and Segmental Stabilization on
Functional Disability and Pain in Patients with Chronic Low Back Pain: A Randomized, Controlled Trial. Journal of Manipulative and Physiological
Therapeutics, 35(4), 279-285.
Freburger, J. K., Holmes, G. M., Agans, R. P., Jackman, A. M., Darter, J. D., Wallace, A. S. & Carey, T. S. (2009). The Rising Prevalence of Chronic
Low Back Pain. Archives of Internal Medicine, 169(3), 251-258.
Froberg, K. & Andersen, L. B. (2005). Mini review: Physical activity and fitness and its relations to cardiovascular diseases risk factors in children.
International Journal of Obesoty; 29(2), 34-39.
Hayden, J. A., van Tulder, M. W., Malmivaara, A. V. & Koes, B. W. (2005). Meta-analysis: exercise therapy for nonspecific low back pain. Annals of
Internal Medicine, 142(9), 765-775.
Henewer. H., States, F., Aufdemkampe, G., van Rijin, M., & Vanhees, L. (2011). Physical activity and low back pain: a systematic review of recent
literature. European Spine Journal, 20(6), 826-845.
Heuch I, Stange Foss I. (2013). Acute low back usually resolves quickly but persistent low back pain often persists. Jоurnal of Physiotherapy, 59(2):
127.
Hills, A. P., King, N. A. & Armstrong, T. P. (2007). The contribution of physical activity and sedentary behaviors to the growth and development of
children and adolescents: Implication for overwight and obesity. Sports Medicine, 37(6), 533-545.
Itz, C. J., Geurts, J. W., van Kleef, M. & Nelemans, P. (2013). Clinical course of non-specific low back pain: a systematic review of prospective cohort
studies set in primary care. European Journal of pain, 17(1), 5-15.
Jacob, T., Baras, M., Zeev, A. & Epstein, L. (2004). Physical Activities and Low Back Pain: A Community – Based Study. Medicine and Science in
Sports Exercise, 36(1), 9-15.
Jandrić, S. & Antić, B. (2006). Low back pain and degenerative disc disease. Medical review, 59(9-10), 456-461.
Lee, H J., Lim, W. H., Park, J. W., Kwon, B. S., Ryu, K. H., Lee, J. H., & Park, Y. G. (2012). The relationship between cross sectional area and strength
of back muscles in patients with chronic low back pain. Annals of Rehabilitation Medicine, 36(2), 173-181.
Lopez, A., Mathers, C., Ezzati M, Jamison, D. T. & Murray, C. J. L. (2006). Global burden of disease and risk factors. Washington (DC): The International
Bank for Reconstruction and Development/The World Bank; New York: Oxford University Press
Mačak-Hadžiomerović, A., Čustović-Hadžimuratović, A. i Mujezinović A. (2009). A guidebook to the prevention and treatment of lumbar pain syndrome.
University of Sarajevo: Institute for Scientific Research and Clinical Center Development.
Maher, C.G. (2004). Effective physical treatment for low back pain. Orthopedics Clinics in North America, 35(1),57–64.
Mailloux, J., Finno, M. & Rainville, J. (2006). Long-term exercise adherence in the elderly with chronic low back pain. American Journal of Physical
Medicine & Rehabilitation, 85(2), 120-126.
McGill, S. (2001). Low back stability: From formal description to issues for performance and rehabilitation. Exercise and Sport Science Reviews. 29
(1), 26–31.
McGill, S. (2007). Low back disorders: Evidence-based prevention and rehabilitation, 2nd edition. Human Kinetics, Champaign, Illinois.
McGill, S. (2009). Ultimate back fitness and performance, 4th edition. Wabuno Publishers, Backfitpro Inc., 292 Beechlawn Dr., Waterloo, Ontario,
Canada.
Meucci, R. D., Fassa, A. G., Paniz, V. M. V., Silva, M. C. & Wegman D. H. (2013). Increase of chronic low back pain prevalence in a medium-sized
city of southern Brazil. BioMed Central Musculoskeletal Disorders, 14, 155.
Middleton, K., & Fish, D. E. (2009). Lumbar spondylosis: clinical presentation and treatment approaches. Current Reviews in Musculoskeletal Medicine,
2(2), 94–104.
Must, A. & Tybor, D. J. (2005). Physical activity and sedentary behavior: A review of longitudinal studies of weight and adiposity in youth. International
Journal of Obesity, 29(2), 84-96.
Nachemson, A L. & Jonsson, E.J. (2000). Neck and Back Pain. The Scientific Evidence of Causes, Diagnoses and Treatment. Philadelphia: Lippincott,
241-304.
National Guide for General Practitioners (2004). Lumbar Syndrome. Belgrade: Faculty of Medicine of the University of Belgrade.
Nešić, M. (2016). Valorization of a questionnaire for the assessment of the quality of life of students. Teaching and education, 65(2), 329-343.
Nolet, P. S., Kristman, V. L., Côté, P., Carroll, L. J. & Cassidy, J. (2015). Is low back pain associated with worse health-related quality of life 6 months
later? European Spine Journal, 24(3), 458-466.
Picavet, H. S. J. & Schouten, J. S. A. G. (2000). Physical Load in Daily Life and Low Back Problems in the General Population-The MORGEN Study.
Preventive Medicine, 31, 506–512.
Popović, S. (2003). Assessment of work ability in the most common conditions affecting the locomotor system. U: Pavlović, M.Ž., & Vidaković, A.
(ur.). Assessment of work ability. Lazarevac: Elvod-print, 496-509.
Romanov, R., & Radak, M. (2013). Yoga exercises for lower back pain. Sense, 3, 124-135.
Sherman, K. J., Cherkin, D. C., Erro, J., Miglioretti, D. L. & Deyo, R. A. (2005). Comparing yoga, exercise, and a self-care book for chronic low back
pain: a randomized, controlled trial. Annals of Internal Medicine, 143(12), 849-856.
Silva, M. C., Fassa, A. G. & Valle, N. C. (2004). Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors.
Caderons de Saude Publica, 20(2), 377–385.
Sjolie, A. N. (2004). Assosiation between activities and low back pain in adolescents. Scandinavien Journal of Medicine and Science in Sports, 14(6),
352-359.
Teyhen, D. S., Rieger, J. L., Westrick, R. B., Miller, A. C., Molloy, J. M., Childs, J. D. (2008). Changes in deep abdominal muscle thickness during
common trunkstrengthening exercises using ultrasound imaging. Journal of Orthopaedic Sports and Physiacal Therapy,38(10), 596-605.
The WHOQOL Group (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine,
28, 551—558.
Thelin, A., Holmberg, S. & Thelin, N. (2008). Functioning in neck and low back pain from a 12-year perspective: a prospective population-based
study. Journal of Rehabiltation Medicine, 40(7), 555–561.
Van Middelkoop, M., Rubinstein, S. M., Kuijpers, T., Verhagen, A. P., Ostelo, R., Koes, B. W., & van Tulder, M. W. (2011). A systematic review on
the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. European Spine Journal, 20(1), 19–39.
Van Tulder, M. W., Koes, B. & Malmivaara, A. (2006). Outcome of non-invasive treatment modalities on back pain: an evidence-based review. European
Spine Journal, 15(1), S64-S81.
Veresciagina, K., Spakauskas, B., & Ambrozaitis, K. V. (2010). Clinical outcomes of patients with lumbar disc herniation, selected for one-level opendiscectomy
and microdiscectomy. European Spine Journal, 19(9), 1450–1458
Von Waldburg, T. & van Elegem, P. (2003). Etiologies of lumbago. Revue Médicale de Bruxelles, 28(20), 2331-2337.
Walker, B. F., Muller, R. & Grant, W. D. (2004). Low back pain in Australian adults: prevalence and associated disability. Journal of Manipulative and
Physiological Therapeutics, 27(4), 238–244.





