The Relationship Between Body Mass Index and Sitting Duration with the Level of Low Back Pain Among Employees at Pamulang University, South Tangerang City

Akhsan; Lilis Heri Mis Cicih; Titi Indriyati

doi:10.55227/ijhet.v4i4.448

Authors

Akhsan Mohammad Husni Thamrin University
Lilis Heri Mis Cicih
Titi Indriyati

DOI:

https://doi.org/10.55227/ijhet.v4i4.448

Keywords:

Body Mass Index, Sitting Duration, Low Back Pain, Ergonomics, University Employees

Abstract

Low Back Pain (LBP) is one of the most prevalent musculoskeletal disorders among working-age adults and remains a leading cause of disability worldwide. This study aimed to analyze the relationship between Body Mass Index (BMI) and sitting duration with the incidence of Low Back Pain (LBP) among employees at Pamulang University. A cross-sectional design was employed with a population of all administrative employees. Samples were selected through purposive sampling, yielding 227 respondents. Data on LBP were collected using the Oswestry Disability Index (ODI). Data were analyzed using univariate, bivariate (Chi-square), and multivariate (multiple logistic regression) tests. Results showed that the prevalence of severe LBP was 47.1%. Bivariate analysis showed significant associations between BMI (p<0.001) and sitting duration (p<0.001) with LBP occurrence. Multivariate analysis indicated that BMI ≥23 kg/m² (OR=3.301; 95% CI: 1.788–6.094) and sitting more than 6 hours per day (OR=6.064; 95% CI: 3.289–11.181) were dominant risk factors for LBP (Nagelkerke R²=0.275). In conclusion, BMI and sitting duration are significant independent risk factors for LBP. Institutions should enhance workplace ergonomics programs by providing proper facilities and promoting healthy lifestyle habits to maintain optimal body weight.

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References

Andersson, G. B. (2020). Epidemiological features of chronic low-back pain. The Lancet, 354(9178), 581-585.

Cheng, M., Xue, Y., Cui, M., Zeng, X., Yang, C., Ding, F., & Xie, L. (2025). Global, Regional, and National Burden of Low Back Pain: Findings From the Global Burden of Disease Study 2021. Spine, 50(7), E128–E139.

Delitto, A., George, S. Z., Van Dillen, L. R., Whitman, J. M., Sowa, G., Shekelle, P., ... & Orthopaedic Section of the American Physical Therapy Association. (2022). Low back pain. The Journal of Orthopaedic and Sports Physical Therapy, 42(4), 1-10.

El-Hady, A. O., El Molla, S. S., Elwan, S. I., & Ibrahim, R. A. (2023). Evaluation of health related quality of life with the use of Oswestry disability index in degenerative discogenic low back pain. Egyptian Rheumatology and Rehabilitation, 50(1), 1-8.

Fairbank, J. C. T., & Pynsent, P. B. (2000). The Oswestry Disability Index. Spine, 25(22), 2940–2952.

Farley, T., Stokke, J., Goyal, K., & DeMicco, R. (2024). Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment. Life, 14(7), 1-15.

Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., ... & Lancet Low Back Pain Series Working Group. (2018). What Low Back Pain is and Why We Need to Pay Attention. The Lancet, 391(10137), 2356–2367.

Huang, Y., Li, C., Chen, J., Jiang, Y., Yang, Y., Yang, J., ... & He, B. (2023). Multidimensional risk factor analysis of acute low back pain progressing to chronicity: a longitudinal cohort study protocol. Frontiers in Medicine, 10(June), 1–7.

Jiang, X., Tang, L., Zhang, Y., Bai, Y., Luo, H., Wang, R., ... & Wang, X. (2024). Does sedentary time and physical activity predict chronic back pain and morphological brain changes? A UK biobank cohort study. BMC Public Health, 24(1), 1-12.

Kemenkes. (2021). Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. Kementerian Kesehatan Republik Indonesia, 1–85.

Koivunen, K., Widbom-Kolhanen, S., Pernaa, K., Arokoski, J., & Saltychev, M. (2024). Reliability and validity of Oswestry Disability Index among patients undergoing lumbar spinal surgery. BMC Surgery, 24(1), 1–8.

Setiawan, B., & Sutinah, R. (2022). Penurunan berat badan dan pengaruhnya terhadap nyeri punggung bawah. Jurnal Rehabilitasi Medik, 10(1), 67-75.

Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2018). The association between obesity and low back pain: a meta-analysis. American Journal of Epidemiology, 171(2), 135-154.

Sutinah, R., & Hidayati, N. (2021). Obesitas dan nyeri punggung bawah pada pekerja kantor. Jurnal Ergonomi dan Kesehatan Kerja, 9(2), 89-95.

Wallwork, S. B., Braithwaite, F. A., O'Keeffe, M., Travers, M. J., Summers, S. J., Lange, B., ... & Moseley, G. L. (2024). The clinical course of acute, subacute and persistent low back pain: a systematic review and meta-analysis. Canadian Medical Association Journal, 196(2), E29–E46.

Wu, A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., ... & Buchbinder, R. (2020). Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Annals of Translational Medicine, 8(6), 1-12.