Physical Activity Level as A risk Factor for Low Back Pain Among Young Adults in Depok City

Rhomlah Rhomlah; Kuntarti Kuntarti; Hening Pujasari; Tuti Afriani

doi:10.32419/jppni.v11i2.719

Physical Activity Level as A risk Factor for Low Back Pain Among Young Adults in Depok City

Rhomlah Rhomlah, Kuntarti Kuntarti, Hening Pujasari, Tuti Afriani

Abstract

Objective
To analyze the relationship between physical activity levels and low back pain (LBP) complaints among young adults in Beji District, Depok City, Indonesia.

Methods
A quantitative cross-sectional study was conducted involving 287 respondents aged 18–29 years. The villages were randomly selected, while respondents were recruited using a convenience sampling technique. Physical activity levelswere assessed using the Baecke Questionnaire, which evaluates work, sports, and leisure-time activities. LBP complaints were measured using the Nordic Body Map Questionnaire. Data were analyzed using the Chi-square.

Results
Most respondents demonstrated a moderate level of physical activity, mild pain was the most commonly reported complaint in the middle back/waist, lower back, and buttock regions, while severe pain was reported by only a small number of respondents. Physical activity level was not significantly associated with the severity of middle back/waist pain (OR = 2.106; p = 0.551). However, significant associations were found between physical activity level and lower back pain severity (OR = 21.572; p < 0.001) and buttock pain severity (OR = 42.058; p < 0.001).

Conclusion

Physical activity level was significantly associated with lower-back and buttock pain severity but not with middle back/waist pain severity. Moderate physical activity is associated with a reduced risk of lower back and buttock pain among young adults. Promoting regular physical activity and ergonomic practices may support musculoskeletal health and reduce the risk of LBP.

Keywords:

Low back pain, physical activity, young adults

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References

Adienugraha, A. (2022). Pengaruh aktivitas fisik terhadap keluhan low back pain pada mahasiswa Universitas YARSI Fakultas Kedokteran, Fakultas Teknologi Informatika, dan Fakultas Hukum serta tinjauannya menurut pandangan Islam [Undergraduate Thesis]. Fakultas Kedokteran, Universitas YARSI, Jakarta, Indonesia. Retrieved from https://digilib.yarsi.ac.id/12368

Alzahrani, H., Alshehri, M.A., Alzhrani, M., Alshehri, Y.S., & Al Attar, W.S.A. (2022). The association between sedentary behavior and low back pain in adults: A systematic review and meta-analysis of longitudinal studies. PeerJ, 10, 1–18. https://doi.org/10.7717/peerj.13127

Badan Kebijakan Pembangunan Kesehatan Kementerian Kesehatan Republik Indonesia. (2024). SKI 2023 dalam angka. Retrieved from https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/

Badan Pusat Statistik Kota Depok. (2025). Persentase Penduduk Berumur 15 Tahun Ke Atas yang Bekerja Selama Seminggu yang Lalu Menurut Status Pekerjaan Utama dan Jenis Kelamin di Kota Depok (Persen), 2023-2024. Retrieved from https://depokkota.bps.go.id/id/statistics-table/2/MTE5IzI=/persentase-penduduk-berumur-15-tahun-ke-atas-yang-bekerja-selama-seminggu-yang-lalu-menurut-status-pekerjaan-utama-dan-jenis-kelamin-di-kota-depok.html.

Baecke, J.A.H., Burema, J., & Frijters, J.E.R. (1982). A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American Journal of Clinical Nutrition, 36(5), 936–942. https://doi.org/10.1093/ajcn/36.5.936

Biruk, D., Eniyew, T.B., & Alelign, A.D. (2024). A systematic review of work-related musculoskeletal disorders and risk factors among computer users. Heliyon, 10(3), e25075. https://doi.org/10.1016/j.heliyon.2024.e2 5075

Bull, F.C., Al-Ansari, S.S., Biddle, S., Borodulin, K., Buman, M.P., Cardon, G., Willumsen, J.F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955.

Geneen, L.J., Moore, R.A., Clarke, C., Martin, D., Colvin, L.A., & Smith, B.H. (2017). Physical activity and exercise for chronic pain in adults: An overview of Cochrane reviews. Cochrane Database of Systematic Reviews, 2017(4), CD011279. https://doi.org/10.1002/14651858.CD011 279.pub3

Gobbo, S., Bullo, V., Bergamo, M., Duregon, F., Vendramin, B., Battista, F., Bergamin, M. (2019). Physical exercise is confirmed to reduce low back pain symptoms in office workers: A systematic review of the evidence to improve best practices in the workplace. Journal of Functional Morphology and Kinesiology, 4(3), 43. https://doi.org/10.3390/jfmk4030043

Gordon, R., & Bloxham, S. (2016). A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. Healthcare, 4(2), 1-19. https://doi.org/10.3390/healthcare4020022

Hartvigsen, J., Hancock, M.J., Kongsted, A., Louw, Q., Ferreira, M.L., Genevay, S., …, & Underwood, M. (2018). What low back pain is and why we need to pay attention. Lancet, 391(10137), 2356–2367. https://doi.org/10.1016/S01406736(18)30480-X

Kementerian Kesehatan Republik Indonesia. (2019). Laporan Provinsi Jawa Barat Riskesdas 2018. Jakarta, Indonesia: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.

Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., & Jørgensen, K. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18(3), 233–237. https://doi.org/10.1016/0003-6870(87)90010-x.

Lim, C.T., & Hong, J.G.C. (Eds.). (2010). 6th World Congress of Biomechanics (WCB 2010), 1–6 August 2010, Singapore: In conjunction with 14th International Conference on Biomedical Engineering (ICBME) and 5th Asia Pacific Conference on Biomechanics (APBiomech) (Vol. 31). New York, NY: Springer.

Murtezani, A., Ibraimi, Z., Sllamniku, S., Osmani, T., & Sherifi, S. (2011). Prevalence and risk factors for low back pain in industrial workers. Folia Medica, 53(3), 68–74. https://doi.org/10.2478/v10153-011-0060-3

Oliveira, C.B., Maher, C.G., Pinto, R.Z., Traeger, A.C., Lin, C.W.C., & Elkins, M.R. (2019). Physical activity as a prognostic factor of pain intensity and disability in patients with low back pain: A systematic review. European Journal of Pain, 23(4), 730–743. https://doi.org/10.1002/ejp.1395

Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (2016). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

Putri, D.J.A. (2023). Hubungan tingkat aktivitas fisik terhadap massa otot dan kekuatan genggam tangan pada penduduk dewasa di Daerah Istimewa Yogyakarta [Undergraduate Thesis]. Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia. Retrieved from https://etd.repository.ugm.ac.id/penelitian/detail/234039

Ramdan, I.M., Duma, K., & Setyowati, D.L. (2019). Reliability and validity test of the Indonesian version of the Nordic Musculoskeletal Questionnaire (NMQ) to measure musculoskeletal disorders (MSD) in traditional women weavers. Global Medical and Health Communication, 7(2), 123–130. https://doi.org/10.29313/gmhc.v7i2.4132

Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2010). The association between obesity and low back pain: A meta-analysis. American Journal of Epidemiology, 171(2), 135–154. https://doi.org/10.1093/aje/kwp356

Supeni, K., & Asmayuni, A. (2007). Kegemukan (overweight) pada perempuan umur 25–50 tahun (di Kota Padang Panjang Tahun 2007). Jurnal Kesehatan Masyarakat Andalas, 2(1), 111–115. https://doi.org/10.24893/jkma.v2i1.18

Utami, Y.W. (2024). Mengenal Low back pain (LBP). Retrieved from https://yankes.kemkes.go.id/view_artikel/ 3319/mengenal-low-back-pain-lbp

World Health Organization. (2023). Low Back Pain. Retrieved from https://www.who.int/news-room/fact-sheets/detail/low-back-pain

World Health Organization. (2024). Nearly 1.8 billion adults at risk of disease from not doing enough physical activity. Retrieved from https://www.who.int/news/item/26-06-2024-nearly-1.8-billion-adults-at-risk-of-disease-from-not-doing-enough-physical-activity?utm_source

Yuhasnara, S.M., Muslihah, N., & Fahmi, I. (2022). Perbedaan tingkat aktivitas fisik dan olahraga pada orang dewasa Indonesia berdasarkan sosio demografi selama masa pandemi COVID-19 [Undergraduate Thesis]. Program Studi Ilmu Gizi, Fakultas Ilmu Kesehatan, Universitas Brawijaya, Malang, Indonesia. Retrieved from http://repository.ub.ac.id/id/eprint/208957

DOI: http://dx.doi.org/10.32419/jppni.v11i2.719