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Table 3 Associations of high low back pain intensity with weekly exercise time, daily sitting time, and mental health factors (anxiety and depression)

From: Association between chronic low back pain and regular exercise, sedentary behaviour and mental health before and during COVID-19 pandemic: insights from a large-scale cross-sectional study in Germany

High pain intensity

Overall (n = 3,478)

Men (n = 2,288)

Women (n = 1,190)

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

Regular exercise

  No exercise

Reference

Reference

Reference

Reference

Reference

Reference

  2–4 h/week

0.68 ***

(0.55, 0.85)

0.89

(0.69, 1.15)

0.69 **

(0.53, 0.90)

0.97

(0.71, 1.32)

0.63 *

(0.42, 0.94)

0.71

(0.44, 1.14)

  > 4 h/week

0.58 ***

(0.45, 0.74)

0.66 **

(0.49, 0.89)

0.67 **

(0.50, 0.90)

0.85

(0.59, 1.21)

0.41 ***

(0.25, 0.64)

0.37 ***

(0.21, 0.65)

Sitting

  Less than half of the day

Reference

Reference

Reference

Reference

Reference

Reference

  At least 3/4 of the day

0.90

(0.73, 1.10)

0.99

(0.80, 1.23)

0.94

(0.73, 1.22)

1.02

(0.77, 1.35)

0.84

(0.60, 1.17)

0.90

(0.62, 1.28)

  Almost all day

0.83

(0.66, 1.05)

0.96

(0.74, 1.23)

0.82

(0.61, 1.10)

0.94

(0.68, 1.29)

0.88

(0.59, 1.31)

1.01

(0.66, 1.55)

Mental health

  PHQ-4 sum score

1.36 *** (1.32, 1.41)

1.27 *** (1.22, 1.32)

1.39 *** (1.33, 1.45)

1.28 *** (1.22, 1.34)

1.32 *** (1.25, 1.40)

1.25 *** (1.18, 1.34)

  1. Model 1: Unadjusted model
  2. Model 2: Adjusted for age, sex, general health status, Charlson's comorbidity index, activity days per week, general physical activity duration, number of M diagnoses, number of F diagnoses, job status
  3. CI Confidence interval, CLBP Chronic lower back pain, OR Odds ratio
  4. +  < 0.1
  5. * < 0.05
  6. ** < 0.01
  7. *** < 0.001