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Table 5 Sensitivity analysis: Associations of CLBP pain intensity and disability in the pre-pandemic vs. pandemic group of invited participants only

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

Disability model

Pre-pandemic group (n = 1,411)

Pandemic group (n = 1,267)

Moderate disability OR (95% CI)

High disability OR (95% CI)

Moderate disability OR (95% CI)

High disability OR (95% CI)

Regular exercise

  No exercise

Reference

Reference

Reference

Reference

  2–4 h/week

1.27

(0.79, 2.06)

0.98

(0.60, 1.59)

0.64

(0.36, 1.13)

0.42 *

(0.20, 0.86)

  > 4 h/week

0.77

(0.44, 1.35)

0.66

(0.37, 1.18)

0.39 **

(0.20, 0.76)

0.30 **

(0.13, 0.68)

Sitting

  Less than half of the day

Reference

Reference

Reference

Reference

  At least 3/4 of the day

0.93

(0.61, 1.41)

0.85

(0.55, 1.32)

1.16

(0.77, 1.74)

0.63 + 

(0.37, 1.07)

  Almost all day

0.71

(0.42, 1.17)

0.72

(0.43, 1.22)

0.99

(0.62, 1.58)

0.74

(0.40, 1.35)

Mental health

  PHQ-4 sum score

1.12 **

(1.03, 1.22)

1.44 ***

(1.33, 1.56)

1.33 ***

(1.22, 1.44)

1.67 ***

(1.52, 1.84)

Pain intensity model

Low intensity

(base outcome)

High intensity

OR (95% CI)

Low intensity

(base outcome)

High intensity

OR (95% CI)

Regular exercise

  No exercise

 

Reference

 

Reference

  2–4 h/week

 

1.07

(0.74, 1.55)

 

0.93

(0.55, 1.56)

  > 4 h/week

 

0.69

(0.44, 1.07)

 

0.77

(0.42, 1.40)

Sitting

  Less than half of the day

 

Reference

 

Reference

  At least 3/4 of the day

 

1.00

(0.71, 1.40)

 

0.99

(0.69, 1.43)

  Almost all day

 

0.92

(0.61, 1.38)

 

0.91

(0.59, 1.39

Mental health

  PHQ-4 sum score

 

1.24 ***

(1.18, 1.32)

 

1.36 ***

(1.27, 1.46)

  1. Disability: Adjusted disability model stratified into pre-pandemic vs. pandemic groups with enrolment by invitation only
  2. Intensity: Adjusted intensity model stratified into pre-pandemic vs. pandemic groups with enrolment by invitation only
  3. CI confidence interval, CLBP chronic lower back pain, OR odds ratio
  4. +  < 0.1
  5. * < 0.05
  6. ** < 0.01
  7. *** < 0.001