Lumbar disc degeneration and genetic factors are the main risk factors for low back pain in women: the UK Twin Spine Study

Gregory Livshits, Maria Popham, Ida Malkin, Philip N. Sambrook, Alex J. MacGregor, Timothy Spector, Frances M. K. Williams

Research output: Contribution to journalArticlepeer-review

351 Citations (Scopus)

Abstract

Objective Low back pain (LBP) is a common musculoskeletal disorder, but it is still unclear which individuals develop it. The authors examined the contribution of genetic factors, lumbar disc degeneration (LDD) and other risk factors in a female sample of the general population. Material and Methods A cross-sectional study was conducted among 2256 women (371 and 698 monozygotic and dizygotic twin pairs and 29 sibling pairs and 60 singletons) with a mean age of 50 years (18-84). A self-reported validated questionnaire was used to collect back pain data. Risk factors including body weight, smoking, occupation, physical exercise and MRI assessed LDD were measured. Data analysis included logistic regression and variance decomposition. Results The major factors associated with LBP included genetic background, with OR approximately 6 if the monozygotic co-twin had LBP, or 2.2 if she was a dizygotic co-twin. In addition, LDD and overweight were highly significantly (p
Original languageEnglish
Pages (from-to)1740 - 1745
Number of pages6
JournalAnnals of the Rheumatic Diseases
Volume70
Issue number10
DOIs
Publication statusPublished - 2011

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