Abdominal Fat is a Reliable Indicator of Lumbar Intervertebral Disc Degeneration than Body Mass Index

The objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration (IVDD) and to identify a new anthropometric index to predict the likelihood of developing LBP. Patients with chronic low back pain admitted to the...

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Published inWorld neurosurgery Vol. 182; pp. e171 - e177
Main Authors Wang, Minglang, Yuan, Hao, Lei, Fei, zhang, Shilin, Jiang, Lin, Yan, Jiyuan, Feng, Daxiong
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2024
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Abstract The objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration (IVDD) and to identify a new anthropometric index to predict the likelihood of developing LBP. Patients with chronic low back pain admitted to the Affiliated Hospital of Southwest Medical University from June 2022 to May 2023 were collected as the experimental group. Volunteers without LBP from June 2022 to May 2023 were also recruited as the control group. They underwent lumbar spine magnetic resonance imaging and had their body mass index (BMI) measured. Abdominal parameters were measured on T2-weighted median sagittal magnetic resonance imaging at the L3/4 level: abdominal diameter, sagittal abdominal diameter (SAD), and subcutaneous abdominal fat thickness (SAFT). Each lumbar IVDD was assessed using the Pfirrmann grading system. The differences in abdominal parameters and BMI between the experimental and control groups were compared, and the correlations between abdominal parameters, BMI, LBP, and IVDD were analyzed. Abdominal diameter, SAD, and SAFT had moderate-to-strong correlations with BMI. SAD was significantly associated with severe IVDD at L4-L5 and L5-S1 levels with odds ratio of 3.201 (95% confidence interval [CI]: 1.850–5.539, P < 0.001) and 1.596 (95% CI: 1.072–2.378, P = 0.021), respectively. BMI had no significant association with severe IVDD. In women, SAFT and BMI were significantly correlated with LBP; in men, only SAFT was significantly correlated with LBP. Appropriate cutoff values for men and women were 1.52 cm (area under the curve = 0.702, 95% CI: 0.615–0.789, P < 0.001) and 1.97 cm (area under the curve = 0.740, 95% CI: 0.662–0.818, P < 0.001), respectively. Men and women with SAFT of >1.52 cm and >1.97 cm, respectively, had significantly higher rates of LBP. SAD could predict severe IVDD better than BMI. SAFT is a better predictor of LBP than BMI, especially in men, and reliably distinguished patients with LBP from asymptomatic subjects with reliable cutoff values for men and women.
AbstractList The objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration (IVDD) and to identify a new anthropometric index to predict the likelihood of developing LBP. Patients with chronic low back pain admitted to the Affiliated Hospital of Southwest Medical University from June 2022 to May 2023 were collected as the experimental group. Volunteers without LBP from June 2022 to May 2023 were also recruited as the control group. They underwent lumbar spine magnetic resonance imaging and had their body mass index (BMI) measured. Abdominal parameters were measured on T2-weighted median sagittal magnetic resonance imaging at the L3/4 level: abdominal diameter, sagittal abdominal diameter (SAD), and subcutaneous abdominal fat thickness (SAFT). Each lumbar IVDD was assessed using the Pfirrmann grading system. The differences in abdominal parameters and BMI between the experimental and control groups were compared, and the correlations between abdominal parameters, BMI, LBP, and IVDD were analyzed. Abdominal diameter, SAD, and SAFT had moderate-to-strong correlations with BMI. SAD was significantly associated with severe IVDD at L4-L5 and L5-S1 levels with odds ratio of 3.201 (95% confidence interval [CI]: 1.850-5.539, P < 0.001) and 1.596 (95% CI: 1.072-2.378, P = 0.021), respectively. BMI had no significant association with severe IVDD. In women, SAFT and BMI were significantly correlated with LBP; in men, only SAFT was significantly correlated with LBP. Appropriate cutoff values for men and women were 1.52 cm (area under the curve = 0.702, 95% CI: 0.615-0.789, P < 0.001) and 1.97 cm (area under the curve = 0.740, 95% CI: 0.662-0.818, P < 0.001), respectively. Men and women with SAFT of >1.52 cm and >1.97 cm, respectively, had significantly higher rates of LBP. SAD could predict severe IVDD better than BMI. SAFT is a better predictor of LBP than BMI, especially in men, and reliably distinguished patients with LBP from asymptomatic subjects with reliable cutoff values for men and women.
The objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration (IVDD) and to identify a new anthropometric index to predict the likelihood of developing LBP.OBJECTIVEThe objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration (IVDD) and to identify a new anthropometric index to predict the likelihood of developing LBP.Patients with chronic low back pain admitted to the Affiliated Hospital of Southwest Medical University from June 2022 to May 2023 were collected as the experimental group. Volunteers without LBP from June 2022 to May 2023 were also recruited as the control group. They underwent lumbar spine magnetic resonance imaging and had their body mass index (BMI) measured. Abdominal parameters were measured on T2-weighted median sagittal magnetic resonance imaging at the L3/4 level: abdominal diameter, sagittal abdominal diameter (SAD), and subcutaneous abdominal fat thickness (SAFT). Each lumbar IVDD was assessed using the Pfirrmann grading system. The differences in abdominal parameters and BMI between the experimental and control groups were compared, and the correlations between abdominal parameters, BMI, LBP, and IVDD were analyzed.METHODSPatients with chronic low back pain admitted to the Affiliated Hospital of Southwest Medical University from June 2022 to May 2023 were collected as the experimental group. Volunteers without LBP from June 2022 to May 2023 were also recruited as the control group. They underwent lumbar spine magnetic resonance imaging and had their body mass index (BMI) measured. Abdominal parameters were measured on T2-weighted median sagittal magnetic resonance imaging at the L3/4 level: abdominal diameter, sagittal abdominal diameter (SAD), and subcutaneous abdominal fat thickness (SAFT). Each lumbar IVDD was assessed using the Pfirrmann grading system. The differences in abdominal parameters and BMI between the experimental and control groups were compared, and the correlations between abdominal parameters, BMI, LBP, and IVDD were analyzed.Abdominal diameter, SAD, and SAFT had moderate-to-strong correlations with BMI. SAD was significantly associated with severe IVDD at L4-L5 and L5-S1 levels with odds ratio of 3.201 (95% confidence interval [CI]: 1.850-5.539, P < 0.001) and 1.596 (95% CI: 1.072-2.378, P = 0.021), respectively. BMI had no significant association with severe IVDD. In women, SAFT and BMI were significantly correlated with LBP; in men, only SAFT was significantly correlated with LBP. Appropriate cutoff values for men and women were 1.52 cm (area under the curve = 0.702, 95% CI: 0.615-0.789, P < 0.001) and 1.97 cm (area under the curve = 0.740, 95% CI: 0.662-0.818, P < 0.001), respectively. Men and women with SAFT of >1.52 cm and >1.97 cm, respectively, had significantly higher rates of LBP.RESULTSAbdominal diameter, SAD, and SAFT had moderate-to-strong correlations with BMI. SAD was significantly associated with severe IVDD at L4-L5 and L5-S1 levels with odds ratio of 3.201 (95% confidence interval [CI]: 1.850-5.539, P < 0.001) and 1.596 (95% CI: 1.072-2.378, P = 0.021), respectively. BMI had no significant association with severe IVDD. In women, SAFT and BMI were significantly correlated with LBP; in men, only SAFT was significantly correlated with LBP. Appropriate cutoff values for men and women were 1.52 cm (area under the curve = 0.702, 95% CI: 0.615-0.789, P < 0.001) and 1.97 cm (area under the curve = 0.740, 95% CI: 0.662-0.818, P < 0.001), respectively. Men and women with SAFT of >1.52 cm and >1.97 cm, respectively, had significantly higher rates of LBP.SAD could predict severe IVDD better than BMI. SAFT is a better predictor of LBP than BMI, especially in men, and reliably distinguished patients with LBP from asymptomatic subjects with reliable cutoff values for men and women.CONCLUSIONSSAD could predict severe IVDD better than BMI. SAFT is a better predictor of LBP than BMI, especially in men, and reliably distinguished patients with LBP from asymptomatic subjects with reliable cutoff values for men and women.
Author Feng, Daxiong
Lei, Fei
Yuan, Hao
Jiang, Lin
Wang, Minglang
Yan, Jiyuan
zhang, Shilin
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  email: spinefdx@126.com
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/38000674$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1002/art.33462
10.3389/fendo.2023.1100874
10.1111/j.1467-789X.2010.00824.x
10.1371/journal.pmed.1003198
10.2337/dc10-0606
10.1155/2018/1965807
10.2106/JBJS.I.01568
10.3389/fendo.2021.740200
10.1016/j.jacc.2010.11.058
10.1136/bjsports-2018-099400
10.1038/s41584-021-00713-z
10.1002/acr.23710
10.1111/j.1365-2648.2012.05948.x
10.1186/s13075-017-1242-z
10.1038/oby.2009.309
10.1111/ner.12018
10.1371/journal.pone.0056244
10.1016/j.jocn.2021.10.005
10.1093/ajcn/51.6.953
10.1038/ejcn.2009.101
10.1111/dme.12532
10.1016/j.spinee.2021.04.005
10.1016/j.bodyim.2020.09.015
10.12965/jer.1836070.035
10.1007/s00330-022-08775-7
10.1136/bmjdrc-2021-002426
10.1093/ajcn/48.6.1351
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Keywords Obesity
Abdominal fat
AD
OR
MRI
Low back pain
CI
Intervertebral disc degeneration
AUC
IVDD
SAD
SAFT
LBP
BMI
Language English
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References Yim, Kim, Lim (bib10) 2010; 33
Francisco, Pino, González-Gay (bib28) 2022; 18
Gupta, Zhou, Manson, Watt (bib19) 2021; 21
Dai, Alsalhe, Chalghaf, Riccò, Bragazzi, Wu (bib17) 2020; 17
Hernandez, Younan, Mulligan (bib11) 2019; 8
Jacob, Rathmann, Koyanagi, Haro, Kostev (bib16) 2021; 9
Sicilia, Fuller-Tyszkiewicz, Rodgers (bib23) 2020; 35
Shiri, Falah-Hassani, Heliövaara (bib2) 2019; 71
Kvist, Chowdhury, Grangård, Tylén, Sjöström (bib21) 1988; 48
da Cruz Fernandes, Pinto, Ferreira, Lira (bib27) 2018; 14
Samartzis, Karppinen, Mok, Fong, Luk, Cheung (bib18) 2011; 93
Davenport, Marchand, Mottola (bib15) 2019; 53
Zhou, Mi, Peng, Han, Liu (bib3) 2021; 12
Wang, Liu, Zhang (bib8) 2014; 31
Coutinho, Goel, Corrêa de Sá (bib9) 2011; 57
Seidell, Bakker, van der Kooy (bib13) 1990; 51
Özcan-Ekşi, Turgut, Küçüksüleymanoğlu, Ekşi (bib20) 2021; 94
De Lucia Rolfe, Sleigh, Finucane (bib24) 2010; 18
Stevens, Katz, Huxley (bib26) 2010; 64
Manchikanti, Singh, Falco, Benyamin, Hirsch (bib1) 2014; 17
Samartzis, Karppinen, Chan, Luk, Cheung (bib7) 2012; 64
Citko, Górski, Marcinowicz, Górska (bib25) 2018; 2018
Takatalo, Karppinen, Taimela (bib6) 2013; 8
Anthony, Baggott, Tanner (bib22) 2012; 68
Berikol, Ekşi, Aydın, Börekci, Özcan-Ekşi (bib12) 2022; 32
Jin, Xing, Xiao (bib4) 2023; 14
Hussain, Urquhart, Wang (bib5) 2017; 19
Hu, Nayak, Goran (bib14) 2011; 12
Takatalo (10.1016/j.wneu.2023.11.066_bib6) 2013; 8
Sicilia (10.1016/j.wneu.2023.11.066_bib23) 2020; 35
Anthony (10.1016/j.wneu.2023.11.066_bib22) 2012; 68
Jacob (10.1016/j.wneu.2023.11.066_bib16) 2021; 9
Jin (10.1016/j.wneu.2023.11.066_bib4) 2023; 14
Özcan-Ekşi (10.1016/j.wneu.2023.11.066_bib20) 2021; 94
Shiri (10.1016/j.wneu.2023.11.066_bib2) 2019; 71
Hernandez (10.1016/j.wneu.2023.11.066_bib11) 2019; 8
Yim (10.1016/j.wneu.2023.11.066_bib10) 2010; 33
Hussain (10.1016/j.wneu.2023.11.066_bib5) 2017; 19
Davenport (10.1016/j.wneu.2023.11.066_bib15) 2019; 53
Dai (10.1016/j.wneu.2023.11.066_bib17) 2020; 17
De Lucia Rolfe (10.1016/j.wneu.2023.11.066_bib24) 2010; 18
Kvist (10.1016/j.wneu.2023.11.066_bib21) 1988; 48
Manchikanti (10.1016/j.wneu.2023.11.066_bib1) 2014; 17
Francisco (10.1016/j.wneu.2023.11.066_bib28) 2022; 18
Seidell (10.1016/j.wneu.2023.11.066_bib13) 1990; 51
Stevens (10.1016/j.wneu.2023.11.066_bib26) 2010; 64
Zhou (10.1016/j.wneu.2023.11.066_bib3) 2021; 12
Hu (10.1016/j.wneu.2023.11.066_bib14) 2011; 12
Gupta (10.1016/j.wneu.2023.11.066_bib19) 2021; 21
Samartzis (10.1016/j.wneu.2023.11.066_bib18) 2011; 93
da Cruz Fernandes (10.1016/j.wneu.2023.11.066_bib27) 2018; 14
Coutinho (10.1016/j.wneu.2023.11.066_bib9) 2011; 57
Samartzis (10.1016/j.wneu.2023.11.066_bib7) 2012; 64
Wang (10.1016/j.wneu.2023.11.066_bib8) 2014; 31
Berikol (10.1016/j.wneu.2023.11.066_bib12) 2022; 32
Citko (10.1016/j.wneu.2023.11.066_bib25) 2018; 2018
References_xml – volume: 21
  start-page: 1711
  year: 2021
  end-page: 1717
  ident: bib19
  article-title: Radiographic spine adipose index: an independent risk factor for deep surgical site infection after posterior instrumented lumbar fusion
  publication-title: Spine J
– volume: 64
  start-page: 6
  year: 2010
  end-page: 15
  ident: bib26
  article-title: Associations between gender, age and waist circumference
  publication-title: Eur J Clin Nutr
– volume: 17
  start-page: 3
  year: 2014
  end-page: 10
  ident: bib1
  article-title: Epidemiology of low back pain in adults
  publication-title: Neuromodulation
– volume: 51
  start-page: 953
  year: 1990
  end-page: 957
  ident: bib13
  article-title: Imaging techniques for measuring adipose-tissue distribution--a comparison between computed tomography and 1.5-T magnetic resonance
  publication-title: Am J Clin Nutr
– volume: 18
  start-page: 625
  year: 2010
  end-page: 631
  ident: bib24
  article-title: Ultrasound measurements of visceral and subcutaneous abdominal thickness to predict abdominal adiposity among older men and women
  publication-title: Obesity
– volume: 18
  start-page: 47
  year: 2022
  end-page: 60
  ident: bib28
  article-title: A new immunometabolic perspective of intervertebral disc degeneration
  publication-title: Nat Rev Rheumatol
– volume: 68
  start-page: 2496
  year: 2012
  end-page: 2503
  ident: bib22
  article-title: Health, lifestyle, belief and knowledge differences between two ethnic groups with specific reference to tobacco, diet and physical activity
  publication-title: J Adv Nurs
– volume: 35
  start-page: 288
  year: 2020
  end-page: 299
  ident: bib23
  article-title: Cross-country measurement invariance and effects of sociodemographic factors on body weight and shape concern-related constructs in eight countries
  publication-title: Body Image
– volume: 8
  year: 2019
  ident: bib11
  article-title: Correlation between subcutaneous fat measurements in knee MRI and BMI: relationship to obesity and related co-morbidities
  publication-title: Acta Radiol Open
– volume: 53
  start-page: 90
  year: 2019
  end-page: 98
  ident: bib15
  article-title: Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis
  publication-title: Br J Sports Med
– volume: 12
  year: 2021
  ident: bib3
  article-title: Causal associations of obesity with the intervertebral degeneration, low back pain, and sciatica: a two-sample mendelian randomization study
  publication-title: Front Endocrinol
– volume: 71
  start-page: 290
  year: 2019
  end-page: 299
  ident: bib2
  article-title: Risk factors for low back pain: a population-based longitudinal study
  publication-title: Arthritis Care Res
– volume: 8
  year: 2013
  ident: bib6
  article-title: Association of abdominal obesity with lumbar disc degeneration--a magnetic resonance imaging study
  publication-title: PLoS One
– volume: 64
  start-page: 1488
  year: 2012
  end-page: 1496
  ident: bib7
  article-title: The association of lumbar intervertebral disc degeneration on magnetic resonance imaging with body mass index in overweight and obese adults: a population-based study
  publication-title: Arthritis Rheum
– volume: 57
  start-page: 1877
  year: 2011
  end-page: 1886
  ident: bib9
  article-title: Central obesity and survival in subjects with coronary artery disease: a systematic review of the literature and collaborative analysis with individual subject data
  publication-title: J Am Coll Cardiol
– volume: 17
  year: 2020
  ident: bib17
  article-title: The global burden of disease attributable to high body mass index in 195 countries and territories, 1990-2017: an analysis of the Global Burden of Disease Study
  publication-title: PLoS Med
– volume: 33
  start-page: 2665
  year: 2010
  end-page: 2670
  ident: bib10
  article-title: Sagittal abdominal diameter is a strong anthropometric measure of visceral adipose tissue in the Asian general population
  publication-title: Diabetes Care
– volume: 32
  start-page: 6504
  year: 2022
  end-page: 6513
  ident: bib12
  article-title: Subcutaneous fat index: a reliable tool for lumbar spine studies
  publication-title: Eur Radiol
– volume: 94
  start-page: 120
  year: 2021
  end-page: 127
  ident: bib20
  article-title: Obesity could be associated with poor paraspinal muscle quality at upper lumbar levels and degenerated spine at lower lumbar levels: is this a domino effect?
  publication-title: J Clin Neurosci
– volume: 14
  year: 2023
  ident: bib4
  article-title: Diabetes and intervertebral disc degeneration: a Mendelian randomization study
  publication-title: Front Endocrinol
– volume: 48
  start-page: 1351
  year: 1988
  end-page: 1361
  ident: bib21
  article-title: Total and visceral adipose-tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations
  publication-title: Am J Clin Nutr
– volume: 12
  start-page: e504
  year: 2011
  end-page: e515
  ident: bib14
  article-title: Assessment of abdominal adipose tissue and organ fat content by magnetic resonance imaging
  publication-title: Obes Rev
– volume: 2018
  year: 2018
  ident: bib25
  article-title: Sedentary lifestyle and nonspecific low back pain in medical personnel in north-east Poland
  publication-title: BioMed Res Int
– volume: 31
  start-page: 1368
  year: 2014
  end-page: 1377
  ident: bib8
  article-title: Obesity index and the risk of diabetes among Chinese women with prior gestational diabetes
  publication-title: Diabet Med
– volume: 19
  start-page: 26
  year: 2017
  ident: bib5
  article-title: Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study
  publication-title: Arthritis Res Ther
– volume: 14
  start-page: 168
  year: 2018
  end-page: 174
  ident: bib27
  article-title: Low back pain, obesity, and inflammatory markers: exercise as potential treatment
  publication-title: J Exerc Rehabil
– volume: 93
  start-page: 662
  year: 2011
  end-page: 670
  ident: bib18
  article-title: A population-based study of juvenile disc degeneration and its association with overweight and obesity, low back pain, and diminished functional status
  publication-title: J Bone Jt Surg Am Vol
– volume: 9
  start-page: e002426
  year: 2021
  ident: bib16
  article-title: Association between type 2 diabetes and chronic low back pain in general practices in Germany
  publication-title: BMJ Open Diabetes Res Care
– volume: 64
  start-page: 1488
  year: 2012
  ident: 10.1016/j.wneu.2023.11.066_bib7
  article-title: The association of lumbar intervertebral disc degeneration on magnetic resonance imaging with body mass index in overweight and obese adults: a population-based study
  publication-title: Arthritis Rheum
  doi: 10.1002/art.33462
– volume: 14
  year: 2023
  ident: 10.1016/j.wneu.2023.11.066_bib4
  article-title: Diabetes and intervertebral disc degeneration: a Mendelian randomization study
  publication-title: Front Endocrinol
  doi: 10.3389/fendo.2023.1100874
– volume: 12
  start-page: e504
  year: 2011
  ident: 10.1016/j.wneu.2023.11.066_bib14
  article-title: Assessment of abdominal adipose tissue and organ fat content by magnetic resonance imaging
  publication-title: Obes Rev
  doi: 10.1111/j.1467-789X.2010.00824.x
– volume: 17
  year: 2020
  ident: 10.1016/j.wneu.2023.11.066_bib17
  article-title: The global burden of disease attributable to high body mass index in 195 countries and territories, 1990-2017: an analysis of the Global Burden of Disease Study
  publication-title: PLoS Med
  doi: 10.1371/journal.pmed.1003198
– volume: 33
  start-page: 2665
  year: 2010
  ident: 10.1016/j.wneu.2023.11.066_bib10
  article-title: Sagittal abdominal diameter is a strong anthropometric measure of visceral adipose tissue in the Asian general population
  publication-title: Diabetes Care
  doi: 10.2337/dc10-0606
– volume: 2018
  year: 2018
  ident: 10.1016/j.wneu.2023.11.066_bib25
  article-title: Sedentary lifestyle and nonspecific low back pain in medical personnel in north-east Poland
  publication-title: BioMed Res Int
  doi: 10.1155/2018/1965807
– volume: 93
  start-page: 662
  year: 2011
  ident: 10.1016/j.wneu.2023.11.066_bib18
  article-title: A population-based study of juvenile disc degeneration and its association with overweight and obesity, low back pain, and diminished functional status
  publication-title: J Bone Jt Surg Am Vol
  doi: 10.2106/JBJS.I.01568
– volume: 12
  year: 2021
  ident: 10.1016/j.wneu.2023.11.066_bib3
  article-title: Causal associations of obesity with the intervertebral degeneration, low back pain, and sciatica: a two-sample mendelian randomization study
  publication-title: Front Endocrinol
  doi: 10.3389/fendo.2021.740200
– volume: 57
  start-page: 1877
  year: 2011
  ident: 10.1016/j.wneu.2023.11.066_bib9
  article-title: Central obesity and survival in subjects with coronary artery disease: a systematic review of the literature and collaborative analysis with individual subject data
  publication-title: J Am Coll Cardiol
  doi: 10.1016/j.jacc.2010.11.058
– volume: 53
  start-page: 90
  year: 2019
  ident: 10.1016/j.wneu.2023.11.066_bib15
  article-title: Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis
  publication-title: Br J Sports Med
  doi: 10.1136/bjsports-2018-099400
– volume: 18
  start-page: 47
  year: 2022
  ident: 10.1016/j.wneu.2023.11.066_bib28
  article-title: A new immunometabolic perspective of intervertebral disc degeneration
  publication-title: Nat Rev Rheumatol
  doi: 10.1038/s41584-021-00713-z
– volume: 71
  start-page: 290
  year: 2019
  ident: 10.1016/j.wneu.2023.11.066_bib2
  article-title: Risk factors for low back pain: a population-based longitudinal study
  publication-title: Arthritis Care Res
  doi: 10.1002/acr.23710
– volume: 68
  start-page: 2496
  year: 2012
  ident: 10.1016/j.wneu.2023.11.066_bib22
  article-title: Health, lifestyle, belief and knowledge differences between two ethnic groups with specific reference to tobacco, diet and physical activity
  publication-title: J Adv Nurs
  doi: 10.1111/j.1365-2648.2012.05948.x
– volume: 19
  start-page: 26
  year: 2017
  ident: 10.1016/j.wneu.2023.11.066_bib5
  article-title: Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study
  publication-title: Arthritis Res Ther
  doi: 10.1186/s13075-017-1242-z
– volume: 18
  start-page: 625
  year: 2010
  ident: 10.1016/j.wneu.2023.11.066_bib24
  article-title: Ultrasound measurements of visceral and subcutaneous abdominal thickness to predict abdominal adiposity among older men and women
  publication-title: Obesity
  doi: 10.1038/oby.2009.309
– volume: 8
  year: 2019
  ident: 10.1016/j.wneu.2023.11.066_bib11
  article-title: Correlation between subcutaneous fat measurements in knee MRI and BMI: relationship to obesity and related co-morbidities
  publication-title: Acta Radiol Open
– volume: 17
  start-page: 3
  issue: Suppl 2
  year: 2014
  ident: 10.1016/j.wneu.2023.11.066_bib1
  article-title: Epidemiology of low back pain in adults
  publication-title: Neuromodulation
  doi: 10.1111/ner.12018
– volume: 8
  year: 2013
  ident: 10.1016/j.wneu.2023.11.066_bib6
  article-title: Association of abdominal obesity with lumbar disc degeneration--a magnetic resonance imaging study
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0056244
– volume: 94
  start-page: 120
  year: 2021
  ident: 10.1016/j.wneu.2023.11.066_bib20
  article-title: Obesity could be associated with poor paraspinal muscle quality at upper lumbar levels and degenerated spine at lower lumbar levels: is this a domino effect?
  publication-title: J Clin Neurosci
  doi: 10.1016/j.jocn.2021.10.005
– volume: 51
  start-page: 953
  year: 1990
  ident: 10.1016/j.wneu.2023.11.066_bib13
  article-title: Imaging techniques for measuring adipose-tissue distribution--a comparison between computed tomography and 1.5-T magnetic resonance
  publication-title: Am J Clin Nutr
  doi: 10.1093/ajcn/51.6.953
– volume: 64
  start-page: 6
  year: 2010
  ident: 10.1016/j.wneu.2023.11.066_bib26
  article-title: Associations between gender, age and waist circumference
  publication-title: Eur J Clin Nutr
  doi: 10.1038/ejcn.2009.101
– volume: 31
  start-page: 1368
  year: 2014
  ident: 10.1016/j.wneu.2023.11.066_bib8
  article-title: Obesity index and the risk of diabetes among Chinese women with prior gestational diabetes
  publication-title: Diabet Med
  doi: 10.1111/dme.12532
– volume: 21
  start-page: 1711
  year: 2021
  ident: 10.1016/j.wneu.2023.11.066_bib19
  article-title: Radiographic spine adipose index: an independent risk factor for deep surgical site infection after posterior instrumented lumbar fusion
  publication-title: Spine J
  doi: 10.1016/j.spinee.2021.04.005
– volume: 35
  start-page: 288
  year: 2020
  ident: 10.1016/j.wneu.2023.11.066_bib23
  article-title: Cross-country measurement invariance and effects of sociodemographic factors on body weight and shape concern-related constructs in eight countries
  publication-title: Body Image
  doi: 10.1016/j.bodyim.2020.09.015
– volume: 14
  start-page: 168
  year: 2018
  ident: 10.1016/j.wneu.2023.11.066_bib27
  article-title: Low back pain, obesity, and inflammatory markers: exercise as potential treatment
  publication-title: J Exerc Rehabil
  doi: 10.12965/jer.1836070.035
– volume: 32
  start-page: 6504
  year: 2022
  ident: 10.1016/j.wneu.2023.11.066_bib12
  article-title: Subcutaneous fat index: a reliable tool for lumbar spine studies
  publication-title: Eur Radiol
  doi: 10.1007/s00330-022-08775-7
– volume: 9
  start-page: e002426
  year: 2021
  ident: 10.1016/j.wneu.2023.11.066_bib16
  article-title: Association between type 2 diabetes and chronic low back pain in general practices in Germany
  publication-title: BMJ Open Diabetes Res Care
  doi: 10.1136/bmjdrc-2021-002426
– volume: 48
  start-page: 1351
  year: 1988
  ident: 10.1016/j.wneu.2023.11.066_bib21
  article-title: Total and visceral adipose-tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations
  publication-title: Am J Clin Nutr
  doi: 10.1093/ajcn/48.6.1351
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Snippet The objective of this study was to determine whether abdominal fat status correlates with low back pain (LBP) and lumbar intervertebral disc degeneration...
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SubjectTerms Abdominal fat
Intervertebral disc degeneration
Low back pain
Obesity
Title Abdominal Fat is a Reliable Indicator of Lumbar Intervertebral Disc Degeneration than Body Mass Index
URI https://www.clinicalkey.com/#!/content/1-s2.0-S1878875023016303
https://dx.doi.org/10.1016/j.wneu.2023.11.066
https://www.ncbi.nlm.nih.gov/pubmed/38000674
https://www.proquest.com/docview/2893837873
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