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Chronic Back Pain Linked to Higher Rates of Heart Disease, Arthritis and Depression, Large Brazil Study Finds

Based on Brazil’s 2019 national health survey of nearly 90,000 adults, the cross-sectional analysis reports associations rather than proof of causation.

Overview

  • About one in five adults reported chronic back pain, a prevalence comparable to higher-income countries.
  • Compared with people without back pain, those reporting chronic back pain were 17% more likely to report cardiovascular disease, 15% more likely to report arthritis, and 12% more likely to report clinical depression.
  • Diabetes, cancer, asthma and other lung diseases were also more common among respondents with chronic back pain.
  • Combinations of back pain with other conditions were tied to greater activity limits, with back pain plus arthritis more than doubling the odds of serious daily restrictions.
  • Researchers recommend integrated, interdisciplinary care that screens for coexisting conditions, noting shared risk factors such as physical inactivity, obesity, stress and poor sleep.