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Large Brazilian Survey Links Chronic Back Pain to Higher Rates of Heart Disease, Arthritis and Depression

The population study urges clinicians to consider comorbidities in back pain care.

Overview

  • Researchers analyzed nearly 90,000 adults from Brazil’s 2019 National Health Survey, finding about one in five reported chronic back pain.
  • People with 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 than those without back pain.
  • Diabetes, cancer, asthma and other lung diseases were also more prevalent among respondents with chronic back pain.
  • Multimorbidity correlated with greater disability, with adults who had both back pain and arthritis more than twice as likely to report serious limits on everyday activities.
  • The cross-sectional design does not establish causation, and authors call for integrated, interdisciplinary care and further research into shared risk factors and mechanisms.