The long-term effects of physical loading and exercise lifestyles on back- related symptoms, disability, and spinal pathology among men

T. Videman, S. Sarna, M. C. Battie, S. Koskinen, K. Gill, H. Paananen, L. Gibbons

Research output: Contribution to journalArticle

213 Citations (Scopus)

Abstract

Study Design. Historical cohort, including selected subgroups. Objectives. To understand the long-term effects of exercise on back-related outcomes, back pain, sciatica, back-related hospitalizations, pensions, and magnetic resonance imaging findings were studied among former elite athletes. Summary of Background Data. Exercise and sports participation have become increasingly popular, as have recommendations of exercises for back problems, but little is known about their long-term effects. Methods. Questionnaires were returned by 937 former elite athletes and 620 control subjects 983% response rate). Identification codes allowed record linkage to hospital discharge and pension registers. Magnetic resonance images were obtained of selected subgroups with contrasting physical loading patterns. Results. Odds ratios for back pain were lower among athletes than among control subjects, with significant differences in endurance, sprinting and game sports, and wrestling and boxing. No differences in the occurrence of sciatica or in back-related pensions and hospitalizations were seen. When comparing lumbar magnetic resonance images of 24 runners, 26 soccer players, 19 weight lifters, and 25 shooters, disc degeneration and bulging were most common among weight lifters; soccer players had similar changes in the L4-S1 discs. No significant differences were seen in the magnetic resonance images of runners and shooters. Conclusions. Maximal weight lifting was associated with greater degeneration throughout the entire lumbar spine, and soccer with degeneration in the lower lumbar region. No signs of accelerated disc degeneration were found in competitive runners. However, back pain was less common among athletes than control subjects and there were no significant differences in hospitalizations or pensions. No benefits were shown for vigorous exercise compared with lighter exercise with respect to back findings.

Original languageEnglish (US)
Pages (from-to)699-709
Number of pages11
JournalSpine
Volume20
Issue number6
StatePublished - 1995

Fingerprint

Pensions
Life Style
Athletes
Soccer
Exercise
Pathology
Intervertebral Disc Degeneration
Sciatica
Hospitalization
Magnetic Resonance Spectroscopy
Back Pain
Sports
Weight Lifting
Wrestling
Boxing
Weights and Measures
Lumbosacral Region
Low Back Pain
Spine
Odds Ratio

Keywords

  • athletes
  • back pain
  • disc degeneration
  • exercise
  • hospitalization
  • lumbar spine
  • magnetic resonance imaging
  • physical loading
  • running
  • sciatica
  • shooting
  • soccer
  • weight lifting

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Videman, T., Sarna, S., Battie, M. C., Koskinen, S., Gill, K., Paananen, H., & Gibbons, L. (1995). The long-term effects of physical loading and exercise lifestyles on back- related symptoms, disability, and spinal pathology among men. Spine, 20(6), 699-709.

The long-term effects of physical loading and exercise lifestyles on back- related symptoms, disability, and spinal pathology among men. / Videman, T.; Sarna, S.; Battie, M. C.; Koskinen, S.; Gill, K.; Paananen, H.; Gibbons, L.

In: Spine, Vol. 20, No. 6, 1995, p. 699-709.

Research output: Contribution to journalArticle

Videman, T, Sarna, S, Battie, MC, Koskinen, S, Gill, K, Paananen, H & Gibbons, L 1995, 'The long-term effects of physical loading and exercise lifestyles on back- related symptoms, disability, and spinal pathology among men', Spine, vol. 20, no. 6, pp. 699-709.
Videman, T. ; Sarna, S. ; Battie, M. C. ; Koskinen, S. ; Gill, K. ; Paananen, H. ; Gibbons, L. / The long-term effects of physical loading and exercise lifestyles on back- related symptoms, disability, and spinal pathology among men. In: Spine. 1995 ; Vol. 20, No. 6. pp. 699-709.
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