Review Article

Can We Trust the Literature on Risk Factors and Triggers for Low Back Pain? A Systematic Review of a Sample of Contemporary Literature

Table 3

Studies that seemed to investigate the onset of a new episode of low back pain (a recurring episode).

First author, year, countryStudy design as defined by authorsDefinition of LBPDomains of associated factors investigated (number of included factors)Types of analysesVariables reported being linked to recent episode of LBP that were also credible triggers†

Auvinen, 2010, Finland [7]LongitudinalLBP at age 18Anthropometric at 16 (2)MultivariateFor girls, being too tired and insufficient sleep at 16
Lifestyle habits at 16 (4)For boys having 9 hrs sleep at 16
Pain status at 16 (1)
Parents’ socioeconomic status (1)
Psychological at 16 (3)
Gold, 2017, North America [43]LongitudinalLBP past 3 months with at least mild severity during prior weekAnthropometric (1)MultivariateWork-family imbalance
Demographic (5)
Health (2)
Lifestyle (2)
Occupational factors (5)
Lalluka, 2016, Finland [48]LongitudinalRadiating LBP and local LBP lasting >7 days in the past yearAnthropometric (1)MultivariatePhysical work heaviness
Demographic (1)
Lifestyle (1)
Occupational factors (3)
Mattila, 2017, Finland [49]ProspectiveAcute LBP (lumbago) in the last month. LBP radiating below knee in the last monthLBP during military service (1)MultivariateLBP during military service
Maximal oxygen uptake (1)
Muscle fitness (6)
Mikkonen, 2016, Finland [20]Prospective cohortReporting new LBP at 18, Consultation for LBP at 18Anthropometric at 16 (1)MultivariateExternalizing behaviour associated with consultation for LBP at 18 yrs in girls (not in boys)
Lifestyle at 16 (4)
Parents’ socioeconomic status at 16 (1)
Psychological at 16 (8)
Mitchell, 2010, Australia [21]ProspectiveNew significant LBP episodeAnthropometric (1)MultivariateHistory of LBP
Demographic (1)Stress
Hx of LBP (1)Moderate activity
Lifestyle/Social (9)Back muscle endurance
Physical examination findings (5)Pelvic angle slums sitting
Posture (1)Lower lumbar sitting repositioning error
Psychological (4)
Steffens, 2015, Australia [30]Case-crossoverSudden-onset acute LBPLifestyle (2)MultivariateManual tasks
Occupational factors (5)Moderate and vigorous physical activity
Psychosocial (3)Distraction during a task
Other (1)Tiredness
Vandergrift, 2012, North America [34]ProspectiveMore than 3 episodes of pain or one week pain in last 12 monthsAnthropometric (3)Univariate and multivariateNone
Demographic (3)
Occupational factors (5)
Psychosocial (2)
Vargas-Prada, 2013, Spain [35]ProspectiveLBP for a day or more in the past monthDemographic (3)MultivariateHistory of LBP
Health beliefs about LBP (1)Poor mental health
History of LBP past 12 months (1)Distressing somatic symptoms
Lifestyle (1)
Mental health (1)
Occupational lifting (1)
Psychological (3)
Somatising tendency (1)

Present before the onset of a new recurring episode and analysed taking into account also other variables. The study truly investigated triggers as per our definition.