Research Article

Incidence and Risk Factors of Low Back Pain in Marathon Runners

Table 2

Summary of risk factors for LBP in marathon runners.

Risk factorsNon-LBP N = 764LBP (%) N = 36Total (%) N = 800 value
Number (%)Number (%)Number (%)

Running groups
Full marathon314 (41.1)21 (58.3)335 (41.9)0.044
Half marathon450 (58.9)15 (41.7)465 (58.1)

Foot strike patterns
Forefoot (main)396 (51.8)21 (58.3)417 (52.2)0.139
Rear heel (main)268 (35.1)13 (36.1)281 (35.1)
Forefoot (only)15 (2.0)1 (2.8)16 (2.0)
Full foot41 (5.4)0 (0)41 (5.1)
Not clear44 (5.7)1 (2.8)45 (5.6)

Warm-up activities
Enough648 (84.8)21 (58.3)669 (83.6)<0.001
Not enough116 (15.2)15 (41.7)131 (16.4)

Strength
Enough636 (83.2)23 (63.9)659 (82.4)0.004
Not enough128 (16.8)13 (36.1)141 (17.6)

Fatigue
Yes123 (16.1)15 (41.7)138 (17.3)<0.001
No641 (83.9)21 (58.3)662 (82.7)

Shoe types
Slow shaking365 (47.8)17 (47.2)382 (47.8)0.664
Controlling64 (8.4)4 (11.1)68 (8.5)
Stabilising217 (28.4)12 (33.3)229 (28.6)
Sprinting24 (3.1)1 (2.8)25 (3.1)
Not clear94 (12.3)2 (5.6)96 (12.0)

Running gait posture
Good669 (87.6)25 (69.4)694 (86.7)0.003
Bad95 (12.4)11 (30.6)106 (13.3)

Previous injuries
Yes49 (6.4)3 (8.3)52 (6.5)0.649
No715 (93.6)33 (91.7)748 (93.5)

Temperature
Comfortable758 (99.2)33 (91.7)791 (98.9)0.001
Uncomfortable6 (0.8)3 (8.3)9 (1.1)

Site environment
Adapted748 (97.9)34 (94.4)782 (97.7)0.189
Unadapted16 (2.1)2 (5.6)18 (2.3)

Psychology
Affected7 (0.9)1 (2.8)8 (1.0)0.298
Unaffected757 (99.1)35 (97.2)792 (99.0)

Other aspects
Yes30 (3.9)1 (2.8)31 (3.8)0.728
No734 (96.1)35 (97.2)769 (96.2)

Non-LBP: non-low back pain; LBP: low back pain. .