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Beyond low back pain! The influence of physical activity on mental health, reflected in the functionality of people with low back pain

dc.contributor.authorParolini, Franciele
dc.contributor.authorBecker, Klaus
dc.contributor.authorGoethel, Márcio
dc.contributor.authorFernandes, Ricardo J.
dc.contributor.authorFonseca, Hélder
dc.contributor.authorErvilha, Ulysses F.
dc.contributor.authorVilas-Boas, João Paulo
dc.contributor.authorSantos, Rubim
dc.date.accessioned2025-07-08T08:41:15Z
dc.date.available2025-07-08T08:41:15Z
dc.date.issued2025-06-18
dc.description.abstractPsychological factors play a crucial role in the experience of acute low back pain and may influence functional outcomes. However, the interplay between these factors and levels of physical activity remains poorly understood. This cross-sectional observational study examined the relationship between psychological variables and functional disability in individuals with acute low back pain, considering different levels of physical activity. Data were collected from 1021 participants through an online platform between 8 June 2022 and 8 April 2023. Standardized instruments were used to assess functional limitations, emotional distress (depression, anxiety, and stress), daily pain catastrophizing, and physical activity levels. A canonical correlation analysis was conducted to explore the multivariate associations between psychological and functional variables. There was a statistically significant association between higher levels of emotional distress and greater functional impairment related to low back pain. This association was observed in both the light-physical-activity group (canonical coefficient = 0.266; p = 0.017), the moderate-physical-activity group (0.237; p = 0.092), and the vigorous-physical-activity group (0.177; p = 0.013). Participants engaging in vigorous physical activity exhibited more favorable psychological profiles and lower functional disability compared to those with lower levels of activity. Regular and vigorous physical activity appears to be a protective factor for mental health and may help reduce functional disability in individuals with acute low back pain. These findings underscore the importance of considering physical activity levels when addressing psychological and functional outcomes in this population.por
dc.identifier.citationParolini, F., Becker, K., Goethel, M., Fernandes, R. J., Fonseca, H., Ervilha, U. F., Vilas-Boas, J. P., & Santos, R. (2025). Beyond low back pain! The influence of physical activity on mental health, reflected in the functionality of people with low back pain. Healthcare, 13(12), Artigo 12. https://doi.org/10.3390/healthcare13121471
dc.identifier.doi10.3390/healthcare13121471
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.22/30206
dc.language.isoeng
dc.peerreviewedn/a
dc.publisherMDPI
dc.relationUI/BD/151415/2021
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/13/12/1471
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPhysical activity
dc.subjectMental health
dc.subjectLow back pain
dc.subjectCanonical correlation
dc.titleBeyond low back pain! The influence of physical activity on mental health, reflected in the functionality of people with low back painpor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue12
oaire.citation.titleHealthcare
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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