1887
Volume 2025, Issue 2
  • EISSN: 2220-2749

Abstract

Low back pain (LBP) is a prevalent problem that affects at least 80% of all individuals at some point in their lifetime. LBP was ranked sixth in terms of global disease burden and causes more disability globally than any other condition. Therefore, this study aims to assess the prevalence of LBP and associated risk factors among medical students in Egypt.

A previously validated questionnaire was adopted in our study. Quantitative data were summarized as mean and standard deviation, and the qualitative data were summarized as frequency and percentage. We used the chi-square test to detect an association between different variables and LBP at the point of data collection, 6 and 12 months.

The questionnaire was filled out by 576 medical students. The total prevalence of participants who reported LBP at least once was (481/576, 83.5%). The point prevalence of LBP was 52.4%, while the 6- and 12-month prevalence was 70.1% and 71.5%, respectively. LBP prevalence was significantly associated with sex, with higher prevalence in females than males at point prevalence (57.6% vs. 47%, = 0.011) and 6-month prevalence (75.8% vs. 64.2%, = 0.002). Furthermore, body mass index was significantly associated with LBP during the last 6 months ( = 0.01). Also, LBP was significantly associated with physical activity frequency, chair characteristics, including sitting surface and back support, rest time, and type of daily activity.

There was a high prevalence of LBP among medical students in Egypt. The point, 6= and 12-month prevalence rates underscore the persistent nature of this condition. There is a need for targeted interventions focusing on ergonomics, physical activity, and lifestyle modifications to reduce the burden of LBP and improve overall well-being. Due to the limitations of study design, future longitudinal studies are still required.

© 2025 The Author(s), licensee HBKU Press.
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2025-08-05
2025-12-07

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References

  1. The Lancet R. The global epidemic of low back pain. Lancet Rheumatol. 2023; 5:(6):e305.
    [Google Scholar]
  2. Chou R. Low back pain (chronic). BMJ Clin Evid. 2010; 2010:: 1116.
    [Google Scholar]
  3. Nicol V, Verdaguer C, Daste C, Bisseriex H, Lapeyre É, Lefèvre-Colau MM, et al.. Chronic low back pain: a narrative review of recent international guidelines for diagnosis and conservative treatment. J Clin Med. 2023; 12:(4):1685.
    [Google Scholar]
  4. Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al.. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014; 73:(6):968–74.
    [Google Scholar]
  5. Fatoye F, Gebrye T, Mbada CE, Useh U. Clinical and economic burden of low back pain in low- and middle-income countries: a systematic review. BMJ Open. 2023; 13:(4):e064119.
    [Google Scholar]
  6. Fares MY, Fares J, Salhab HA, Khachfe HH, Bdeir A, Fares Y. Low back pain among weightlifting adolescents and young adults. Cureus. 2020; 12:(7):e9127.
    [Google Scholar]
  7. Yabe Y, Hagiwara Y, Sugawara Y, Tsuji I. Low back pain is associated with sleep disturbance: a 3-year longitudinal study after the Great East Japan Earthquake. BMC Musculoskelet Disord. 2022; 23:(1):1132.
    [Google Scholar]
  8. Aggarwal N, Anand T, Kishore J, Ingle GK. Low back pain and associated risk factors among undergraduate students of a medical college in Delhi. Educ Health. 2013; 26:(2):103–8.
    [Google Scholar]
  9. Alhadeethi A, Elkhawaga H, Khalil MH, Basheer AA. Prevalence of low back pain and its associated factors among medical students at Nineveh University in Iraq: a cross-sectional study. Cureus. 2024; 16:(7):e65770.
    [Google Scholar]
  10. Feleke M, Getachew T, Shewangizaw M, Gebremickael A, Boshe M. Prevalence of low back pain and associated factors among medical students in Wachemo University Southern Ethiopia. Sci Rep. 2024; 14:(1):23518.
    [Google Scholar]
  11. Safiri S, Nejadghaderi SA, Noori M, Sullman MJM, Collins GS, Kaufman JS, et al.. The burden of low back pain and its association with socio-demographic variables in the Middle East and North Africa region, 1990-2019. BMC Musculoskelet Disord. 2023; 24:(1):59.
    [Google Scholar]
  12. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007; 335:(7624):806–8.
    [Google Scholar]
  13. Khaled Fahim N, Negida A. Sample size calculation guide - part 1: how to calculate the sample size based on the prevalence rate. Adv J Emerg Med. 2018; 2:(4):e50.
    [Google Scholar]
  14. Alian SM, El-Shahawy EE-D, Ragab HM, Yousof MA-bMM. Study of neck and low back pains among students. Egypt J Hosp Med. 2021; 83:(1):831–7.
    [Google Scholar]
  15. Sany SA, Tanjim T, Hossain MI. Low back pain and associated risk factors among medical students in Bangladesh: a cross-sectional study. F1000Res. 2021; 10:: 698.
    [Google Scholar]
  16. Hosmer DW, Lemeshow S, Sturdivant RX. Chapter 4: Model-building strategies and methods for logistic regression. In: Applied logistic regression. 3rd ed. Hoboken, NJ: Wiley; 2013.
    [Google Scholar]
  17. Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic-Grujicic S. Low back pain among medical students in Belgrade (Serbia): a cross-sectional study. Pain Res Manag. 2018; 2018:: 8317906.
    [Google Scholar]
  18. Badrawi N, Hosny S, Ragab L, Ghaly M, Eldeek B, Tawdi AF, et al.. Radical reform of the undergraduate medical education program in a developing country: the Egyptian experience. BMC Med Educ. 2023; 23:(1):143.
    [Google Scholar]
  19. Alrabai HM, Aladhayani MH, Alshahrani SM, Alwethenani ZK, Alsahil MJ, Algarni AD. Low back pain prevalence and associated risk factors among medical students at four major medical colleges in Saudi Arabia. J Nat Sci Med. 2021; 4:(3):296–302.
    [Google Scholar]
  20. Boussaid S, Daldoul C, Rekik S, Jammali S, Cheour E, Sahli H, et al.. Low back pain among students of Medical University of Tunis. Curr Rheumatol Rev. 2023; 19:(2):205–13.
    [Google Scholar]
  21. Lin Y, Zhang X, Li H, Huang Y, Zhang W, Zhang C. Musculoskeletal pain is prevalent in Chinese medical and dental students: a cross-sectional study. Front Public Health. 2022; 10:: 1046466.
    [Google Scholar]
  22. Amelot A, Mathon B, Haddad R, Renault MC, Duguet A, Steichen O. Low back pain among medical students: a burden and an impact to consider! Spine (Phila Pa 1976). 2019; 44:(19):1390–5.
    [Google Scholar]
  23. Tavares C, Salvi CS, Nisihara R, Skare T. Low back pain in Brazilian medical students: a cross-sectional study in 629 individuals. Clin Rheumatol. 2019; 38:(3):939–42.
    [Google Scholar]
  24. Campbell A, Wang D, Martin K, Côté P. The one-week prevalence of neck pain and low back pain in post-secondary students at two Canadian institutions. Chiropr Man Therap. 2023; 31:(1):23.
    [Google Scholar]
  25. Failla MD, Beach PA, Atalla S, Dietrich MS, Bruehl S, Cowan RL, et al.. Gender differences in pain threshold, unpleasantness, and descending pain modulatory activation across the adult life span: a cross sectional study. J Pain. 2024; 25:(4):1059–69.
    [Google Scholar]
  26. Chou L, Brady SRE, Urquhart DM, Teichtahl AJ, Cicuttini FM, Pasco JA, et al.. The association between obesity and low back pain and disability is affected by mood disorders: a population-based, cross-sectional study of men. Medicine (Baltimore). 2016; 95:(15):e3367.
    [Google Scholar]
  27. Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018; 18:(9):1715–21.
    [Google Scholar]
  28. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012; 2:(2):1143–211.
    [Google Scholar]
  29. Aljohani AA, Alarawi SM, Alhusayni YM, Alanazi RA, Alkonani AA, Alatawi BE, et al.. Prevalence of low back pain among university attendants in Tabuk City during 2023: a cross-sectional study in Saudi Arabia. Cureus. 2023; 15:(12):e50357.
    [Google Scholar]
  30. Taha YA, Al Swaidan HA, Alyami HS, Alwadany MM, Al-Swaidan MH, Alabbas YH, et al.. The prevalence of low back pain among medical students: a cross-sectional study from Saudi Arabia. Cureus. 2023; 15:(5):e38997.
    [Google Scholar]
  31. Du JY, Aichmair A, Schroeder JE, Kiely PD, Nguyen JT, Lebl D. Neck pain and low back pain in medical students: a cross-sectional study. Int Arch Public Health Community Med 2017; 1:(1):002.
    [Google Scholar]
  32. Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000; 25:(9):1148–56.
    [Google Scholar]
  33. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003; 163:(20):2433–45.
    [Google Scholar]
  34. Hawas Y, Ayoub M, Esmail E, Elsakka MM, Antonios M, Azeez A, et al.. Cognitive enhancers consumption: prevalence, knowledge, and determinants of use among medical students in Egypt, Sudan, and Jordan. Subst Use Misuse. 2025; 60:(3):436–41.
    [Google Scholar]
  35. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013; 14:(12):1539–52.
    [Google Scholar]
/content/journals/10.5339/avi.2025.9
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Low back pain and associated risk factors among medical students in Egypt: A cross-sectional study
Avicenna 2025, 9 (2025); https://doi.org/10.5339/avi.2025.9
/content/journals/10.5339/avi.2025.9
/content/journals/10.5339/avi.2025.9
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  • Article Type: Research Article
Keyword(s): low back pain, Middle East, prevalence, risk factors and spine

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