Academic Journal
Slumped sitting posture is associated with chronic low back pain amongst older adults in long-term care facilities: a cross-sectional study.
| Τίτλος: | Slumped sitting posture is associated with chronic low back pain amongst older adults in long-term care facilities: a cross-sectional study. |
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| Συγγραφείς: | Chan YL; Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China; Services for the Elderly, Caritas Hong Kong, Hong Kong, China., Leung SL; Services for the Elderly, Caritas Hong Kong, Hong Kong, China., Chau WW; Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China., Wong RMY; Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China. Electronic address: ronald.wong@cuhk.edu.hk., Au BK; Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China. |
| Πηγή: | Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2026 Sep; Vol. 72, pp. 104185. Date of Electronic Publication: 2026 Jul 21. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Mosby-Yearbook Country of Publication: United States NLM ID: 8309633 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-3984 (Electronic) Linking ISSN: 01974572 NLM ISO Abbreviation: Geriatr Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: St Louis Mo : Mosby-Yearbook Original Publication: [New York : American Journal of Nursing Co. |
| Ιατρικοί όροι (MeSH): | Low Back Pain*/etiology , Sitting Position* , Posture*, Humans ; Cross-Sectional Studies ; Long-Term Care ; Female ; Aged ; Male ; Aged, 80 and over |
| Περίληψη: | Introduction: Older adults residing in long-term care facilities spend a prolonged time on their seats and are more susceptible to poor sitting postures, such as slumping and side leaning, as well as low back pain (LBP). Poor postures might increase the risk of LBP, but no study has focused on this frail population before. This cross-sectional study aimed to examine the association between the severity of posterior pelvic tilt and pelvic obliquity with chronic LBP among the older adults in long-term care facilities. Methods: A pressure mapping test was performed to determine the antero-posterior displacement of the center-of-pressure, and the interface pressure of the ischial tuberosities, which were further translated into two indices to quantify the severities of posterior pelvic tilt and pelvic obliquity. Multivariate logistic regression was used to evaluate the correlation between the presence of LBP with the two indices, and two potential confounders, body weight status and ambulatory status. Results: Sixty-eight participants completed the study. 50% of participants (N=34) reported chronic LBP. Multivariate regression (Nagelkerke R2=0.282, p=0.003) revealed that the severity of posterior pelvic tilt was positively correlated with the presence of chronic LBP. (adjusted OR=2.127, p=0.014), but a significant association between pelvic obliquity and LBP was not detected. Conclusion: A greater extent of slumping during sitting was shown to be positively associated with reports of chronic LBP amongst older adults receiving residential care. These two conditions are possibly interrelated. Proactive seating assessment and interventions may have potential in improving poor sitting postures and LBP. Clinical Trial Number: not applicable. (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Frailty; Long-term care; Low back pain; Older adults; Sitting posture |
| Entry Date(s): | Date Created: 20260721 Date Completed: 20260907 Latest Revision: 20260907 |
| Update Code: | 20260908 |
| DOI: | 10.1016/j.gerinurse.2026.104185 |
| PMID: | 42480335 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1528-3984 |
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| DOI: | 10.1016/j.gerinurse.2026.104185 |