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Smoking in males was linked with an increased risk of first-time nonsurgical hospitalization and second-time hospitalization for surgical treatment.

Similarly, a study by Yang and Haldeman, derived from the 2009-2012 National Health Interview Survey of the civilian US population, indicated that risk factors for LBP include current or previous smoking, current or previous alcohol use, lack of sleep, obesity, and lack of leisure-time physical activity.

For individuals older than 45 years, mechanical LBP is the third most common cause of disability, and a careful history and physical examination are vital to evaluation, treatment, and management.

In the study, 66 patients received integrated care from a team made up of a clinical occupational physician, a physical therapist, an occupational therapist, and a medical specialist.Chen and coauthors concluded that a sedentary lifestyle alone does not lead to LBP.In a birth cohort study from 1980-2008, Rivinoja et al investigated whether lifestyle factors, such as smoking, being overweight or obese, and participating in sports, at age 14 years would predict hospitalizations in adulthood for LBP and sciatica.Treatment included workplace intervention involving participatory ergonomics, as well as a graded activity program.Another 68 patients received the usual type of care for chronic back pain, administered by a medical specialist, general practitioner, occupational physician, and/or allied health care professionals.

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