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New research study on back pain and weight or obesity does not find a link.
A recent study in Spine Journal looked at about a thousand twins in Spain: They compared different measures of obesity (BMI, fat percentage; waist circumference and waist-hip ratio) and did not see that the heavier twin was any more predisposed to have chronic back pain. It is very common to have patients who blame themselves for having pain, and they often ask if their weight is to blame. Some have even said that their doctors have told them that's why they have back pain,