本研究的目的是在探討成年人的健康體適能是否和下背痛的程度相關。本研究為一橫斷性研究，以年齡介於25-59歲之間之成年人作為評估對象。以問卷方式，評量其個人的主要身體活動方式及運動習慣; 健康體適能測驗包括身高、體重、身體質量指數、坐姿體前彎、體側彎、一分鐘仰臥起坐及俯臥仰體測驗;下背痛的評估包括下背痛病史及下背痛生活障礙（The Oswestry Low Back Pain Disability） 問卷。
本研究92名成年人當中，共有77位完成測驗及問卷的填答，參與率為83.7％。其中男性25人佔32.5％，女性52人占67.5％，女性在體側彎、一分鐘仰臥起坐的成績表現上，比男性差（P<.05）。年齡越大，體側彎、一分鐘仰臥起坐、俯臥仰體的成績就越差（P<.05）。過去一年內，曾發生下背痛的人及現在正有下背痛的人，其下背痛指數（Oswestry Disability Index）顯著大於從未發生過下背痛的人（F＝10.88，P<.05）。下背痛指數（ODI）和一分鐘仰臥起坐測驗成績之間有顯著的負相關（r=0.315，P<.05）。再以逐步多元迴歸分析，以下背痛生活障礙指數（ODI）為變項，結果顯示一分鐘仰臥起坐成績為顯著決定因子。

The present study will focus on the discussion of the relationship with health fitness and low back pain. The cross-sectional study was based on age25 to 59 adults. Through questionnaires（including life style and exercise experience）、 The health fitness test （including body height、body weight、BMI、Sit-and-reach、Lateral-bending、Sit-up and Trunk extension test）,and low back pain surveillance（including low back pain history and the Oswestry Low Back Pain Disability Questionnaires）.
In this study, total 77 effective data were collected（83.7﹪），including 25 males（32.5﹪）and 52 females（67.5﹪）.Females have lower scale on Lateral-bending and Sit-up（p<.05）. Age was negative correlated with Lateral-bending、Sit-up and Trunk extension test（p<.05）. People with low back pain in last one year have higher degrees of The Oswestry Disability Index（F=10.88，p<.05）.The Oswestry Disability Index was negative correlated with Sit-up（r=0.315，p<.05）. A stepwise liner regression designed to predict the Oswestry Disability Index, and only height and Sit-up were found can predict low back pain in this study.

中文部分：
王秀華（1999）,運動與下背痛。中華體育,13(2)。101-107。
林大豐（1990）,下背痛的形成與預防方法並談運動療法。中華體育,4(3)。65-75。
邱文科，李永輝，陳文哲，李明儀（1995）,靜態持住姿勢肌群與共作用程度研究。中華復健醫誌,23(1)。51-57。
卓俊辰（1988）,柔軟度-體適能的重要因素之一。中華體育,６。96-102。
陳天賜、鄭俊傑、謝欣戎（1999）,職工運動對企業經營管理影響之探討。學校體育,41期。157-163。
陳淑媚（1998）,慢性下背痛病患之疼痛、生活障礙與下肢肢體肌肉強度關聯性探討。高雄醫學院醫學研究所碩士論文。
權啟良，黃美涓（1999）,嚴重下背痛之預後。復健醫學會雜誌,12(3)。163-169。
英文部分：
Ashmen, K. J., Swanik, C. B.,& Lephart, S. M. (1996).Strength and flexibility characteristics of athletes with chronic low-back pain. Journal of sport rehabilitation, 5(4), 275-286.
Battie’e, M. C., Bigos, S. J., Fisher, L. D., Hansson, T. H., Jones, M. E.,& Wortley, M. D. (1989).Isometric lifting strength as a predictor of industrial back pain reports.Spine,14(8), 851-856.
Battie’e, M. C., Bigos, S. J., Fisher, L. D., Spengler, D. M., Hansson, T. H., Nachemson, A. L. ,& Wortley, M. D. (1990).The role of spinal flexibility in back pain complaints within industry. Spine,15(8), 768-773.
Bergenudo, H.,Nisson,B.,Uden,A.,& Willner,S.(1989).Bone mineral content, gender, body posture, and build in relation to back pain in middle age.Spine,14(6),577-579.
Borkan, J. M.,& Cherkin, D. C.(1996).An agenda for primary care research on low back pain. Spine, 21(24), 2880-2884.
Borkan, J. M., Koes, B., Reis, S.,& Cherkin, D. C.(1998).A report from the second international forum for primary care research on low back pain.Spine,23(18),1992-1996.
Burton, A. K., Tillotson, K. M.,& Troup, J. D. G. (1989).Variation in lumbar sagittal mobility with low-back trouble. Spine, 14(6), 584-589.
Deyo, R. A., Battie, M., Beurskens, A. J. H. M., Bombardier, C., Croft, P., Koes, B., Malmivaara, A., Roland, M., Korff, M. V.,& Weddell, G.(1998).Outcome measures for low back pain research..Spine,23(18), 2003-2009.
Carpenter, D. M.,& Nelson, B. W.(1999).Low back strengthening for the prevention and treatment of low back pain. Medicine& science in sports & exercise,52(8), 18-24.
De Looze, M. P., Toussaint, H. M., van Dieen, J. H.,& Kemper, H. C. G.(1993). Joint moments and muscle activity in the lower extremities and lower back in lifting and lowering tasks. J. Biomechanics,26(9), 1067-1076.
Elnaggar, I. M., Nordin, M., Sheikhzaceh, A., Parnianpour, M.,& Kahanovitz, N.(1991).Effects of spinal flexion and extension exercises on low-back pain and spinal mobility in chronic mechanical low-back pain patients. Spine,16(8), 967-971.
Fairweather, M.,& Sidaway, B.(1993). Ideokinetic imagery as a postural development technique. Research quarterly for exercise and sport,64(4), 385-392.
Fairbank,J.C.T.,Couper, J.,& Davies, J.B.(1980).The Oswestry Low Back Pain Disability Questionnaire. Physiotherapy,66,271-273.
Faas, A. (1996). Exercise : which ones are worth trying, for which patients, and when? Spine, 21(24), 2874-2879.
Fabio,R.P.D.,Mackey,G.,& Holte,J.B.（1996）.Physical therapy outcomes for patients receiving workers’ compensation following treatment for herniated lumbar disc and mechanical low back pain syndrome .Journal of orthopaedic & sports physical therapy,23(3),180-187.
Gundewall, B., Liljeqvist, M.,& Hansson, T. (1993). Primary prevention of back symptoms and absence from work.Spine,18(5), 587-594.
Howell, D. W.(1984). Musculoskeletal profile and incidence of musculoskeletal injuries in lightweigth women rowers. American journal of sports medicine, 12(4), 278-282.
Honeyman,P.T.,& Jacobs,E.A.(1996).Effects of culture on back pain in Australian Aboriginals.Spine,21(7),841-843.
Graves, J. E., Pollock, M. L. ,Carpenter, D. M., Leggett, S. H., Jones ,MacMillan, M.,& Fulton, M.(1990).Quantitative assessment of full range-of-motion isometric lumbar extension strength.Spine, 15(4),289-293.
Jackson , A.W.,& Baker , A.A.(1986). The relationship of the sit and reach test to criterion measures of hamstring and back flexibility in young females .Research Quarterly For Exercise And Sport,57(3),183-186.
Jackson , A.,& Langford , N .(1989).The criterion-related validity of the sit and reach test : replication and extension of previous findings . Research Quarterly For Exercise And Sport,60(4),384-387.
Jackson, A. W., Morrow, J. R., Tones, N. A.,& Schultes, S. S.(1996).Reliability of the Prudential FITNESSGRAM trunk lift test in young adults. Research-quarterly-for-exercise-and-sport,67(1), 115-117.
Jackson, A. W., Morrow, J. R., Bill, P. A., Kohl, H. W., Gordon, N. F.,& Blair, S. N. (1998).Relation of sit-up and Sit-and-reach tests to low back pain in adults. The Journal of orthopaedic & sports physical therapy, 27(1), 22-26.
Kujala, U. M., Salminen, J. J., Taimela, S., Oksanen, A.,& Jaakkola, L.,(1992). Subject characteristics and low back pain in young athletes and nonathletes. Medicine and science in sports and exercise, 24(6), 627-632.
Kujala, U. M., Salminen, J. J., Taimela, S.,& Oksanen, A.(1994).Baseline anthropometry, flexibility and strength characteristics and future low-back pain in adolescent athletes and nonathletes. A prospective one-year follow-up study. Scandinavinavian journal of medicine &science in sports,4(3), 200-205.
Koutedakis, Y., Frischknecht, R.,& Murthy, M. (1997). Knee flexion to extension peak torque ratios and low-back injuries in highly active individuals. Int J Sports Med, 18(4), 290-295.
Kuukkanen, T.,& Malkia, E. (1996). Muscular performance after a 3 month progressive physical exercise program and 9 month follow-up in subjects with low back pain. Scandinavinavian journal of medicine &science in sports, 6(2), 112-121.
Koes, B. W., Assendelft, W. J. J., ven der Heijden, G. J. M. G.,& Bouter, L. M. (1996).Spinal manipulation for low back pain. Spine, 21(24), 2860-2873.
Leboeuf ,C .,Kyvik ,K. O.,& Bruun,N.H.(1999),.Low back pain and lifestyle. Part 2-Obesity .Spine,24(8),779-784.
Lee, P. W. H., Chow, S. P., Liehmak, F., Chan, K. C.,& Wong, S.(1989).Psychosocial factors influencing outcome in patients with low-back pain. Spine, 14(8), 838-843.
Lee, J.-H., Ooi, Y.,& Nakamura, K. (1995).Measurement of muscle strength of the trunk and the lower extremities in subjects with history of low back pain. Spine, 20(18), 1994-1996.
Linton ,S.J .（1994）.Chronic back pain: integrating psychological and physical therapy--an overview.Behav Med, 20(3),101-4
Leclaire ,R., Blier, F.,Fortin, L.,& Proulx, R .（1997）.A cross-sectional study comparing the Oswestry and Roland-Morris Functional Disability scales in two populations of patients with low back pain of different levels of severity. Spine, 22(1),68-71
Marriott, A. M., Newman, N. M., Gracovetsky, S. A., Richards, M. P.,& Asselin, S.(1999).Improving the evaluation of benign low back pain. Spine, 24(10), 952-960.
Mellin, G. (1986).Chronic low back pain in men 54-63years of age.Spine,11(5), 421-425.
Mellin, G.(1987). Correlations of spinal mobility with degree of chronic low back pain after correction for age and anthropometric.Spine, 12(5), 464-468.
Murphy,P.L.,& Volinn,E.(1999).Is occupational low back pain on the rise? Spine,24(7),691-697.
Niesbyl, N.,& Sinnott, P. L.(1991).Variations in balance and body sway in middle-aged adults. Spine, 16(3), 325-330.
Ohlen, G., Wredmark, T.,& Spangfort, E.(1989).Spinal sagittal configuration and mobility related to low-back pain in the female gymnast.Spine, 14(8), 847-850.
Spratt, J. (1990). Low back physical examination. Spine, 15(2), 96-100.
Suni, J. H., Oja, P., Miilunpalo, S. I., Pasanen, M. E.,& Vuori, I. M.(1998).Health-related fitness test battery for adults: associations with perceived health ,mobility, and back function and symptoms. Arch Phys Med Rehabil,79(5), 559-569.
Turner, J. A.(1996).Educational and behavioral interventions for back pain in primary care. Spine, 21(24),2851-2857.
Woods, D. A.(1989). Rehabilitation aquatics for low back injury: functional gains or pain reduction. Clinical kinesiology, 43(4), 96-103.