Characteristic of the neutrophil-to-lymphocyte ratio (NLR) in patients with chronic low back pain

Authors

  • Attiya Istarini Department of Neurology, Faculty of Medicine and Health Science Universitas Jambi
  • Lipinwati Department of Microbiology, Faculty of Medicine and Health Science Universitas Jambi
  • Hanina Department of Parasitology, Faculty of Medicine and Health Science Universitas Jambi
  • Budi Justitia Department of Anatomy, Faculty of Medicine and Health Science Universitas Jambi
  • Fitriyanti Department of Dermatology, Venereology, and Aesthetics, Faculty of Medicine and Health Sciences Universitas Jambi

DOI:

https://doi.org/10.22437/proca.v1i2.50525

Keywords:

Neutrophil-to-Lymphocyte Ratio (NLR); Chronic Low Back Pain (LBP); Inflammatory responses

Abstract

Background: Chronic low back pain (LBP) constitutes a worldwide public health issue that substantially impacts a considerable segment of the adult demographic. The Neutrophil-to-Lymphocyte Ratio (NLR) is recognized as a significant inflammatory biomarker for multiple health conditions, including musculoskeletal disorders like low back pain (LBP). Objective: The assessment of NLR in patients with LBP has aimed to identify a potential biomarker for elucidating the mechanisms underlying inflammation and chronic pain. Methods: This research is a cross-sectional analytical study. All samples in this study underwent a complete blood cell count examination. The neutrophil-to-lymphocyte ratio is calculated by dividing the neutrophil count by the lymphocyte count in routine blood test results. Statistical tests were conducted using SPSS software. Results: This study involved 31 participants. The analysis of the NLR indicated that 77.4% of participants were categorized as moderate, whereas 22.6% were classified as high. Furthermore, 18 individuals (58.06%) reported experiencing moderate pain (NPRS 4-6), while 13 individuals (41.94%) indicated severe pain (NPRS 7-10). Conclusion: This study found 77.4% of subjects had moderate NLR. Despite moderate to severe pain, their systemic inflammatory response had not fully established, as shown by a lack of NLR increase.

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Author Biographies

Attiya Istarini, Department of Neurology, Faculty of Medicine and Health Science Universitas Jambi

Department of Neurology, Faculty of Medicine and Health Science Universitas Jambi

Lipinwati, Department of Microbiology, Faculty of Medicine and Health Science Universitas Jambi

Department of Microbiology, Faculty of Medicine and Health Science Universitas Jambi

Hanina, Department of Parasitology, Faculty of Medicine and Health Science Universitas Jambi

Department of Parasitology, Faculty of Medicine and Health Science Universitas Jambi

Budi Justitia, Department of Anatomy, Faculty of Medicine and Health Science Universitas Jambi

Department of Anatomy, Faculty of Medicine and Health Science Universitas Jambi

Fitriyanti, Department of Dermatology, Venereology, and Aesthetics, Faculty of Medicine and Health Sciences Universitas Jambi

Department of Dermatology, Venereology, and Aesthetics, Faculty of Medicine and Health Sciences Universitas Jambi

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Published

30-11-2025

How to Cite

Istarini, A., Lipinwati, Hanina, Justitia, B., & Fitriyanti. (2025). Characteristic of the neutrophil-to-lymphocyte ratio (NLR) in patients with chronic low back pain. Proceedings Academic Universitas Jambi, 1(2), 994–1000. https://doi.org/10.22437/proca.v1i2.50525

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Section

RESEARCH DISSEMINATION