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Cross-sectional analysis of the Oxford Pain, Activity and Lifestyle (OPAL) Cohort Study. The aim of this study was to assess the prevalence of back pain (BP) and leg pain and determine their relationship with adverse health states among older adults in England. Epidemiological data describing the prevalence of BP and leg pain in older adults in England is lacking. A total of 5304 community-dwelling adults (aged 65-100 years) enrolled in the OPAL cohort study who provided data on BP and leg pain were included. Participants were classified