Men often keep their wallets in their back pockets, but seldom realise the potential postural alterations or conditions like Fat wallet syndrome which can occur as a consequence of prolonged sitting with a wallet kept in the back pocket.

Occupational sitting has been associated with an increased risk for developing low back pain. A study published by Lutz et al. in the year 2014 examined the effects of asymmetrical sitting surfaces induced by a wallet on acute changes in spine/pelvis posture, interface pressure, and discomfort which further concluded that compared to level sitting, sitting on a wallet resulted in greater sagittal and lateral spine flexion, a smaller total contact area with the seat pan, and greater gluteal discomfort. This study further established a relationship between wallet thickness and postural deviations which draws further inferences:

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