Low back pain in adolescents and association with sociodemographic factors, electronic devices, physical activity and mental health

Bento, Thiago Paulo Frascareli; Cornelio, G; Perrucini, Priscila Daniele de Oliveira; Simeão, Sandra Fiorelli Almeida Penteado; Conti, Marta Helena Souza De; Vitta, Alberto De

doi:10.1016/j.jped.2019.07.008

Cited by 51 publications

(90 citation statements)

References 29 publications

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“…Adolescents enrolled in the rst and second grades of secondary education in public schools in the city of Bauru/SP were enrolled. According to data provided by the State Department of Education, 9,000 students were enrolled in 2017 [4].…”

Section: Sample Calculationmentioning

confidence: 99%

“…Age groups and sex were de ned called sampling areas for which minimum numbers in the sample were guaranteed that would allow subsequent analyses. The sampling areas were students of both sexes in the 1st and 2nd years of secondary education [4].…”

Section: Sample Calculationmentioning

confidence: 99%

“…To determine the sample size, the formula to calculate samples for nite populations was used with the following parameters: con dence level, 95%; prevalence, 50%, unknown percentage complement (100-p); population size, 9,000 high school students from state public schools; and maximum permissible error, 3%. Thus, the sample size for the group was at least 990 individuals, to which we added a 20% expected loss and 15% for association studies, reaching a total of 1,366 adolescents [4].…”

Section: Sample Calculationmentioning

confidence: 99%

“…A review article found few studies regarding the risk factors of TSP, re ecting the general observation that the thoracic spine receives noticeably less attention in the literature compared to NP and LBP [1,2]. The literature relates TSP to female sex [1,2,3], back pack weight and chair height at school [4], as well as parental smoking [2,4], increased body weight [1,2], and mental health problems [5]. To the best of our knowledge there are no studies that have assessed tablet and phone use, and there is no national or international data regarding on their relationship with TSP until now.…”

Section: Introductionmentioning

confidence: 99%

“…To the best of our knowledge there are no studies that have assessed tablet and phone use, and there is no national or international data regarding on their relationship with TSP until now. Since we already know that the use of phones and tablets is associated with NP and LBP [4], and the thoracic spine articulates with both the cervical and lumbar vertebrae, the use of these devices and their association with TSP cannot be ignored, as it may be that they represent some risk for that region of the spine.…”

Section: Introductionmentioning

confidence: 99%

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Thoracic Spine Pain in Adolescents and Its Association With Electronic Devices and Other Factors

Vitta¹,

Campos

Bento

et al. 2020

Preprint

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Purpose: To determine the prevalence of thoracic spine pain (TSP) in adolescents and to analyze its association with sociodemographic characteristics, use of electronic devices, habitual practice of physical activity and mental health problems. Methods: Cross-sectional study with 1628 students of public schools from the city of Bauru/SP. Data collection: 1. Characterization of the participants, use of electronic devices (TV, computer, tablet and phone), psychosocial factors and lifestyle; 2. Strengths and difficulties questionnaire (SDQ); 3. Baecke Questionnaire; 4. Nordic questionnaire. Descriptive analyzes, bivariate and multivariate logistic regression were used. Results: The overall prevalence of TSP was 51.5% (CI 49.1 to 53.9). Women showed a prevalence of 59.6% (CI 56.2 to 62.9) and men of 43.1% (CI 39.7 to 46.5), with significant difference. The variables associated with TSP were: female gender (PR= 1.96), use of computer for more than 3 hours per day (PR= 1.29), use of computer for more than 3 times per week (PR= 1.35), distance from eye to the computer screen (PR= 1.29), use of cell phone in semi-lying position (PR= 1.37), time of use of cell phone for more than 3 hours per day (PR= 1.44), use of tablet in sitting position (PR= 1.47) and presence of mental health problems (PR= 2.62) Conclusion: There is a high prevalence of TSP in adolescents and a marked association with female sex, the use of electronic devices, the presence of mental health problems. The level of physical activity was a protective factor.

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Section: Sample Calculationmentioning

confidence: 99%

Section: Sample Calculationmentioning

confidence: 99%

Section: Sample Calculationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Thoracic Spine Pain in Adolescents and Its Association With Electronic Devices and Other Factors

Vitta¹,

Campos

Bento

et al. 2020

Preprint

Self Cite

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Self‐Report Measures of Physical Activity

Healey

Allen

Bennell

et al. 2020

Arthritis Care & Research

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The explanatory role of sedentary screen time and obesity in the increase of chronic back pain amongst European adolescents: The HBSC study 2002–2014

Roman-Juan

Roy

Jensen

et al. 2022

European Journal of Pain

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Background Previous research has shown that chronic back pain amongst European adolescents is increasing. Determining the factors associated with this increasing trend is crucial for developing prevention strategies. In this study, we used data from the Health Behaviour in School‐aged Children (HBSC) survey to examine whether increases in screen time and/or obesity between 2002 and 2014 were associated with the increase in the prevalence of chronic back pain amongst European adolescents during the 12‐year period. Methods Data from 423,092 adolescents from 27 European countries/regions were drawn from the HBSC questionnaire‐based surveys conducted in 2002, 2006, 2010 and 2014. The Karlson–Holm–Breen method was used to examine the explanatory role of increases in screen time and obesity on the increase in the prevalence of chronic back pain whilst controlling for sex and age. Results Increases in both screen time and obesity between 2002 and 2014 were associated with increases in the prevalence of chronic back pain (p < 0.001). The percent of chronic back pain prevalence increase accounted for by screen time and obesity was 3.98% and 1.65%, respectively. Conclusions The increase in the prevalence of chronic back pain amongst European adolescents may be explained, in part, by the rising trends in both sedentary screen time and obesity. The fact that screen time and obesity only accounted for a small part of the increase in the prevalence of chronic back pain indicates that other unmeasured factors also play a role. Significance More screen time and obesity are slightly associated with more chronic back pain (CBP) prevalence in adolescents across the WHO European Region. The findings may be used to identify ways to prevent or reduce the rising trend of CBP in adolescents.

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Low back pain in adolescents and association with sociodemographic factors, electronic devices, physical activity and mental health

Cited by 51 publications

References 29 publications

Thoracic Spine Pain in Adolescents and Its Association With Electronic Devices and Other Factors

Thoracic Spine Pain in Adolescents and Its Association With Electronic Devices and Other Factors

Self‐Report Measures of Physical Activity

The explanatory role of sedentary screen time and obesity in the increase of chronic back pain amongst European adolescents: The HBSC study 2002–2014

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