Ocorrência de dor lombar e fatores associados em crianças e adolescentes de uma escola privada do sul do Brasil

Abstract

Estudos têm demonstrado que indivíduos que apresentam dor lombar na infância e adolescência são acometidos também na vida adulta, reforçando a importância de que as causas sejam investigadas desde a idade escolar. Avaliou-se a ocorrência de dor lombar e fatores associados em 770 escolares de 7 a 17 anos de idade de uma escola privada de Porto Alegre, Rio Grande do Sul, Brasil. A dor lombar foi definida como dor ou desconforto na região lombar no último mês e avaliada por meio de questionário. A ocorrência de dor lombar foi de 31,6%, sendo mais prevalente no sexo feminino (41,9%) do que no masculino (21,4%). Os fatores associados à dor lombar foram sexo feminino, idade de 9 a 17 anos e os aspectos psicossociais hiperatividade (categorias limítrofe e anormal) e sintomas emocionais (categoria anormal). O mapeamento da ocorrência de dor lombar, bem como a investigação de seus fatores associados é de fundamental importância para a identificação de crianças e adolescentes em risco e para o desenvolvimento de programas eficazes de prevenção primária.

Prevalence and factors associated with low lumbar strength in adolescents

“…The prevalence found for the low level of lumbar force of adolescents was 45.2%, similar to studies carried out with students from southern Brazil 6,23 . This finding is worrying because low rates of lumbar force have been reported in the literature as a risk factor for the development of some dysfunctions such as low back pain and postural distortions in different age groups, increasing the chances of lumbar complaints [2][3][4]12 .…”

Peso e modo de transporte do material escolar no ensino fundamental I: efeito dos anos escolares e do sexo

“…The schoolbag weight and mode of carrying it can influence the health and well-being of students 11 , since it can contribute to the development of postural deviations and back pain, which are considered public health problems [1][2][3][4][5] . Therefore, evaluating these variables is important to identify inadequate habits and, then, raise awareness of children, guardians, and school as for the care that must be taken.…”

“…Postural changes and back pain are considered public health problems that also affect children and adolescents [1][2][3][4][5] due to changes observed in the musculoskeletal system resulting from growing when exposed to some type of overload in this system 6 . These manifestations are commonly related to bad habits in school, mainly regarding the transportation of schoolbags 7 .…”

Comparison of lumbar force between pubertal and post-pubertal adolescents: interference of physical growth, body fat and lifestyle.

“…In addition to the importance of adequate levels of lumbar force for sports performance, lumbar force measurement is relevant in the clinical context, as it assists in the identification of risk factors and of bone, muscle and joint complications in the lumbar region 4 . Low levels of lumbar force in adolescents are directly associated with lower back pain, postural deviations, back pain and functional incapacity for the performance of activities of daily living [5][6][7][8] . Adolescence is marked by rapid changes in body composition and physical growth due to biological maturation 9,10 .…”