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

Thiago Paulo Frascareli Bento , Guilherme Porfirio Cornelio , Priscila de Oliveira Perrucini , Sandra Fiorelli Almeida Penteado Simeão , Marta Helena Souza de Conti , Alberto de Vitta
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Abstract

Objectives

To determine the prevalence of low back pain and to analyze the association with the individual, sociodemographic variables, electronic devices, habitual practice of physical activity, and mental health problems.

Methods

Cross‐sectional study with 1,628 students in public schools in the city of Bauru, SP, Brazil. The following data were collected: 1. demographic and socioeconomic aspects; 2. Use of electronic devices; 3. habitual physical activity level (Baecke); 3. mental health (SDQ). 4. low back pain (Nordic Questionnaire). Descriptive analyzes and bivariate and multivariate logistic regression were used.

Results

The overall prevalence of low back pain was 46.7% (95% CI: 44.27 to 49.11); men showed a prevalence of 42.0% (95% CI: 36.63 to 43.41) and women 58.0% (95% CI: 49.73 to 56.51), a statistically significant difference. The variables associated with pain in the low back region were: female gender (PR = 1.70), daily TV use for more than 3 hours (PR = 1.17), use of laptop computer (PR = 1.40), use of the cell phone in the supine position (PR = 1.23), use of the cell phone in semi‐supine position (PR = 1.49), daily cell phone use for more than 3 hours (PR = 1.36), use of tablet (PR = 1.67), daily tablet use for more than above 3 hours (PR = 1.46), and clinically important mental health problems (PR = 2.62).

Conclusion

There is a high prevalence of low back pain in high school students and striking association with female sex, electronic devices, and mental health problems.

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青少年腰痛及其与社会人口因素、电子设备、身体活动和心理健康的关系
目的确定腰痛的患病率,并分析其与个体、社会人口学变量、电子设备、体育锻炼习惯和心理健康问题的关系。方法对巴西圣保罗市公立学校1628名学生进行横断面研究。收集了以下数据:1。人口和社会经济方面;2. 使用电子设备;3.习惯体力活动水平(Baecke);3.心理健康(SDQ)。4. 腰痛(北欧问卷)。采用描述性分析、双变量和多变量logistic回归。结果腰痛总体患病率为46.7% (95% CI: 44.27 ~ 49.11);男性为42.0% (95% CI: 36.63 ~ 43.41),女性为58.0% (95% CI: 49.73 ~ 56.51),差异有统计学意义。腰地区与疼痛相关的变量是:女性别(PR = 1.70),每天电视使用超过3小时(PR = 1.17),使用笔记本电脑(PR = 1.40),使用手机的仰卧位(PR = 1.23),使用手机进入半仰卧位(PR = 1.49),日常使用手机超过3小时(PR = 1.36),使用平板电脑(PR = 1.67),每日平板电脑使用超过3小时以上(PR = 1.46),临床上重要的心理健康问题(PR = 2.62)。结论中学生腰痛患病率高,与女性性别、电子设备、心理健康问题有显著关系。
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