Ítalo Ribeiro Lemes1, Crystian Bitencourt Oliveira2, Gabriela C R Silva3, Rafael Zambelli Pinto4, William R Tebar3, Diego G Christofaro3. 1. Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. itolemes@hotmail.com. 2. Faculdade de Medicina, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil. 3. Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil. 4. Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Abstract
PURPOSE: To investigate the association of sedentary behavior and physical activity from childhood to adolescence with prevalence of low back pain in adolescents. In addition, we also explored whether sleep quality influences this association. METHODS: This is a cross-sectional epidemiological study. Participants (aged 10-17 years) were recruited from public and private schools in Brazil. Sedentary behavior and previous and current engagement in physical activity were assessed through questionnaires. Low back pain and sleep quality were assessed by the Nordic questionnaire and Mini-Sleep Questionnaire, respectively. Sex, age, body mass index, abdominal obesity, socioeconomic status and sleep quality were used as potential confounders. Binary logistic regression models were used to generate values of odds ratio (OR) and 95% confidence intervals (95%CI). RESULTS: A total of 1,001 (44,5% boys; n = 446) were included. Overall prevalence of low back pain was 18%, with higher rates among inactive and sedentary participants. Physical inactivity from childhood to adolescence in combination with high sedentary behavior doubled the likelihood of having low back pain (OR = 2.40 [95%CI: 1.38-4.18]), independent of potential confounders. Sleep quality attenuates, but not eliminates, this association (OR = 2.19 [95%CI: 1.25-3.84]). CONCLUSION: Being inactive from childhood to adolescence in combination with high sedentary behavior is associated with low back pain in adolescents. Sleep quality seems to attenuate, but not eliminate, this association.
PURPOSE: To investigate the association of sedentary behavior and physical activity from childhood to adolescence with prevalence of low back pain in adolescents. In addition, we also explored whether sleep quality influences this association. METHODS: This is a cross-sectional epidemiological study. Participants (aged 10-17 years) were recruited from public and private schools in Brazil. Sedentary behavior and previous and current engagement in physical activity were assessed through questionnaires. Low back pain and sleep quality were assessed by the Nordic questionnaire and Mini-Sleep Questionnaire, respectively. Sex, age, body mass index, abdominal obesity, socioeconomic status and sleep quality were used as potential confounders. Binary logistic regression models were used to generate values of odds ratio (OR) and 95% confidence intervals (95%CI). RESULTS: A total of 1,001 (44,5% boys; n = 446) were included. Overall prevalence of low back pain was 18%, with higher rates among inactive and sedentary participants. Physical inactivity from childhood to adolescence in combination with high sedentary behavior doubled the likelihood of having low back pain (OR = 2.40 [95%CI: 1.38-4.18]), independent of potential confounders. Sleep quality attenuates, but not eliminates, this association (OR = 2.19 [95%CI: 1.25-3.84]). CONCLUSION: Being inactive from childhood to adolescence in combination with high sedentary behavior is associated with low back pain in adolescents. Sleep quality seems to attenuate, but not eliminate, this association.
Authors: Crystian B Oliveira; Rafael Z Pinto; Tatiana M Damato; Italo Ribeiro Lemes; Leandro D Delfino; William R Tebar; Diego G D Christofaro Journal: Musculoskelet Sci Pract Date: 2021-04-30 Impact factor: 2.520
Authors: I R Lemes; X Sui; R A Fernandes; S N Blair; B C Turi-Lynch; J S Codogno; H L Monteiro Journal: Public Health Date: 2019-01-12 Impact factor: 2.427
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Authors: Joseph L Dieleman; Jackie Cao; Abby Chapin; Carina Chen; Zhiyin Li; Angela Liu; Cody Horst; Alexander Kaldjian; Taylor Matyasz; Kirstin Woody Scott; Anthony L Bui; Madeline Campbell; Herbert C Duber; Abe C Dunn; Abraham D Flaxman; Christina Fitzmaurice; Mohsen Naghavi; Nafis Sadat; Peter Shieh; Ellen Squires; Kai Yeung; Christopher J L Murray Journal: JAMA Date: 2020-03-03 Impact factor: 56.272
Authors: Ferran Pellisé; Federico Balagué; Luis Rajmil; Christine Cedraschi; Mario Aguirre; Cesar G Fontecha; Maribel Pasarín; Montse Ferrer Journal: Arch Pediatr Adolesc Med Date: 2009-01
Authors: Lucas da Costa; Italo Ribeiro Lemes; William R Tebar; Crystian B Oliveira; Paulo H Guerra; José Luiz G Soidán; Jorge Mota; Diego G D Christofaro Journal: Braz J Phys Ther Date: 2022-10-13 Impact factor: 4.762