Spinal pain in pre-adolescence and the relation with screen time and physical activity behavior.
Adolescence health
Back pain
Epidemiology
Lifestyle behavior
Musculoskeletal disorder
Physical activity
Prevention
Public health
Screen time
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
26 Apr 2021
26 Apr 2021
Historique:
received:
25
01
2021
accepted:
09
04
2021
entrez:
27
4
2021
pubmed:
28
4
2021
medline:
15
5
2021
Statut:
epublish
Résumé
To investigate how screen time and physical activity behavior were associated with spinal pain in pre-adolescence. This study included 45,555 pre-adolescents who participated in the 11-year follow-up of the Danish National Birth Cohort. The 11-year follow-up included self-reported information on computer and TV behavior, aspects of physical activity, as well as frequency and intensity of spinal pain (neck-, mid back- and low back pain). Data were linked with parental socioeconomic data from Statistics Denmark registers. Associations were estimated using multinomial logistic regression models. To account for sample selection, we applied inverse probability weighting. Duration of screen time was stepwise associated with the degree of spinal pain. Compared with those spending < 2 h/day in front of a screen, screen time of ≥6 h/day was associated with a substantially increased relative risk ratio (RRR) of severe pain for both girls (RRR: 2.49, 95% CI: 2.13-2.92) and boys (RRR: 1.95, 95% CI: 1.65-2.32). Being physical inactive was likewise associated with higher likelihood of severe spinal pain (RRR: 1.22, 95% CI: 1.10-1.34) relative to those being moderately active. We observed that being physically active was seemingly associated with lower risk of spinal pain among boys with high frequency of screen time. Findings indicate that both duration of screen time and physical inactivity are correlated with spinal pain in pre-adolescents with the strongest associations for screen time. Reducing screen time or increasing physical activity might help preventing spinal pain in pre-adolescents, particularly among high frequent screen users. Future prospective studies investigating the causal relationship are necessary.
Sections du résumé
BACKGROUND
BACKGROUND
To investigate how screen time and physical activity behavior were associated with spinal pain in pre-adolescence.
METHODS
METHODS
This study included 45,555 pre-adolescents who participated in the 11-year follow-up of the Danish National Birth Cohort. The 11-year follow-up included self-reported information on computer and TV behavior, aspects of physical activity, as well as frequency and intensity of spinal pain (neck-, mid back- and low back pain). Data were linked with parental socioeconomic data from Statistics Denmark registers. Associations were estimated using multinomial logistic regression models. To account for sample selection, we applied inverse probability weighting.
RESULTS
RESULTS
Duration of screen time was stepwise associated with the degree of spinal pain. Compared with those spending < 2 h/day in front of a screen, screen time of ≥6 h/day was associated with a substantially increased relative risk ratio (RRR) of severe pain for both girls (RRR: 2.49, 95% CI: 2.13-2.92) and boys (RRR: 1.95, 95% CI: 1.65-2.32). Being physical inactive was likewise associated with higher likelihood of severe spinal pain (RRR: 1.22, 95% CI: 1.10-1.34) relative to those being moderately active. We observed that being physically active was seemingly associated with lower risk of spinal pain among boys with high frequency of screen time.
CONCLUSION
CONCLUSIONS
Findings indicate that both duration of screen time and physical inactivity are correlated with spinal pain in pre-adolescents with the strongest associations for screen time. Reducing screen time or increasing physical activity might help preventing spinal pain in pre-adolescents, particularly among high frequent screen users. Future prospective studies investigating the causal relationship are necessary.
Identifiants
pubmed: 33902525
doi: 10.1186/s12891-021-04263-z
pii: 10.1186/s12891-021-04263-z
pmc: PMC8077847
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
393Subventions
Organisme : Japan Society for the Promotion of Science
ID : JSPS KAKENHI Grant Number JP19K07178
Références
Work. 2002;18(3):249-59
pubmed: 12441565
Spine J. 2009 Feb;9(2):134-41
pubmed: 18495545
Scand J Med Sci Sports. 2016 Aug;26(8):911-8
pubmed: 26130046
BMC Med Res Methodol. 2010 Aug 10;10:73
pubmed: 20696078
PLoS Med. 2006 Dec;3(12):e488
pubmed: 17194189
Sci Rep. 2017 Sep 14;7(1):11598
pubmed: 28912463
BMC Musculoskelet Disord. 2013 Jun 12;14:185
pubmed: 23758965
Pain Res Manag. 2004 Spring;9(1):25-32
pubmed: 15007400
J Pediatr (Rio J). 2016 Mar-Apr;92(2):188-96
pubmed: 26738891
Scand J Public Health. 2011 Jul;39(7 Suppl):91-4
pubmed: 21775362
J Res Health Sci. 2019 Mar 26;19(1):e00440
pubmed: 31133629
BMJ Open Sport Exerc Med. 2016 May 27;2(1):e000097
pubmed: 27900168
BMC Public Health. 2010 Jun 09;10:324
pubmed: 20534116
Stat Methods Med Res. 2013 Jun;22(3):278-95
pubmed: 21220355
Eur J Pediatr. 2019 Dec;178(12):1903-1911
pubmed: 31624948
Work. 2002;18(3):221-6
pubmed: 12441562
Pain. 2001 Aug;93(2):173-183
pubmed: 11427329
Epidemiology. 1999 Jan;10(1):37-48
pubmed: 9888278
J Adolesc Health. 2014 Sep;55(3):366-72
pubmed: 24746679
Eur J Pain. 2016 Mar;20(3):447-57
pubmed: 26118422
Obes Rev. 2014 Aug;15(8):666-75
pubmed: 24844784
Acta Paediatr. 2016 Mar;105(3):297-303
pubmed: 26607843
BMC Musculoskelet Disord. 2012 Mar 22;13:41
pubmed: 22439805
Eur J Pediatr. 2017 Jun;176(6):807-814
pubmed: 28470441
Am J Epidemiol. 2021 Feb 1;190(2):220-229
pubmed: 33524119
Eur J Pediatr. 2019 May;178(5):695-706
pubmed: 30788593
Eur J Epidemiol. 2018 Jan;33(1):27-36
pubmed: 29349587
Pain. 2009 May;143(1-2):21-5
pubmed: 19217208
Sleep Med Rev. 2004 Apr;8(2):119-32
pubmed: 15033151
Eur J Epidemiol. 2010 May;25(5):349-55
pubmed: 20349116
Scand J Public Health. 2011 Jul;39(7 Suppl):103-5
pubmed: 21775365
Ergonomics. 2015;58(10):1611-23
pubmed: 25942433
Prev Med. 2017 Mar;96:21-27
pubmed: 27974234
J Epidemiol Community Health. 2011 May;65(5):407-11
pubmed: 20881022
Obesity (Silver Spring). 2013 Mar;21(3):572-5
pubmed: 23592665
Eur Spine J. 2010 Apr;19(4):641-9
pubmed: 19936804
Spine (Phila Pa 1976). 2003 Sep 1;28(17):2019-24; discussion 2024
pubmed: 12973151
Ergonomics. 2008 Apr;51(4):540-55
pubmed: 18357540
Pain Res Manag. 2014 Sep-Oct;19(5):e139-45
pubmed: 25299477
Pediatrics. 2006 Feb;117(2):412-6
pubmed: 16452360
Int J Public Health. 2015 Jan;60(1):59-67
pubmed: 25471078