Zhang Yongxing, Deng Guoying, Zhao Sheng, Zhou Qian, Gao Xiang, Wang Hang, Zhang Zhiqing, Ju Yaping, Wang Roujia, Wang Yuyuan, Zhao Qinghua
Department of Orthopedics, Affiliated Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai 201620, China.
Department of Orthopedics, Affiliated Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai 201620, China. Email:
Zhonghua Yi Xue Za Zhi. 2014 Oct 14;94(37):2923-8.
To explore the incidence of self-reported neck/shoulder pain (NSP) and lower back pain (LBP) among Chinese adolescents in Shanghai and identify the influencing factors for the incidences of these musculoskeletal disorders.
A total of 3 600 students were selected from 30 high schools randomly chosen from 237 regular full-time high schools registered in Shanghai. From each school, 40 students were selected from each of the tenth, eleventh and twelfth grades for a total of 120 students per school. The questionnaire involved questions pertaining to demographic information, learning environment and exercise habits of each student. The questionnaire also contained questions regarding the amount of weight carried by each student while commuting to and from school. And it was also used to collect specific information related with the occurrence of NSP and LBP. Logistic regression was performed to analyze the potential risk factors for NSP and LBP.
Among 3 600 distributed questionnaires, a total of 2 842 valid questionnaires were returned. The results revealed that the incidences of NSP and LBP in the Chinese adolescent population were 41.1% and 32.8%, respectively. Both NSP and LBP were more common in girls than in boys. And 6.3% students reported at least one NSP- or LBP-induced absence from school. Chinese adolescents generally experienced a heavy academic burden (32.7% failing to achieve daily academic goals) and mental stress (16.3% suffering from insomnia); the problem of insufficient sleep was even more pronounced (52.0% falling asleep after midnight and 64.3% suffering insufficient sleep while only 31.9% feeling physically relaxed after awaking). The multivariate Logistic regression analysis suggested that gender, grade, academic burden, stress and sleep situation had a significant correlation with NSP and LBP in adolescents.
The incidences of NSP and LBP are relatively high among adolescents in Shanghai. And several factors, including sedentary behaviors, personal exercise habits and backpack weight, influences the occurrences of NSP and LBP in youth.
探讨上海中国青少年自我报告的颈/肩痛（NSP）和下背痛（LBP）的发生率，并确定这些肌肉骨骼疾病发生率的影响因素。
从上海237所正规全日制高中中随机选取30所高中，共3600名学生。每所学校从十年级、十一年级和十二年级各选取40名学生，每所学校共120名学生。问卷涉及每位学生的人口统计学信息、学习环境和运动习惯等问题。问卷还包含每位学生上下学途中携带的重量问题。并用于收集与NSP和LBP发生相关的具体信息。进行逻辑回归分析以分析NSP和LBP的潜在风险因素。
在发放的3600份问卷中，共回收有效问卷2842份。结果显示，中国青少年人群中NSP和LBP的发生率分别为41.1%和32.8%。NSP和LBP在女孩中比在男孩中更常见。6.3%的学生报告至少有一次因NSP或LBP缺课。中国青少年普遍承受着沉重的学业负担（32.7%未达到每日学业目标）和精神压力（16.3%患有失眠症）；睡眠不足问题更为突出（52.0%午夜后入睡，64.3%睡眠不足，而只有31.9%醒来后感觉身体放松）。多因素逻辑回归分析表明，性别、年级、学业负担、压力和睡眠状况与青少年的NSP和LBP有显著相关性。
上海青少年中NSP和LBP的发生率相对较高。久坐行为、个人运动习惯和背包重量等几个因素影响青少年NSP和LBP的发生。
