Deng Guoying, Zhang Yongxing, Cai Haifeng, Gu Wentao, Cai Yun, Xie Lei, Liu Bo, Li Jipeng, Li Siyu, Cheng Dantong, 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 Nov 25;94(43):3411-5.
To explore the incidence of self-reported neck or shoulder pain (NSP) and lower back pain (LBP) among Chinese adolescents in Shanghai and identify the influencing factors for the incidences of NSP and LBP.
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 profiles, learning environment and exercise habits of each student. And it 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 to the occurrence of NSP and LBP. Logistic regression was performed to analyze the potential risk factors for NSP and LBP.
Among 3 600 questionnaires, a total of 2 842 valid ones were returned. The results revealed that the incidence of NSP and LBP in the Chinese adolescent population was 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. A relatively large portion of Chinese adolescents reported experiencing problems such as sedentary behavior (26.7% of the students continued to sit for more than 3 hours after school), a lack of exercise (29.3% exercised less than once each week and 38.2% of students reported that their exercise duration was less than half an hour each time) and overweight backpacks (53.0% complained that their backpack was too heavy). Multivariate logistic regression analysis revealed that gender, grade, physical activity and learning environment were all significantly correlated with the occurrences of NSP and LBP.
The incidences of NSP and LBP are relatively high among adolescents in Shanghai. And several factors, including sedentary behavior, personal exercise habits and backpack weight, influence the occurrences of NSP and LBP in adolesents.
探讨上海青少年中自我报告的颈部或肩部疼痛（NSP）和下背部疼痛（LBP）的发生率，并确定NSP和LBP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特征、学习环境和运动习惯等问题。还包含每位学生上下学途中所背书包重量的问题，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%的学生报告至少因NSP或LBP缺课一次。相当一部分中国青少年报告存在久坐行为（26.7%的学生放学后持续久坐超过3小时）、缺乏运动（29.3%的学生每周锻炼少于一次，38.2%的学生报告每次锻炼时长少于半小时）和书包过重（53.0%的学生抱怨书包太重）等问题。多因素逻辑回归分析显示，性别、年级、体育活动和学习环境均与NSP和LBP的发生显著相关。
上海青少年中NSP和LBP的发生率相对较高。久坐行为、个人运动习惯和书包重量等几个因素影响青少年NSP和LBP的发生。
