Stallknecht Sandra Elkjær, Strandberg-Larsen Katrine, Hestbæk Lise, Andersen Anne-Marie Nybo
Department of Public Health, Section of Social Medicine, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen, Denmark.
Department of Sports Science and Clinical Biomechanics, Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.
Eur J Pediatr. 2017 Jun;176(6):807-814. doi: 10.1007/s00431-017-2915-y. Epub 2017 May 3.
This study aims to describe the patterns in low back, mid back, and neck pain complaints in young adolescents from the Danish National Birth Cohort (DNBC) and to investigate the co-occurrence of spinal pain and stress and general well-being, respectively. Cross-sectional data from the 11-year follow-up of DNBC were used. As part of a web-based survey, a total of 45,371 young adolescents between 10 and 14 years old completed the Young Spine Questionnaire, the Stress in Children Questionnaire, and a one-item question on general well-being. Associations between spinal pain and, respectively, stress and general well-being were estimated by means of multiple logistic regression models. Almost one fifth of boys and one quarter of girls reported spinal pain. Compared with adolescents who reported no stress, adolescents reporting medium and high values of stress had odds ratios (OR) of 2.19 (95% CI 2.08-2.30) and 4.73 (95% CI 4.28-5.23), respectively, of reporting spinal pain (adjusted for age, gender, and maternal education). Adolescents who reported poor general well-being had an OR of 2.50 (95% CI 2.31-2.72) for reporting spinal pain compared to adolescents with good general well-being.
Spinal pain is a common complaint among young adolescents and co-occurs with stress and poor general well-being. The mutual dependency between the factors remained to be explained. What is Known: • The prevalence of spinal pain increases rapidly during childhood and adolescence, but different measurement instruments result in great variation in the estimates of spinal pain in children and adolescents. • Some studies have shown that different psychosocial measures are associated with spinal pain in children and adolescents. What is New: • Spinal pain, as measured by the newly developed and validated Young Spine Questionnaire, is a common complaint in young adolescents aged 10-14 years. • Spinal pain in young adolescents co-occurs with stress and poor general well-being.
本研究旨在描述丹麦国家出生队列（DNBC）中青少年下背部、中背部和颈部疼痛主诉的模式，并分别调查脊柱疼痛与压力以及总体幸福感的共现情况。使用了DNBC 11年随访的横断面数据。作为基于网络调查的一部分，共有45371名10至14岁的青少年完成了青少年脊柱问卷、儿童压力问卷以及一个关于总体幸福感的单项问题。通过多元逻辑回归模型估计脊柱疼痛与压力以及总体幸福感之间的关联。近五分之一的男孩和四分之一的女孩报告有脊柱疼痛。与报告无压力的青少年相比，报告压力值为中等和高值的青少年报告脊柱疼痛的优势比（OR）分别为2.19（95%置信区间2.08 - 2.30）和4.73（95%置信区间4.28 - 5.23）（根据年龄、性别和母亲教育程度进行了调整）。与总体幸福感良好的青少年相比，报告总体幸福感差的青少年报告脊柱疼痛的OR为2.50（95%置信区间2.31 - 2.
