Saraiva Bruna Thamyres Ciccotti, Pinto Rafael Z, Oliveira Crystian Bitencourt, Zanuto Edner Fernando, Scarabottolo Catarina Covolo, Delfino Leandro Dragueta, Suetake Vinícius Yukio Botelho, Gil Fernanda Caroline Staquencini, Christofaro Diego Giulliano Destro
Postgraduate Program in Motricity Science, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil.
Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
J Back Musculoskelet Rehabil. 2020;33(2):269-275. doi: 10.3233/BMR-181136.
The literature on physical activity practice through sports as a protective factor for back pain in adolescents is conflicting. However, few studies have aimed to verify if continuity of the practice of physical activity from childhood to adolescence may be related to lower chances of back pain in adolescents.
The objective of this study was to analyze the association between physical activity practice from childhood to adolescence and back pain in adolescents.
The random sample was composed of 870 adolescents with a mean age of 13.7 ± 2.0 years. The continuity of physical activity practice was assessed through the continuity of sports practice from childhood to adolescence. Pain in the neck and low back were evaluated through a questionnaire.
The prevalence of neck pain and low back pain in boys was 17.5% and in girls was 20.9% for neck pain and 21.9% for low back pain. Physical activity practice during childhood to adolescence was a protective factor for neck pain (OR = 0.57 [CI = 0.35-0.94]) and low back pain (OR = 0.53 [CI = 0.33-0.86]) in girls and neck pain in boys (OR = 0.52 [CI = 0.30-0.90]), even after adjusting for confounding factors.
Girls with physical activity practice during childhood to adolescence were less likely to develop neck pain and back pain when compared to girls who did not maintain practice of physical activity. Similar results were observed in boys considering neck pain.
关于通过体育运动进行身体活动作为青少年背痛保护因素的文献存在矛盾。然而，很少有研究旨在验证从童年到青少年期间身体活动的持续性是否可能与青少年背痛几率较低有关。
本研究的目的是分析从童年到青少年期间的身体活动与青少年背痛之间的关联。
随机样本由870名平均年龄为13.7±2.0岁的青少年组成。通过从童年到青少年期间体育活动的持续性来评估身体活动的持续性。通过问卷评估颈部和下背部疼痛。
男孩颈部疼痛和下背部疼痛的患病率分别为17.5%，女孩颈部疼痛患病率为20.9%，下背部疼痛患病率为21.9%。即使在调整混杂因素后，从童年到青少年期间进行身体活动对女孩的颈部疼痛（OR=0.57[CI=0.35-0.94]）和下背部疼痛（OR=0.53[CI=0.33-0.86]）以及男孩的颈部疼痛（OR=0.52[CI=0.30-0.90]）都是一个保护因素。
与未保持身体活动的女孩相比，在童年到青少年期间进行身体活动的女孩患颈部疼痛和背痛的可能性较小。在考虑颈部疼痛的男孩中也观察到了类似结果。
