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巴西青少年的背痛及其风险因素:一项纵向研究。

Back pain and its risk factors in Brazilian adolescents: a longitudinal study.

作者信息

Noll Matias, Candotti Cláudia Tarragô, da Rosa Bruna Nichele, Vieira Adriane, Loss Jefferson Fagundes

机构信息

Instituto Federal Goiano, Ceres, Brazil.

Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Br J Pain. 2021 Feb;15(1):16-25. doi: 10.1177/2049463719871751. Epub 2019 Aug 20.

Abstract

Owing to the lack of longitudinal studies in Latin American countries, we aimed to evaluate back pain and its risk factors in a 3-year longitudinal study of Brazilian adolescents. We analysed data of 525 adolescents (aged 11-16 years) attending primary school (fifth to eighth grade) in Brazil. The students were administered the self-reported Back Pain and Body Posture Evaluation Instrument (BackPEI) questionnaire in 2011 and at a follow-up evaluation that was conducted 3 years later (2014). Back pain was the outcome variable; the exposure variables included exercise, behavioural, hereditary and postural factors. Generalized estimating equations were used to perform a Poisson regression model with robust variance to evaluate the risk factors for back pain. The prevalence of back pain at baseline was 56% ( = 294); this increased significantly at the 3-year follow-up evaluation to 65.9% ( = 346). The frequency of experiencing back pain also significantly increased after 3 years in both boys ( = 0.002) and girls ( = 0.001). The prevalence of back pain increased significantly in adolescents up to the age of 13 years, stabilized in those aged 14 years and older and was higher among girls. A family history of back pain (in the parents), watching television for lengthy periods and carrying a backpack asymmetrically were predictors for back pain.

摘要

由于拉丁美洲国家缺乏纵向研究,我们旨在通过一项针对巴西青少年的为期3年的纵向研究来评估背痛及其风险因素。我们分析了巴西525名就读于小学(五年级至八年级)的青少年(年龄在11 - 16岁之间)的数据。这些学生在2011年以及3年后(2014年)的随访评估中接受了自我报告的背痛与身体姿势评估工具(BackPEI)问卷调查。背痛是结果变量;暴露变量包括运动、行为、遗传和姿势因素。使用广义估计方程进行具有稳健方差的泊松回归模型,以评估背痛的风险因素。基线时背痛的患病率为56%(n = 294);在3年的随访评估中显著增加至65.9%(n = 346)。3年后,男孩(P = 0.002)和女孩(P = 0.001)经历背痛的频率也显著增加。13岁以下青少年背痛的患病率显著增加,14岁及以上青少年的患病率稳定,且女孩中的患病率更高。背痛家族史(父母有背痛)、长时间看电视和不对称地背书包是背痛的预测因素。

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