Noll Matias, Candotti Cláudia Tarragô, da Rosa Bruna Nichele, Vieira Adriane, Loss Jefferson Fagundes
Instituto Federal Goiano, Ceres, Brazil.
Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Br J Pain. 2021 Feb;15(1):16-25. doi: 10.1177/2049463719871751. Epub 2019 Aug 20.
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.
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。