Lemes Ítalo Ribeiro, Oliveira Crystian Bitencourt, Silva Gabriela C R, Pinto Rafael Zambelli, Tebar William R, Christofaro Diego G
Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Faculdade de Medicina, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil.
Eur Spine J. 2022 Jan;31(1):152-158. doi: 10.1007/s00586-021-07004-x. Epub 2021 Sep 29.
To investigate the association of sedentary behavior and physical activity from childhood to adolescence with prevalence of low back pain in adolescents. In addition, we also explored whether sleep quality influences this association.
This is a cross-sectional epidemiological study. Participants (aged 10-17 years) were recruited from public and private schools in Brazil. Sedentary behavior and previous and current engagement in physical activity were assessed through questionnaires. Low back pain and sleep quality were assessed by the Nordic questionnaire and Mini-Sleep Questionnaire, respectively. Sex, age, body mass index, abdominal obesity, socioeconomic status and sleep quality were used as potential confounders. Binary logistic regression models were used to generate values of odds ratio (OR) and 95% confidence intervals (95%CI).
A total of 1,001 (44,5% boys; n = 446) were included. Overall prevalence of low back pain was 18%, with higher rates among inactive and sedentary participants. Physical inactivity from childhood to adolescence in combination with high sedentary behavior doubled the likelihood of having low back pain (OR = 2.40 [95%CI: 1.38-4.18]), independent of potential confounders. Sleep quality attenuates, but not eliminates, this association (OR = 2.19 [95%CI: 1.25-3.84]).
Being inactive from childhood to adolescence in combination with high sedentary behavior is associated with low back pain in adolescents. Sleep quality seems to attenuate, but not eliminate, this association.
探讨从童年到青少年时期的久坐行为和身体活动与青少年腰痛患病率之间的关联。此外，我们还探讨了睡眠质量是否会影响这种关联。
这是一项横断面流行病学研究。参与者（年龄在10 - 17岁之间）从巴西的公立和私立学校招募。通过问卷评估久坐行为以及过去和当前的身体活动参与情况。分别通过北欧问卷和迷你睡眠问卷评估腰痛和睡眠质量。将性别、年龄、体重指数、腹部肥胖、社会经济地位和睡眠质量作为潜在混杂因素。使用二元逻辑回归模型生成比值比（OR）和95%置信区间（95%CI）的值。
共纳入1001名参与者（44.5%为男孩；n = 446）。腰痛的总体患病率为18%，在不活动和久坐的参与者中患病率更高。从童年到青少年时期缺乏身体活动且久坐行为较多会使患腰痛的可能性增加一倍（OR = 2.40 [95%CI：1.38 - 4.18]），且不受潜在混杂因素的影响。睡眠质量会减弱但不会消除这种关联（OR = 2.19 [95%CI：1.25 - 3.84]）。
从童年到青少年时期缺乏身体活动且久坐行为较多与青少年腰痛有关。睡眠质量似乎会减弱但不会消除这种关联。
