Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain - ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Catalonia, Spain.
Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, Catalonia, Spain.
Eur J Pain. 2022 Sep;26(8):1781-1789. doi: 10.1002/ejp.2003. Epub 2022 Jul 5.
Previous research has shown that chronic back pain amongst European adolescents is increasing. Determining the factors associated with this increasing trend is crucial for developing prevention strategies. In this study, we used data from the Health Behaviour in School-aged Children (HBSC) survey to examine whether increases in screen time and/or obesity between 2002 and 2014 were associated with the increase in the prevalence of chronic back pain amongst European adolescents during the 12-year period.
Data from 423,092 adolescents from 27 European countries/regions were drawn from the HBSC questionnaire-based surveys conducted in 2002, 2006, 2010 and 2014. The Karlson-Holm-Breen method was used to examine the explanatory role of increases in screen time and obesity on the increase in the prevalence of chronic back pain whilst controlling for sex and age.
Increases in both screen time and obesity between 2002 and 2014 were associated with increases in the prevalence of chronic back pain (p < 0.001). The percent of chronic back pain prevalence increase accounted for by screen time and obesity was 3.98% and 1.65%, respectively.
The increase in the prevalence of chronic back pain amongst European adolescents may be explained, in part, by the rising trends in both sedentary screen time and obesity. The fact that screen time and obesity only accounted for a small part of the increase in the prevalence of chronic back pain indicates that other unmeasured factors also play a role.
More screen time and obesity are slightly associated with more chronic back pain (CBP) prevalence in adolescents across the WHO European Region. The findings may be used to identify ways to prevent or reduce the rising trend of CBP in adolescents.
先前的研究表明，欧洲青少年慢性背痛的发病率正在上升。确定与这种上升趋势相关的因素对于制定预防策略至关重要。在这项研究中，我们使用了来自青少年健康行为（HBSC）调查的数据，以研究 2002 年至 2014 年间屏幕时间和/或肥胖症的增加是否与欧洲青少年慢性背痛患病率在 12 年期间的增加有关。
我们从 HBSC 基于问卷调查的调查中抽取了来自 27 个欧洲国家/地区的 423092 名青少年的数据，这些调查分别于 2002 年、2006 年、2010 年和 2014 年进行。卡尔森-霍尔姆-布林方法用于研究在控制性别和年龄的情况下，屏幕时间和肥胖症的增加对慢性背痛患病率增加的解释作用。
2002 年至 2014 年间，屏幕时间和肥胖症的增加均与慢性背痛患病率的增加有关（p<0.001）。屏幕时间和肥胖症分别占慢性背痛患病率增加的 3.98%和 1.65%。
欧洲青少年慢性背痛患病率的上升可能部分归因于久坐的屏幕时间和肥胖症的上升趋势。屏幕时间和肥胖症仅占慢性背痛患病率上升的一小部分，这表明其他未被测量的因素也起作用。
在整个世界卫生组织欧洲区域，更多的屏幕时间和肥胖症与青少年中更多的慢性背痛（CBP）患病率略有相关。这些发现可用于确定预防或减少青少年 CBP 上升趋势的方法。
