Mazaheri-Tehrani Sadegh, Arefian Mohadeseh, Abhari Amir Parsa, Riahi Roya, Vahdatpour Babak, Baradaran Mahdavi Sadegh, Kelishadi Roya
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran; Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran; Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Prev Med. 2023 Oct;175:107711. doi: 10.1016/j.ypmed.2023.107711. Epub 2023 Sep 28.
Sedentary lifestyle is an imperative risk for musculoskeletal pain. We sought to investigate the association between different types of sedentary behaviors (SBs) and neck pain (NP) among adults. A systematic search was conducted in PubMed, Web of Science, Embase, Scopus, and Google Scholar up to the end of April 2023. The odds ratio (95% CI) was considered as the desired effect size for the association between SBs and the NP. Among 1881 records found by primary search, 46, and 27 reports were included in the qualitative and quantitative analysis respectively. All included studies qualified as good or fair. Our results indicated that SB is a risk factor for NP among adults (OR = 1.5, [1.29, 1.76]). Computer and mobile phone use were also found to be considerable risk factors for NP (OR = 1.3, [1.12, 1.53], and OR = 2.11, [1.32, 3.42] respectively). However, sitting time showed an insignificant association with NP (OR = 1.33, [0.86, 2.07]). Subgroup analysis revealed that SBs are a significant risk factor for NP among university students (OR = 1.58, [1.27, 1.97]), but the association among office workers was marginally insignificant (OR = 1.36, [0.98, 1.89]). According to the meta-regression results, the male gender was found to increase the risk of NP. Meanwhile, Egger's test revealed the presence of publication bias (p-value <0.0001). A sedentary lifestyle as well as computer and mobile phone use is associated with a considerable risk of NP among adults, especially university students. Further, longitudinal studies are needed to better clarify the causality relationships.
久坐不动的生活方式是肌肉骨骼疼痛的一个重要风险因素。我们试图研究成年人中不同类型的久坐行为（SBs）与颈部疼痛（NP）之间的关联。截至2023年4月底，我们在PubMed、科学网、Embase、Scopus和谷歌学术上进行了系统检索。优势比（95%置信区间）被视为SBs与NP之间关联的预期效应量。在初步检索找到的1881条记录中，分别有46篇和27篇报告纳入了定性和定量分析。所有纳入研究的质量均为良好或中等。我们的结果表明，久坐行为是成年人颈部疼痛的一个风险因素（优势比=1.5，[1.29, 1.76]）。使用电脑和手机也被发现是颈部疼痛的重要风险因素（优势比分别为1.3，[1.12, 1.53]和2.11，[1.32, 3.42]）。然而，久坐时间与颈部疼痛的关联不显著（优势比=1.33，[0.86, 2.07]）。亚组分析显示，久坐行为是大学生颈部疼痛的一个显著风险因素（优势比=1.58，[1.27, 1.97]），但在上班族中这种关联略显不显著（优势比=1.36，[0.98, 1.89]）。根据元回归结果，男性会增加颈部疼痛的风险。同时，Egger检验显示存在发表偏倚（p值<0.0001）。久坐不动的生活方式以及使用电脑和手机与成年人，尤其是大学生颈部疼痛的高风险相关。此外，需要进一步的纵向研究来更好地阐明因果关系。
