Santos Gracielle de Jesus, Tebar William Rodrigues, da Silva Danilo Rodrigues Pereira, Alves Eduardo da Silva, Christofaro Diego Giulliano Destro, Ohara David
Programa de Pós-Graduação em Ciências da Saúde - PPGCS/UESC Brazil.
Centro de Pesquisa Clínica e Epidemiológica, Hospital Universitário - USP Brazil.
Health Sci Rep. 2024 Dec 18;7(12):e70121. doi: 10.1002/hsr2.70121. eCollection 2024 Dec.
Musculoskeletal disorders (MSD) are an important health problem, and the Covid-19 pandemic affected several lifestyle and health aspects worldwide, including moderate-to-vigorous physical activity (MVPA), sedentary behavior (SB) and sleep time, which compose the 24-h movement guidelines (24-hMG). It is unclear whether meeting 24-hMG during pandemic have been associated with MSD in adult population and this study aimed to analyze the association of meeting 24-hMG with spinal MSD in undergraduate students during Covid-19 pandemic.
A sample of 71 undergraduate students were assessed (24.0 ± 6.6 years, 52% of women). MVPA was assessed by accelerometer, while daily time of SB and sleep were assessed by questionnaires. Spinal MSD was assessed by the Nordic questionnaire. Logistic regression models analyzed the association of meeting 24-hMG (individually and combined) with MSD, independently of age, sex, and body mass index.
Spinal MSD affected 78.9% of sample. Only 11.3% of sample fully met the 24-hMG. Participants who did not meet both MVPA and SB guidelines were more likely to have MSD in low back (OR:3.45, = 0.049) and spine (OR:3.78, = 0.048) even after multiple adjustment. Otherwise, not meeting SB guideline was inversely associated with upper back MSD (OR:0.22, = 0.012).
Meeting 24-hMG during Covid-19 pandemic were differently associated with spinal MSD, where combination of MVPA and SB shows to be protective against MSD in low back and in spine. However, the determinants of association between meeting SB guideline and higher upper back MSD still needs to be investigated.
肌肉骨骼疾病（MSD）是一个重要的健康问题，而新冠疫情影响了全球多个生活方式和健康方面，包括中等到剧烈身体活动（MVPA）、久坐行为（SB）和睡眠时间，这些构成了24小时运动指南（24-hMG）。目前尚不清楚在疫情期间遵循24-hMG是否与成年人群的MSD相关，本研究旨在分析在新冠疫情期间遵循24-hMG与本科生脊柱MSD之间的关联。
对71名本科生样本进行了评估（年龄24.0±6.6岁，女性占52%）。通过加速度计评估MVPA，通过问卷评估每日SB时间和睡眠时间。通过北欧问卷评估脊柱MSD。逻辑回归模型分析了遵循24-hMG（单独和综合）与MSD之间的关联，独立于年龄、性别和体重指数。
脊柱MSD影响了78.9%的样本。只有11.3%的样本完全符合24-hMG。即使经过多次调整，未同时达到MVPA和SB指南的参与者在腰部（OR：3.45，P = 0.049）和脊柱（OR：3.78，P = 0.048）患MSD的可能性更高。否则，未达到SB指南与上背部MSD呈负相关（OR：0.22，P = 0.012）。
在新冠疫情期间遵循24-hMG与脊柱MSD的关联各不相同，其中MVPA和SB的结合对腰部和脊柱的MSD具有保护作用。然而，遵循SB指南与上背部MSD较高之间关联的决定因素仍需研究。
