Orzali Luca, Asker Martin, Weiss Nathan, Onell Clara, Johnson Urban, Fältström Anne, Tranaeus Ulrika, Skillgate Eva
Musculoskeletal and Sports Injury Epidemiology Center, Department of Health Promotion Science, Sophiahemmet University, Stockholm, Sweden.
Musculoskeletal and Sports Injury Epidemiology Center, Department of Health Promotion Science, Sophiahemmet University, Stockholm, Sweden, and Naprapathögskolan - Scandinavian College of Naprapathic Manual Medicine, Stockholm, Sweden.
Sports Health. 2025 Mar 27:19417381251326498. doi: 10.1177/19417381251326498.
There is growing awareness that back pain in adolescent soccer (European football) players is not always related to local tissue damage. Approaches taking into consideration lifestyle factors are needed. This study aimed to investigate the association between psychological distress, skipped meals, and insufficient sleep, and the occurrence of back pain among adolescent female soccer players.
Psychological distress, skipped meals, and insufficient sleep are associated with the occurrence of back pain.
Cohort study.
Level 3.
Swedish adolescent female soccer players aged 12 to 17 years, without back pain at baseline, were included. The exposures psychological distress, skipped meals, and insufficient sleep were assessed at baseline. The players were followed for 1 year with a weekly web-based survey, where back pain intensity was measured on a numeric rating scale (NRS) ranging from 0 to 10. The outcome back pain was defined as reporting low back pain and/or upper back/neck pain intensity of ≥4 on the NRS. Multivariable Cox proportional hazard regression analyses were performed to estimate the hazard rate ratio (HRR) with 95% CI for the association between each exposure and the outcome back pain, adjusted for age at baseline and parents' education.
In total, 351 players were included, and 141 players reported back pain at some point during the 1-year follow-up. The adjusted HRR for back pain was 1.79 (95% CI, 1.11-2.91) for insufficient sleep, 1.45 (95% CI, 0.97-2.17) for psychological distress, and 0.98 (95% CI, 0.61-1.59) for skipped meals.
Insufficient sleep and psychological distress are associated with the occurrence of back pain among female adolescent soccer players.
Our results contribute to the understanding of what may influence the occurrence of back pain in adolescence, offering potential strategies for the prevention of back pain in adolescent female soccer players.
人们越来越意识到，青少年足球（欧洲足球）运动员的背痛并不总是与局部组织损伤有关。需要考虑生活方式因素的方法。本研究旨在调查心理困扰、不规律饮食和睡眠不足与青少年女子足球运动员背痛发生之间的关联。
心理困扰、不规律饮食和睡眠不足与背痛的发生有关。
队列研究。
3级。
纳入12至17岁、基线时无背痛的瑞典青少年女子足球运动员。在基线时评估心理困扰、不规律饮食和睡眠不足等暴露因素。通过每周一次的网络调查对运动员进行为期1年的随访，采用0至10的数字评分量表（NRS）测量背痛强度。背痛结局定义为在NRS上报告下背部疼痛和/或上背部/颈部疼痛强度≥4。进行多变量Cox比例风险回归分析，以估计每种暴露因素与背痛结局之间关联的风险率比（HRR）及其95%置信区间（CI），并对基线年龄和父母教育程度进行校正。
总共纳入351名运动员，141名运动员在1年随访期间的某个时间报告有背痛。睡眠不足导致背痛的校正HRR为1.79（95%CI，1.11 - 2.91），心理困扰为1.45（95%CI，0.97 - 2.17），不规律饮食为0.98（95%CI，0.61 - 1.59）。
睡眠不足和心理困扰与青少年女子足球运动员背痛的发生有关。
我们的结果有助于理解哪些因素可能影响青少年背痛的发生，为预防青少年女子足球运动员背痛提供了潜在策略。
