Prevalence and Associated Factors of Low Back Pain (LBP) among Adolescents in Central, Thailand

Abstract

Background: Low Back Pain (LBP) is one of the most common musculoskeletal disorders found from adolescent to the elderly. These affect the quality of life of adolescents due to the inability to fully perform any activity. The information concerning LBP in Thailand is still limited especially among adolescents. Most related studies were conducted among young adult. The present study was aimed to determine the prevalence and the associated factors of LBP among adolescents in Central Thailand.Methods: A total of 4944 adolescents were included in the study. The Nordic Standard Questionnaire (NSQ) was used to screen LBP conditions among these adolescents. Standardized questionnaires were used to collect demographic data and associated factors. Results:The prevalence of LBP among adolescents was 26.7%. Univariate and multivariate analysis showed that adolescents with LBP were associated with both behavioral and physical activity factors. These factors included sex, grade, using a smartphone, transportation to school, suitability of chairs and desks, history of back injury and low frequency of exercise Conclusion: Our data emphasized that LBP was a problem among adolescent. Supportive exercise and physical activity should be provided for adolescents.

Low back pain in adolescents and association with sociodemographic factors, electronic devices, physical activity and mental health

“…The use of television, cell phone, and tablet over 3 h a day was associated with the outcome, corroborating the findings of other investigations. 23 , 24 , 25 , 26 The use of information and communication technologies is a potential risk factor for the development of spinal pain. It is believed that the explanation is based on inadequate static posture adopted using these devices associated with a prolonged time, which generates musculoskeletal overload, reduction of blood flow, and muscle spasm, activating the pain receptors.…”

“…Another important point is the longer time of exposure to inappropriate postures, since the laptops and tablets can be used at any location. 3 , 26 …”

Factors associated with intensity and frequent low back pain in high school students

“…In this study, the female sex was associated with LBP-IH, in the same way as in Portugal 12 and Finland 25 , while in Turkey 26 such association was not observed. This result can be explained by the fact that women, regardless of age, report more frequently the presence of symptoms than men, due to cultural reasons, hormonal changes during puberty, and higher pain thresholds in men than in women 2,27,28 .…”

Simulating the Nutritional Traits of Populations at the Small Area Levels Using Spatial Microsimulation Modelling Approach

“…The multilevel statistical modelling approach is frequently used in explaining the variability in human characteristics. The method has an extended ability to incorporate unexplained variability between small areas into the nutrition-related attributes estimation procedures and can be applicable to survey data that simultaneously accounts for either individual and small area level effects or small area random effects on nutritionrelated behaviors [62,63]. As the multilevel modelling in cludes the individual level covariates this method also imposes quitestringentdat a requirements, like individual level modelling and hence important individual level predictors of nutrition-related traits may be dropped from the model due to unknown distributions of these variables at the local level.…”