Risk Factors for Low Back Pain in Childhood and Adolescence

Calvo-Muñoz, Inmaculada; Kovacs, Francisco M.; Figuls, Marta Roqué i; Fernández, Inés Gago; Calvo, Jesús Seco

doi:10.1097/ajp.0000000000000558

Cited by 65 publications

(84 citation statements)

References 75 publications

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“…Third, a misclassification on the self‐report of comorbidity and painful TMD may be considered. However, Figure shows that the percentage of comorbidities found in this study are in the range of those noted in the systematic reviews . In addition, Graue et al noted that the estimated prevalence of painful TMD was lower when using self‐reported screening questionnaires than when using DC/TMD criteria, suggesting that use of self‐reported questionnaires may provide a conservative estimate of painful TMD prevalence.…”

Section: Discussioncontrasting

confidence: 38%

Comorbid conditions associated with painful temporomandibular disorders in adolescents from Brazil, Canada and France: A cross‐sectional study

Khan

Muller‐Bolla

Teixeira

et al. 2020

J of Oral Rehabilitation

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Background Painful temporomandibular disorder (TMD) is common among adolescents. Presence of painful comorbidities may worsen painful TMD and impact treatment effectiveness. Objective The aim of this study was to assess the association between painful TMD and comorbidities. Methodology In this cross‐sectional study, adolescents were recruited in Montreal (Canada), Nice (France) and Arceburgo (Brazil). Reliable instruments were used to assess painful TMD and comorbidities. Multivariable logistic and linear regression analyses were conducted to assess the study aims. Results The prevalence of self‐reported painful TMD was estimated at 31.6%; Arceburgo (31.6%), Montreal (23.4%) and Nice (31.8%). Painful TMD was more common among girls than boys (OR = 1.96). Painful TMD was associated with a higher number of comorbidities (OR = 1.77); Arceburgo (OR = 1.81), Montreal (OR = 1.80) and Nice (OR = 1.72). A stronger association was found between painful TMD and headaches (OR = 4.09) and a weaker one with stomach pain (OR = 1.40). Allergies were also related to painful TMD (OR = 1.43). Conclusion Painful TMD was associated with comorbidities. Headaches were consistently associated with painful TMD. Other associations were modified by sex and/or covariates related to the cities where participants were recruited.

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Section: Discussioncontrasting

confidence: 38%

Comorbid conditions associated with painful temporomandibular disorders in adolescents from Brazil, Canada and France: A cross‐sectional study

Khan

Muller‐Bolla

Teixeira

et al. 2020

J of Oral Rehabilitation

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“…Many factors have been suggested to be associated with a higher risk of LBP among schoolchildren (Calvo‐Muñoz, Kovacs, Roqué, Gago Fernández, & Seco Calvo, ), including biological (e.g., body weight, weight bearing, muscle strength or ergonomics) (Fairbank, Pynsent, Poortvliet, & Phillips, ; Sano et al, ; Yamato, Maher, Traeger, Wiliams, & Kamper, ), psychosocial (e.g., family and social relations or satisfaction with school) (Dianat, Alipour, & Asghari Jafarabadi, ; Mikkonen et al, ) and lifestyle related variables (e.g., physical activity, participation in sports or smoking) (Kovacs et al, ; Wedderkopp, Leboeuf‐Yde, Bo Andersen, Froberg, & Hansen, ).…”

Section: Introductionmentioning

confidence: 99%

The association between the weight of schoolbags and low back pain among schoolchildren: A systematic review, meta‐analysis and individual patient data meta‐analysis

Calvo-Muñoz

Kovacs

Figuls

et al. 2019

European Journal of Pain

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Background The objective of this study was to determine whether carrying a heavy schoolbag is associated to a higher prevalence of low back pain (LBP). Methods A systematic review and meta‐analysis was conducted (PROSPERO, CRD42018077839). Observational studies analysing the relationship between schoolbag weight and LBP, were searched for in 20 electronic databases and 12 specialized journals until February 28th, 2019, without date or language restrictions. All studies which included ≥ 50 subjects aged 9 to 16, were reviewed. Methodological quality was assessed by two reviewers separately, using validated tools. A meta‐analysis and an individual patient data (IPD) meta‐analysis were conducted to examine the relationship between schoolbag weight and LBP. Certainty of evidence was assessed using an adapted GRADE methodology. Results 5,524 citations were screened, 21 studies (18,296 subjects) were reviewed and 11 studies (9,188 subjects) were included in the meta‐analysis. The IPD meta‐analysis included 9,188 subjects from seven studies. Among the 21 studies reviewed, the mean score for methodological quality was 78.3 of 100. Only one study suggested an association between heavier schoolbags and LBP. Neither the meta‐analysis nor the IPD meta‐analysis found an association between carrying schoolbags weighing > 10% of bodyweight, and LBP. No differences based on age, gender or sport activity were found. Discussion Available evidence does not support that schoolbags weighing > 10% of bodyweight are associated with a higher prevalence of LBP among schoolchildren aged 9–16. The certainty of evidence is low. Further research is required on the relationship between schoolbag weight and LBP. Significance This systematic review, with a meta‐analysis and an IPD meta‐analysis, failed to find a link between schoolbags weighing ≥ 10% of body weight and LBP among schoolchildren aged 9 to 16. Further longitudinal studies, with large samples, long follow‐up periods, and rigorous methods taking into account duration of carry and the physical capacity of each subject, are required in this field.

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“…A prevalência de dor lombar crônica entre os adolescentes com DL pode ser considerada alta, o que é preocupante nesta etapa da vida, uma vez que sintomas crônicos são associados à incapacidade entre adultos 3 . A associação entre sexo feminino e DL nos últimos 12 meses é consistente com a literatura, mesmo entre estudos que utilizam diferentes períodos de recordatório para caracterização do desfecho 4,20 . Estes resultados podem refletir diferenças estruturais e psicossociais entre os sexos, sendo que as mulheres podem relatar a dor com maior frequência do que os homens.…”

Section: Métodosunclassified

“…A maior sobrecarga sobre a coluna vertebral devido aos longos períodos sentados e o carregamento de peso que aumentam na medida em que os adolescentes se tornam mais velhos pode explicar a associação linear direta entre idade e o desfecho 4,7,8,21 . Não foram encontrados estudos que avaliem a associação entre maior renda e DL no último ano, sendo que apenas um estudo brasileiro avaliou a relação entre nível socioeconômico e DL, mas não encontrou diferença significativa 7 .…”

Section: Métodosunclassified

“…De acordo com a literatura, a prevalência de DL em adolescentes varia não apenas devido a características das populações avaliadas, mas de acordo com a definição do desfecho, a qual possui grande heterogeneidade 4 . Um estudo de meta-análise estimou prevalências de 12,0%, 18,3%, 33,6% e 39,9% para DL pontual, no último mês, nos últimos 12 meses e na vida, respectivamente 5 .…”

Section: Introductionunclassified

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Dor lombar em adolescentes do semiárido: resultados de um censo populacional no município de Caracol (PI), Brasil

Meucci

Linhares

Olmedo

et al. 2018

Ciênc. saúde coletiva

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Resumo O objetivo deste artigo é avaliar a prevalência e os fatores associados à dor lombar nos últimos 12 meses entre adolescentes de um município do sul do estado do Piauí, Brasil. Estudo transversal com 1112 adolescentes de 13-19 anos do município de Caracol. Investigaram-se características demográficas, socioeconômicas, nutricionais, comportamentais e comorbidades. O desfecho foi a ocorrência de dor lombar (DL) nos últimos 12 meses. Foi calculada a prevalência do desfecho de acordo com as variáveis independentes. Entre os adolescentes com DL no último ano, foi calculada a proporção de indivíduos com dor lombar crônica. Para análise dos fatores associados, foi utilizada a regressão de Poisson bruta e ajustada para cálculo das razões de prevalência. A prevalência de dor lombar nos últimos 12 meses foi de 32,9%. De acordo com a análise ajustada, sexo feminino (RP = 1,75; IC95%:1,45-2,10), idade entre 18-19 anos (RP = 1,27; IC95%:1,01-1,62), maior renda (RP = 1,33; IC95%:1,06-1,67), estar trabalhando (RP 1,25 IC95%:1,02-1,53) e apresentar distúrbios psiquiátricos menores (RP 1,51 IC95%: 1,25-1,82) permaneceram associados à DL nos últimos 12 meses. Este estudo encontrou elevada prevalência de DL entre adolescentes de um município pequeno do semiárido nordestino.

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Risk Factors for Low Back Pain in Childhood and Adolescence

Abstract: Future studies should focus on muscle characteristics, the relationship between body and backpack weights, duration of carrying the backpack, characteristics of sport practice, and which are the factors associated with specifically chronic pain.

Cited by 65 publications

References 75 publications

Comorbid conditions associated with painful temporomandibular disorders in adolescents from Brazil, Canada and France: A cross‐sectional study

Comorbid conditions associated with painful temporomandibular disorders in adolescents from Brazil, Canada and France: A cross‐sectional study

The association between the weight of schoolbags and low back pain among schoolchildren: A systematic review, meta‐analysis and individual patient data meta‐analysis

Dor lombar em adolescentes do semiárido: resultados de um censo populacional no município de Caracol (PI), Brasil

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