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Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children

Background: Musculoskeletal pain (MSP) is a public health problem among school-adolescents. This study aimed to identify the prevalence, risk factors and consequences of neck, shoulders and low-back pain among school-adolescents. Study design: A cross-sectional study. Methods: School-adolescents age...

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Autores principales: Ben Ayed, Houda, Yaich, Sourour, Trigui, Maroua, Hmida, Mariem Ben, Jemaa, Maissa Ben, Ammar, Achraf, Jedidi, Jihene, Karray, Raouf, Feki, Habib, Mejdoub, Yosra, Kassis, Mondher, Damak, Jamel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hamadan University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/
https://www.ncbi.nlm.nih.gov/pubmed/31133629
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author Ben Ayed, Houda
Yaich, Sourour
Trigui, Maroua
Hmida, Mariem Ben
Jemaa, Maissa Ben
Ammar, Achraf
Jedidi, Jihene
Karray, Raouf
Feki, Habib
Mejdoub, Yosra
Kassis, Mondher
Damak, Jamel
author_facet Ben Ayed, Houda
Yaich, Sourour
Trigui, Maroua
Hmida, Mariem Ben
Jemaa, Maissa Ben
Ammar, Achraf
Jedidi, Jihene
Karray, Raouf
Feki, Habib
Mejdoub, Yosra
Kassis, Mondher
Damak, Jamel
author_sort Ben Ayed, Houda
collection PubMed
description Background: Musculoskeletal pain (MSP) is a public health problem among school-adolescents. This study aimed to identify the prevalence, risk factors and consequences of neck, shoulders and low-back pain among school-adolescents. Study design: A cross-sectional study. Methods: School-adolescents aged from 12 to 18 years between October 2017 and February 2018 in South of Tunisia were recruited. Eligible participants were randomly selected and were asked to respond a four-section questionnaire. Factors independently associated with MSP were determined through multivariate logistic regression analysis. Results: Among 1221 enrolled subjects, shoulders, low-back and neck pain were reported in 43%, 35.8% and 32%, respectively. Multivariate analysis showed that independent risk factors of neck pain were female gender (Adjusted odds ratio AOR=1.55; P=0.002), using computer ≥4 hours/week (AOR=1.50; P=0.010), too low desk (AOR=2.30; P<0.001) and carrying schoolbag ≥60 minutes (AOR=1.58; P=0.008). Female gender (AOR=3.30; P<0.001), BMI ≥25 Kg/m2 (AOR=1.6; P=0.018), playing videogames ≥2 hours/day (AOR=2.37; P<0.001) and schoolbag to body weight≥10% (AOR=1.46; P=0.026) were independently associated with shoulders pain. For low back-pain, independent risk factors were high-school grade (AOR=2.70; P<0.001), playing videogames ≥2 hours/day (AOR=1.83; P<0.001), watching TV≥12 hours/week (AOR=1.5; P=0.016), too low seat backrest (AOR=1.4; P=0.005) and too far seat-to-black (board) distance (AOR=1.5; P=0.041). Schooladolescents consumed drugs for MSP in 19.5%, had sleep disturbance in 34% and aggressive behaviors in 22.8%. Conclusions: The prevalence of MSP was substantially high among school-adolescents and their associated risk factors included sociodemographic factors, leisure activities and classroom furniture. An ergonomic specific and behavior-based school program is urgently needed.
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spelling pubmed-69416262020-05-11 Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children Ben Ayed, Houda Yaich, Sourour Trigui, Maroua Hmida, Mariem Ben Jemaa, Maissa Ben Ammar, Achraf Jedidi, Jihene Karray, Raouf Feki, Habib Mejdoub, Yosra Kassis, Mondher Damak, Jamel J Res Health Sci Original Article Background: Musculoskeletal pain (MSP) is a public health problem among school-adolescents. This study aimed to identify the prevalence, risk factors and consequences of neck, shoulders and low-back pain among school-adolescents. Study design: A cross-sectional study. Methods: School-adolescents aged from 12 to 18 years between October 2017 and February 2018 in South of Tunisia were recruited. Eligible participants were randomly selected and were asked to respond a four-section questionnaire. Factors independently associated with MSP were determined through multivariate logistic regression analysis. Results: Among 1221 enrolled subjects, shoulders, low-back and neck pain were reported in 43%, 35.8% and 32%, respectively. Multivariate analysis showed that independent risk factors of neck pain were female gender (Adjusted odds ratio AOR=1.55; P=0.002), using computer ≥4 hours/week (AOR=1.50; P=0.010), too low desk (AOR=2.30; P<0.001) and carrying schoolbag ≥60 minutes (AOR=1.58; P=0.008). Female gender (AOR=3.30; P<0.001), BMI ≥25 Kg/m2 (AOR=1.6; P=0.018), playing videogames ≥2 hours/day (AOR=2.37; P<0.001) and schoolbag to body weight≥10% (AOR=1.46; P=0.026) were independently associated with shoulders pain. For low back-pain, independent risk factors were high-school grade (AOR=2.70; P<0.001), playing videogames ≥2 hours/day (AOR=1.83; P<0.001), watching TV≥12 hours/week (AOR=1.5; P=0.016), too low seat backrest (AOR=1.4; P=0.005) and too far seat-to-black (board) distance (AOR=1.5; P=0.041). Schooladolescents consumed drugs for MSP in 19.5%, had sleep disturbance in 34% and aggressive behaviors in 22.8%. Conclusions: The prevalence of MSP was substantially high among school-adolescents and their associated risk factors included sociodemographic factors, leisure activities and classroom furniture. An ergonomic specific and behavior-based school program is urgently needed. Hamadan University of Medical Sciences 2019-03-26 /pmc/articles/PMC6941626/ /pubmed/31133629 Text en © 2019 The Author(s); Published by Hamadan University of Medical Sciences. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ben Ayed, Houda
Yaich, Sourour
Trigui, Maroua
Hmida, Mariem Ben
Jemaa, Maissa Ben
Ammar, Achraf
Jedidi, Jihene
Karray, Raouf
Feki, Habib
Mejdoub, Yosra
Kassis, Mondher
Damak, Jamel
Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title_full Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title_fullStr Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title_full_unstemmed Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title_short Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children
title_sort prevalence, risk factors and outcomes of neck, shoulders and low-back pain in secondary-school children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/
https://www.ncbi.nlm.nih.gov/pubmed/31133629
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