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- Title
Exceeding 2-h sedentary time per day is not associated with moderate to severe spinal pain in 11- to 13-year-olds: a cross-sectional analysis.
- Authors
Montgomery, Laura R. C.; Kamper, Steven J.; Hartvigsen, Jan; French, Simon D.; Hestbaek, Lise; Troelsen, Jens; Swain, Michael S.
- Abstract
Neck, mid-back and low back pain, collectively known as spinal pain, become more common with increasing age across childhood and adolescence. A common belief among the general community is that sedentary time, including screen time, in adolescents is associated with spinal pain. We aimed to investigate whether exceeding 2-h of sedentary time per day is associated with moderate to severe spinal pain in a sample of Danish adolescents aged 11–13 years. We performed a cross-sectional analysis of the SPACE study baseline data (2010). Adolescents self-reported their spinal pain (outcome) via the Young Spine Questionnaire and duration of engagement in sedentary behaviours (exposure). We provide estimates of associations as odds ratios with 95% confidence intervals, stratified by age and sex. The sample comprised 1,303 adolescents (48.7% female, mean age 12.5 years, range 10.9–14.3 years). Approximately 9 out of 10 adolescents exceeded 2-h sedentary time on weekdays outside of school (88.9%) and weekend days (89.9%). Close to one-quarter, 23.3% (95%CI: 21.0–25.6), of participants experienced moderate to severe spinal pain. We found no association between exceeding 2-h sedentary time per day and experiencing moderate to severe spinal pain; odds ratios ranged from 0.34 (95%CI: 0.04–3.20) to 4.65 (95%CI: 0.26–82.44). Conclusion: We found no association between exceeding 2- or 5-h of sedentary time per day and moderate to severe spinal pain in this sample of 11–13-year-old Danish adolescents. Our cross-sectional analysis does not consider the longitudinal or complex sequences of events necessary to address predictive or causal questions. What is Known: • Up to a third of adolescents experience moderate to severe spinal pain, predisposing them to chronic spinal pain in adulthood. • Frequent and excessive sedentary time is associated with poor overall health in adolescents; there is conflicting evidence to suggest whether it is also related to spinal pain. What is New: • We found no association between sedentary time and moderate to severe spinal pain in 11- to 13-year-old Danes.
- Subjects
DENMARK; CROSS-sectional method; LUMBAR pain; SEDENTARY behavior; BACK injuries; ODDS ratio; RISK of backache; SEDENTARY lifestyles; CONFIDENCE intervals; TIME; AGE distribution; SEX distribution; QUESTIONNAIRES; CHILDREN; ADOLESCENCE
- Publication
European Journal of Pediatrics, 2022, Vol 181, Issue 2, p653
- ISSN
0340-6199
- Publication type
Article
- DOI
10.1007/s00431-021-04258-x