Sedentary behavior and neck pain in children and adolescents; a systematic review and meta-analysis (original) (raw)
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Physical activity, screen time and the incidence of neck and shoulder pain in school-aged children
Scientific Reports
This study investigated the associations of accelerometer-measured physical activity, sedentary time and screen time with the incidence of neck and shoulder pain in school-aged children over a two-year follow-up. Children (aged 10–15) were measured at baseline 2013 (T0) (n = 970) and at follow-ups 2014 (T1) and 2015 (T2). Neck and shoulder pain frequency and screen time were determined with a web-based questionnaire. Daytime moderate to vigorous physical activity and sedentary time were measured with an accelerometer. Logistic regression was applied, and the results were adjusted for age, gender, body mass index and bedtime. Accelerometer-measured physical activity or sedentary time at baseline were not associated with the incidence of neck and shoulder pain at the two-year follow-up. Associations of neck and shoulder pain incidence with overall screen time (p = 0.020), and especially with passive gaming time (p = 0.036) and social media time (p = 0.023) were found at the first but ...
Scandinavian Journal of Pain, 2020
Objectives The potential effects of physical activity and sedentary time on children’s increasing neck and shoulder pain are unclear. The aim of this cross-sectional study was to evaluate the associations between objectively measured physical activity or sedentary time and neck and shoulder pain in children. Methods Children (n=905; 10–15 years old) filled in an electronic questionnaire during school hours on the frequency of their neck and shoulder pain. Daytime moderate to vigorous physical activity and sedentary time were measured objectively with an ActiGraph accelerometer. A multinomial logistic regression was applied to study the associations. The results were adjusted for age, gender, body mass index and bedtime. Results Neck and shoulder pain experienced at least once a week was reported by 26.1% of children. A higher proportion of boys (45.9%) than girls (24.2%) achieved at least 60 min of moderate to vigorous physical activity/day (p<0.001). Girls were more sedentary th...
Incidence and impact of neck pain on daily life activities of the student population
Journal of Health Sciences, 2022
Introduction: Neck pain (NP) may have a local mechanical (non-specific) origin caused by dysfunction of the joint, muscle, and ligament structures in the neck or by a discogenic etiology. Most people (50-60%) suffer from NP at some point in their lives. They are more common in highly developed countries and in urban areas. The aim of this study is to determine the prevalence of NP and its impact on daily living activities in the student population. Methods: The study included students of the University of Sarajevo-Faculty of Health Studies in the period from May 2021 to June 2021. The sample of respondents was formed by the method of random selection and included respondents of both sexes, aged 19-28 years. The study was conducted as a transversal cross-sectional study at a specific time point on the frequency of NP and the ability to perform activities of daily living in the student population. Results: Out of the total number of 255 respondents, 77 (30.2%) reported that they have NP while 178 (69.8%) respondents reported that they do not feel NP and it was found that there was no statistically significant difference between the age groups of the subjects with and without NP. The study concluded that a higher percentage of respondents with NP did not engage in leisure activities and that respondents with NP had lower mobility in daily life, sleep disturbance, and poorer ability to perform activities of daily living due to NP. Conclusion: The study conducted revealed that a significant percentage of the student population with NP has a lower ability to perform activities of daily living. Considering the above facts and the current transformation of the educational model, in which static postures dominate, it is necessary to design and implement programs for targeted physical activity and prevention of long-term inactivity that leads to painful musculoskeletal syndromes.
Risk factors for neck and shoulder pain among schoolchildren and adolescents
Journal of Paediatrics and Child Health, 2017
Aim: To evaluate the potential risk factors for neck and shoulder pain among schoolchildren. Methods: Demographic, physical/leisure activity, school-related and psychosocial factors for neck/shoulder pain were evaluated in a cross-sectional study of 1611 schoolchildren aged 11–14 years. Results: Neck and shoulder complaints were reported in 27.9 and 19.0% of the sample, respectively. According to multivariate logistic regression models, high desk height (odds ratio (OR) = 2.23, 95% confidence interval (CI): 1.22–4.07), forward-inclined seat pan (OR = 2.38, 95% CI: 1.40–4.05), time spent (30–60 min/day) carrying school bag (OR = 1.61, 95% CI: 1.16–2.23) and psychosocial factors (OR = 1.95, 95% CI: 1.03–3.72) independently increased the risk of neck pain, while low body mass index (OR = 0.63, 95% CI: 0.42–0.95) decreased it. Time spent on watching TV (OR = 1.45, 95% CI: 1.02–2.06), backward-inclined seat backrest (OR = 1.62, 95% CI: 1.02–2.58), curved seat backrest (OR = 1.80, 95% CI: 1.05–3.08), too much homework (OR = 1.45, 95% CI: 1.03–2.03) and psychosocial factors (conduct problems) (OR = 1.63, 95% CI: 1.07–2.46) independently increased the risk of shoulder pain, while prosocial behaviour (OR = 0.56, 95% CI: 0.35–0.90) decreased it. Conclusion: Both physical and psychosocial factors influenced the risk for neck/shoulder pain in school-aged children, suggesting that they should be considered in assessment and treatment of such symptoms in this population.
The European Journal …, 2006
Background: Neck-shoulder pain (NSP) and low back pain (LBP) increased among adolescents in the 1990s and the beginning of 2000. A potential risk factor for this increase is the use of information and communication technology. We studied how the use of computers, the Internet, and mobile phones, playing digital games and viewing television are related to NSP and LBP in adolescents. Methods: Mailed survey with nationally representative samples of 14-, 16-, and 18-year-old Finns in 2003 (n ¼ 6003, response rate 68%). The outcome variables were weekly NSP and LBP. Results: NSP was perceived by 26% and LBP by 12%. When compared with non-users, the risk of NSP was 1.3 (adjusted odds ratios) when using computers >2-3 h/day, and 1.8 when using 4-5 h/day; 2.5 when using computers 42h/week,and1.7whenusingtheInternet42 h/week, and 1.7 when using the Internet 42h/week,and1.7whenusingtheInternet42 h/week. Compared with non-users, the risk of LBP was 2.0 when using computers >5 h/day, 1.7 when using 42h/week,1.8whenusingtheInternet42 h/week, 1.8 when using the Internet 42h/week,1.8whenusingtheInternet42 h/week, and 2.0 when playing digital games >5 h/day. Times spent on digital gaming, viewing television, and using mobile phones were not associated with NSP, nor were use of mobile phones and viewing television with LBP after adjusting for confounding factors. Conclusions: Frequent computer-related activities are an independent risk factor for NSP and LBP. Daily use of computers exceeding 2-3 h seems to be a threshold for NSP and exceeding 5 h for LBP. Computer-related activities may explain the increase of NSP and LBP in the 1990s and the beginning of 2000.
Neck and shoulder pain among elementary school students: prevalence and its risk factors
BMC Public Health, 2019
Background: Neck and shoulder pain is relatively common among children and teenagers and has a negative impact on their physical and psychological health. This study was carried out to assess the prevalence of neck and shoulder pain among elementary school students, and to investigate the relationship between this pain and its risk factors. Methods: In this cross-sectional study, 693 elementary school students aged 7 to 12 years from Hamadan city, located in western Iran, were selected through the multistage cluster random sampling method. Data were collected through interviews and questionnaires. For the social and psychological variables, the parent version of the Strengths and Difficulties Questionnaire (SDQ) was used. For assessing each student's posture, an observational checklist, the Rapid Upper Limbs Assessment (RULA), was used. The data was analyzed using the unadjusted (univariate) and adjusted (multivariate) logistic regression. Results: The prevalence of the neck pain was slightly higher than that of shoulder pain. The prevalence reported over a month was 35.8 and 30.9% for neck and shoulder pain, respectively. The logistic regression analyses showed that, very high desk height (odds ratio (OR) =1.96, 95% confidence interval CI: 1.02-3.74), backward seat pan inclination (OR = 2.10, 95% CI: 1.37-3.24), forward seat pan inclination (OR = 3.12, 95% CI:1.46-6.68), difficulty in viewing the board (OR = 2.54, 95% CI: 1.10-5.84), too much homework (OR = 2.59, 95% CI: 1.49-4.51), RULA score at level III (OR = 2.88, 95% CI:1.64-5.05), and RULA score at level IV (OR = 3.12, 95% CI: 1.72-5.63) increased the risk of neck pain independently. On the other hand, sitting on desk and seat (OR = 0.59, 95% CI: 0.39-0.91) and laying position for doing homework (OR = 0.53, 95% CI: 0.34-0.81) reduced the related risk. Very short desk height (OR = 2.41, 95% CI: 1.26-4.61) and too much homework (OR = 1.94, 95% CI: 1.10-3.42) increased the risk of shoulder pain. Conclusion: The elementary school students reported a high prevalence of shoulder and neck pain. This study found that improper sitting positions, as well as physical factors such as the school furniture, too much homework, and difficulty in viewing the classroom board, were associated with pain. Proper interventions considering the risk factors assessed in this study, are suggested.
The relationship between neck pain and physical activity
The open orthopaedics journal, 2013
Neck pain is a significant societal burden due to its high prevalence and healthcare costs. While physical activity can help to manage other forms of chronic musculoskeletal pain, little data exists on the relationship between physical activity and neck pain. The purpose of this study was to compare physical activity levels between individuals with neck pain and healthy controls, and then to relate disability, fear of movement, and pain sensitivity measures to physical activity levels in each of the two participant groups. 21 participants were recruited for each of the two participant groups (n = 42). Data collection included the use of the Neck Disability Index, the Tampa Scale for Kinesiophobia, electrocutaneous (Neurometer® CPT) and pressure stimulation (JTech algometer) for quantitative sensory testing, and 5 days of subjective (Rapid Assessment of Physical Activity) and objective (BioTrainer II) measurements of physical activity. Analysis of Variance and Pearson's Correlati...
Pain, 2008
This study investigated the natural course of neck pain (NP) in 9-12-year-olds during a 4-year follow-up. Risk factors for the occurrence and persistence of weekly NP were explored separately for boys and girls. At baseline, 1756 schoolchildren completed a questionnaire eliciting musculoskeletal pain symptoms, other physical, and psychological symptoms and frequency of physical activity, and were tested for joint hypermobility. Symptoms during the preceding three months were asked using a five-level frequency classification. Re-evaluation was performed after one and four years using identical questionnaires. During follow-up, 24% reported none, 71% fluctuating, and 5% persistent weekly NP. The frequency of NP at baseline was linearly related to weekly NP during follow-up in both genders (P < 0.001). Furthermore, a significant increasing linear trend towards a more persistent course of NP was seen in children with weekly other musculoskeletal and/or other physical and psychological symptoms at baseline. Among originally neck pain-free pre-/early adolescents, weekly other musculoskeletal pain symptoms (only in girls) and other physical and psychological symptoms (in both genders) predicted the occurrence of weekly NP during follow-up. In conclusion, neck pain in schoolchildren tends to fluctuate, but there also seems to exist a subgroup (5%) with persistent NP already in pre-/early adolescents, or even earlier. Co-occurrence of frequent other musculoskeletal symptoms and/or markers of psychological stress with frequent NP are risk indicators for a more persistent course, at least within next few years. Since adult chronic NP problems might originate in childhood, further studies are needed, including preventive interventions. Ó