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Relationship between musculoskeletal disorders and physical inactivity in adolescents

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Abstract

Purpose

To determine the correlation between musculoskeletal system disorders and the physical activity levels of adolescents.

Methods

A total of 417 high school students were included in this cross-sectional study. To explain the musculoskeletal pain and physical activity, a self-administered questionnaire which included the Nordic International Physical Activity Questionnaire Short Form (IPAQ-SF) was distributed.

Results

The standardised Nordic musculoskeletal questionnaire showed that 57.3% of the students reported having musculoskeletal disorders in one or more body parts, and 52.2% of them consisted of girls. The mean weekly energy consumption as linked to the physical activity of the participants was found to be 2534.58 (± 2371.31) metabolic equivalent task (MET/wk): 45.8% of the individuals exhibited low levels of activity. A statistically significant relationship was found between experiencing upper/low back pain and the participants’ low physical activity levels.

Conclusions

The current study has shown that the prevalence of MSDs was high among high school students, with a correlation being found between low physical activity and back pain. Physical activity levels should hence be considered when evaluating adolescents with musculoskeletal disorders.

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References

  • Alricsson M, Landstad BJ, Romild U, Werner S (2006) Self-related health, physical activity and complaints in Swedish high school students. Sci World J 6:816–826

    Article  Google Scholar 

  • Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, Thomsen JF (2003) Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med 60:649–654

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Anderson JJ (2000) The important role of physical activity in skeletal development: how exercise may counter low calcium intake. Am J Clin Nutr 71:1384–1386

    Article  CAS  PubMed  Google Scholar 

  • Ardıç F (2014) Health benefits of exercise. Turk J Phys Med Rehab 60(2):9–14

    Article  Google Scholar 

  • Ariens GA, Van MW, Bongers PM, Bouter LM, Wal G (2000) Physical risk factors for neck pain. Scand J Work Environ Health 26:7–19

    Article  CAS  PubMed  Google Scholar 

  • Barnekow M, Hedberg G, Janlert U, Jansson E (1998) Prediction of physical fitness and physical activity level in adulthood by physical performance and physical activity in adolescence — an 18-year follow-up study. Scand J Med Sci Sports 8:299–308

    Article  Google Scholar 

  • Barnekow T, Magerøy N, Moen BE (2007) Physical activity is associated with a low prevalence of musculoskeletal disorders in the Royal Norwegian Navy: a cross sectional study. BMC Musculoskelet Disord 8:56

    Article  Google Scholar 

  • Bernard BP (1997) Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. NIOSH, Washington, DC

    Google Scholar 

  • Brattberg G (1994) The incidence of back pain and headache among Swedish school children. Qual Life Res 3:27–31

    Article  Google Scholar 

  • Briggs AM, Straker LM, Bear NL, Smith AJ (2009) Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohort. BMC Musculoskelet Disord 10:87

    Article  PubMed  PubMed Central  Google Scholar 

  • Cho CY, Hwang IS, Chen CC (2003) The association between psychological distress and musculoskeletal symptoms experienced by Chinese high school students. J. Orthop Sports Phys Ther 33:344–353

    Article  Google Scholar 

  • Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Oja P (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395

    Article  PubMed  Google Scholar 

  • Crow J, Pizzari T, Buttifant D (2011) Muscle onset can be improved by therapeutic exercise: a systematic review. Phys Ther Sport 12(4):199–209

    Article  PubMed  Google Scholar 

  • Duppe H, Gardsell P, Johnell O, Nilsson BE, Ringsberg K (1997) Bone mineral density, muscle strength and physical activity: a population based study of 332 students aged 15–42 years. Acta Orthop Scand 68:97–103

    Article  CAS  PubMed  Google Scholar 

  • Hakala PT, Rimpelä AH, Saarni LA, Salminen JJ (2006) Frequent computer-related activities increase the risk of neck–shoulder and low back pain in adolescents. Eur J Pub Health 16:536–541

    Article  Google Scholar 

  • Hanvold TN, Veiersted KB, Wærsted M (2010) A prospective study of neck, shoulder, and upper back pain among technical school students entering working life. J Adolesc Health 46(5):488–494

    Article  PubMed  Google Scholar 

  • Hardman AE (2001) Physical activity and health: current issues and research needs. Int J Epidemiol 30:1193–1197

    Article  CAS  PubMed  Google Scholar 

  • Hayden JA, Tulder MW, Tomlinson G (2005) Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med 142(9):776–785

    Article  PubMed  Google Scholar 

  • Holth HS, Werpen HKB, Zwart JA, Hagen K (2008) Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: results from the Nord-Trondelag health study. BMC Musculoskelet Disord 9:159

    Article  PubMed  PubMed Central  Google Scholar 

  • Huang GD, Feuerstein M, Sauter SL (2002) Occupational stress and workrelated upper extremity disorders: concepts and models. Am J Ind Med 41:298–314

    Article  PubMed  Google Scholar 

  • Jackson CP, Brown MD (1983) Is there a role for exercise in the treatment of patients with low back pain? Clin Orthop Relat Res 179:39–45

    Google Scholar 

  • Kahraman T, Genç A, Göz E (2016) The Nordic musculoskeletal questionnaire: crosscultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil 38:21

    Article  Google Scholar 

  • Kocur P, Pospieszna B, Choszczewski D, Michalowski L, Wiernicka M, Lewandowski J (2017) The effects of Nordic walking training on selected upper-body muscle groups in female-office workers: a randomized trial. Work 56(2):277–283

    Article  PubMed  Google Scholar 

  • Kujala UM, Taimela S, Viljanen T (1999) Leisure physical activity and various pain symptoms among adolescents. Br J Sports Med 33:325–328

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237

    Article  CAS  PubMed  Google Scholar 

  • Lang T, Altman D (2013) Basic statistical reporting for articles published in clinical medical journals: the SAMPL Guidelines. In: Smart P, Maisonneuve H, Polderman A (eds) Science Editors’ Handbook. European Association of Science Editors

  • Mechelen WV, Twisk JWR, Post GB, Snel JAN, Kemper HC (2000) Physical activity of young people: the Amsterdam longitudinal growth and health study. Med Sci Sports Exerc 32(9):1610–1616

    Article  PubMed  Google Scholar 

  • Myrtveit SM, Sivertsen B, Skogen JC, Frostholm L, Stormark KM, Hysing M (2014) Adolescent neck and shoulder pain—the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health 55(3):366–372

    Article  PubMed  Google Scholar 

  • Ozcan E, Esmaeilzadeh S, Bölükbaş N (2007) Ergonomics and prevention in work-related musculoskeletal disorders among computer users. Nobel Med 3(1):12–17

    Google Scholar 

  • Palmer KT, Smedley J (2007) Work relatedness of chronic neck pain with physical findings––a systematic review. Scand J Work Environ Health 33:165–191

    Article  PubMed  Google Scholar 

  • Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Kriska A (1995) Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention. American College of Sports Medicine. JAMA 273(5):402–407

    Article  CAS  PubMed  Google Scholar 

  • Pesco MS, Chosa E, Tajima N (2006) Comparative study of hands-on therapy with active exercises vs education with active exercises for the management of upper back pain. J Manip Physiol Ther 29(3):228–235

    Article  Google Scholar 

  • Saglam M, Arikan H, Savci S, Inal D, Bosnak M, Karabulut E, Tokgozoglu L (2010) International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 111:278–284

    Article  PubMed  Google Scholar 

  • Sallis JF (1993) Epidemiology of physical activity and fitness in children and adolescents. Crit Rev Food Sci Nutr 33(4–5):403–408

    Article  CAS  PubMed  Google Scholar 

  • Sjøgaard G, Lundberg U, Kadefors R (2000) The role of muscle activity and mental load in the development of pain and degenerative processes at the muscle cell level during computer work. Eur J Appl Physiol 83:99–105

    Article  PubMed  Google Scholar 

  • Sjolie AN (2004) Associations between activities and low back pain in adolescents. Scand J Med Sci Sports 14:352–359

    Article  PubMed  Google Scholar 

  • Smedbråten BK, Natvig B, Rutle O (1998) Self-reported bodily pain in schoolchildren. Scand J Rheumatol 27:273–276

    PubMed  Google Scholar 

  • Sundblad GB, Jansson A, Saartok T, Renström P, Engström LM (2008) Self-rated pain and perceived health in relation to stress and physical activity among school-students: a 3-year follow-up. Pain 136:239–249

    Article  PubMed  Google Scholar 

  • Undén AL, Elofsson S (2001) Health from the patient’s point of view. How does it relate to the physician’s judgement? Fam Pract 18:174–180

    Article  PubMed  Google Scholar 

  • Yılmaz F, Şahin F, Kuran B (2006) Work related musculoskeletal disorders and therapy. Nobel Med 2(3):15–22

    Google Scholar 

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Correspondence to Semra Aktürk.

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Author Semra Aktürk declares that she has no conflict of interest. Author Raikan Büyükavcı declares that she has no conflict of interest. Author Ümmühan Aktürk declares that she has no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Aktürk, S., Büyükavcı, R. & Aktürk, Ü. Relationship between musculoskeletal disorders and physical inactivity in adolescents. J Public Health (Berl.) 27, 49–56 (2019). https://doi.org/10.1007/s10389-018-0923-7

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  • DOI: https://doi.org/10.1007/s10389-018-0923-7

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