European Spine Journal

, Volume 17, Issue 3, pp 373–379 | Cite as

Physical activity and low-back pain in schoolchildren

Original Article

Abstract

Design of the experiment is to study the cross-sectional sample with retrospective information. The objective is to identify the types of physical activity associated with the decreased occurrence of low-back pain (LBP) in schoolchildren. Physical activity may be hypothesized to possess a potential for LBP prevention. The possible connection between LBP and specific sports activities is however sparsely documented. A total of 546, 15- to 16-year-old schoolchildren filled a questionnaire on current physical activities and LBP occurrence and severity. In multiple logistic regressions, the association of LBP with exposure variables was corrected for body height and weight (data from school health service files) and for anthropometric and school furniture parameters. More than half of the children reported pain or discomfort in the low-back region during the preceding 3 months, and 1/4 experienced a decreased functioning or need of care because of LBP. LBP correlated with physical inactivity, e.g. time spent on homework and hours watching TV or video, and with a series of sports activities, e.g. jogging, handball playing and gymnastics. Among sports activities, only swimming and the number of hours per week participating in soccer were associated with a decreased LBP prevalence. With the exception of swimming and soccer, the types of sport reported by this schoolchild population do not offer themselves for consideration as tools for LBP prevention. Based on the associations found with indicators of physical inactivity, attempts to motivate the children to increase their general physical activity level should be considered for trial.

Keywords

Adolescents Low-back pain Physical activity Prevention Health promotion 

References

  1. 1.
    Balagué F, Dutoit G, Waldburger M (1988) Low back pain in schoolchildren. Scand J Rehab Med 20:175–179Google Scholar
  2. 2.
    Balagué F, Nordin M, Skovron ML, Dutoit G, Yee A, Waldburger M (1994) Non-specific low back pain among schoolchildren: a field survey with analysis of some associated factors. J Spinal Disord 7:374–379PubMedGoogle Scholar
  3. 3.
    Burton AK, Clarke RD, McClune TD, Tillotson KM (1996) The natural history of low back pain in adolescents. Spine 21:2323–2328PubMedCrossRefGoogle Scholar
  4. 4.
    Duggleby T, Kumar S (1997) Epidemiology of juvenile low back pain: a review. Disabil Rehabil 19:505–512PubMedCrossRefGoogle Scholar
  5. 5.
    Harreby M, Nygaard B, Jessen T, Larsen E, Storr-Paulsen A, Lindahl A, Fisker I, Lægaard E (1999) Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J 8:444–450PubMedCrossRefGoogle Scholar
  6. 6.
    Leboeuf-Yde C, Kyvik KO (1998) At what age does low back pain become a common problem? Spine 23:228–234PubMedCrossRefGoogle Scholar
  7. 7.
    Taimela S, Kujala UM, Salminen JJ, Viljanen T (1997) The prevalence of low back pain among children and adolescents. Spine 22:1132–1136PubMedCrossRefGoogle Scholar
  8. 8.
    Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS (2001) Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine 26:1879–1883PubMedCrossRefGoogle Scholar
  9. 9.
    Olsen TL, Anderson RL, Dearwater SR, Kriska AM, Cauley JA, Aaron DJ, LaPorte RE (1992) The epidemiology of low back pain in an adolescent population. Am J Public Health 82:606–608PubMedCrossRefGoogle Scholar
  10. 10.
    Salminen JJ (1984) The adolescents back. A field survey of 370 Finnish schoolchildren. Acta Paediatr Scand 1–122Google Scholar
  11. 11.
    Salminen JJ, Pentti J, Terho P (1992) Low back pain and disability in 14-year-old schoolchildren. Acta Paediatr 81:1035–1039PubMedCrossRefGoogle Scholar
  12. 12.
    Harreby M, Neergaard K, Hesselsøe G, Kjer J (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? Spine 20:2298–2302PubMedCrossRefGoogle Scholar
  13. 13.
    Balagué F, Troussier B, Salminen JJ (1999) Non-specific low back pain in children and adolescents: risk factors: a review. Eur Spine J 8:429–438PubMedCrossRefGoogle Scholar
  14. 14.
    Viry P, Creveuil C, Marcelli C (1999) Nonspecific back pain in children. Rev Rhum 66:381–388Google Scholar
  15. 15.
    Balagué F, Nordin M (1992) Back pain in children and teenagers. Baillières Clin Rheumatol 6:575–593PubMedCrossRefGoogle Scholar
  16. 16.
    Gunzburg R, Balagué F, Nordin M, Szpalski M, Duyck D, Bull D, Mélot C (1999) Low back pain in a population of school children. Eur Spine J 8:439–443PubMedCrossRefGoogle Scholar
  17. 17.
    Feldman DE, Shrier I, Rossignol M, Abenhaim L (2001) Risk factors for the development of low back pain in adolescence. Am J Epidemiol 154:30–36PubMedCrossRefGoogle Scholar
  18. 18.
    Feldman DE, Rossignol M, Shrier I, Abenhaim L (1999) Smoking. A risk factor for development of low back pain in adolescents. Spine 24:2492–2496PubMedCrossRefGoogle Scholar
  19. 19.
    Balagué F, Skovron ML, Nordin M, Dutoit G, Waldburger M (1995) Low back pain in schoolchildren. A study of familial and psychological factors. Spine 20:1265–1270PubMedGoogle Scholar
  20. 20.
    Gent Cv, Dols JJCM, Rover CMd, Sing RAH, Vet HCWd (2003) The weight of schoolbags and the occurrence of neck, shoulder, and back pain in young adolescents. Spine 28:916–921PubMedCrossRefGoogle Scholar
  21. 21.
    Nissinen M, Heliövaara M, Seitsamo J, Alaranta H, Poussa M (1994) Anthropometric measurements and the incidence of low back pain in a cohort of pubertal children. Spine 19:1367–1370PubMedGoogle Scholar
  22. 22.
    Salminen JJ, Erkintalo M, Laine M, Pentti J (1995) Low back pain in the young. Spine 20:2101–2108PubMedCrossRefGoogle Scholar
  23. 23.
    Widhe T (2001) Spine: posture, mobility and pain. A longitudinal study from childhood to adolescence. Eur Spine J 10:118–123PubMedCrossRefGoogle Scholar
  24. 24.
    Fairbank JCT, Pynsent PB, Poortvliet JAV, Phillips H (1984) Influence of anthropometric factors and joint laxity in the incidence of adolescent back pain. Spine 9:461–464PubMedCrossRefGoogle Scholar
  25. 25.
    Harreby M, Kjer J, Hesselsøe G, Neergaard K (1996) Epidemiological aspects and risk factors for low back pain in 38-year-old men and women: a 25-year prospective cohort study of 640 school children. Eur Spine J 5:312–318PubMedCrossRefGoogle Scholar
  26. 26.
    Kujala UM, Taimela S, Salminen JJ, Oksanen A (1994) Baseline anthropometry, flexibility and strength characteristics and future low back pain in adolescent athletes and nonathletes. Scand J Med Sci Sports 4:200–205CrossRefGoogle Scholar
  27. 27.
    Sjölie AN, Ljunggren AE (2001) The significance of high lumbar mobility and low lumbar strength for current and future low back pain in adolescents. Spine 26:2629–2636PubMedCrossRefGoogle Scholar
  28. 28.
    Erkintalo MO, Salminen JJ, Alanen AM, Paajanen HEK, Kormano MJ (1995) Development of degenerative changes in the lumbar intervertebral disk: results of a prospective MR imaging study in adolescents with and without low back pain. Radiology 196:529–533PubMedGoogle Scholar
  29. 29.
    Salminen JJ, Erkintalo-Tertti MO, Paajanen HEK (1993) Magnetic resonance imaging findings of lumbar spine in the young: correlation with leisure time physical activity, spinal mobility, and trunk muscle strength in 15-year-old pupils with or without low back pain. J Spinal Disord 6:386–391PubMedGoogle Scholar
  30. 30.
    Swärd L, Hellstrom M, Jacobsson B, Pëterson L (1990) Back pain and radiologic changes in the thoraco-lumbar spine of athletes. Spine 15:124–129PubMedCrossRefGoogle Scholar
  31. 31.
    Tertti MO, Salminen JJ, Paajanen HEK, Terho PH, Kormano MJ (1991) Low back pain and disk degeneration in children: a case-control MR imaging study. Radiology 180:503–507PubMedGoogle Scholar
  32. 32.
    Tertti M, Paajanen H, Kujala UM, Alanen A, Salmi TT, Kormano M (1990) Disc degeneration in young gymnasts. Am J Sports Med 18:206–208PubMedCrossRefGoogle Scholar
  33. 33.
    Balagué F, Damidot P, Nordin M, Parnianpour M, Waldburger M (1993) Cross-sectional study of the isokinetic muscle trunk strength among school children. Spine 18:1199–1205PubMedCrossRefGoogle Scholar
  34. 34.
    Newcomer K, Sinaki M (1996) Low back pain and its relationship to back strength and physical activity in children. Acta Paediatr 85:1433–1439PubMedCrossRefGoogle Scholar
  35. 35.
    Kujala UM, Salminen JJ, Taimela S, Oksanen A, Jaakkola L (1992) Subject characteristics and low back pain in young athletes and nonathletes. Med Sci Sports Exerc 24:627–632PubMedGoogle Scholar
  36. 36.
    Kujala UM, Taimela S, Viljanen T (1999) Leisure physical activity and various pain symptoms among adolescents. Br J Sports Med 33:325–328PubMedGoogle Scholar
  37. 37.
    Sjölie AN (2004) Associations between activities and low back pain in adolescents. Scand J Med Sci Sports 4:352–359CrossRefGoogle Scholar
  38. 38.
    Armitage P, Berry G (1994) Statistical methods in medical research. Blackwell, OxfordGoogle Scholar
  39. 39.
    Szpalski M, Gunzburg R, Balagué F, Nordin M, Mélot C (2002) A 2-year prospective longitudinal study on low back pain in primary school children. Eur Spine J 11:459–464PubMedCrossRefGoogle Scholar
  40. 40.
    Kjaer M (2004) Role of extracellular matrix in adaptation of tendon and skeletal muscle to mechanical loading. Physiol Rev 84:649–698PubMedCrossRefGoogle Scholar
  41. 41.
    Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS (2003) Back pain in children: no association with objectively measured level of physical activity. Spine 28:2019–2024PubMedCrossRefGoogle Scholar
  42. 42.
    Mikkelsson LO, Nupponen H, Kaprio J, Kautiainen H, Mikkelsson M, Kujala UM (2006) Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: a 25-year follow up study. Br J Sports Med 40:107–113PubMedCrossRefGoogle Scholar
  43. 43.
    Hahn T, Foldspang A (1998) Prevalent knee pain and sport. Scand J Soc Med 26:44–52PubMedGoogle Scholar
  44. 44.
    Bejia I, Abid N, Salem KB, Letaief M, Younes M, Touzi M, Bergaoui N (2005) Low back pain in a cohort of 622 Tunisian schoolchildren and adolescents: an epidemiological study. Eur Spine J 14:331–336PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Institute of Public HealthUniversity of AarhusAarhus CDenmark
  2. 2.Department of Health Services Research, Institute of Public HealthUniversity of AarhusAarhus CDenmark

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