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European Spine Journal

, Volume 24, Issue 3, pp 474–481 | Cite as

Body mass index is associated with low back pain in childhood and adolescence: a birth cohort study with a 6-year follow-up in Niigata City, Japan

  • Atsuki SanoEmail author
  • Toru Hirano
  • Kei Watanabe
  • Naoto Endo
  • Takui Ito
  • Naohito Tanabe
Original Article

Abstract

Purpose

To investigate the successive change of low back pain (LBP) prevalence in childhood and adolescence and to examine the associations between LBP and extracurricular sports activities (ECSA) or body mass index (BMI) using a 6-year birth cohort study.

Methods

LBP reports of a grade (4,597 pupils at the beginning) were tracked over 6 years (between the ages of 9 and 14 years old), and anonymous questionnaires were distributed to them yearly. After grading the severity of the LBP into three levels and noting the transitions of the point and the lifetime prevalence of LBP, associations between point prevalence of LBP and BMI or ECSA were evaluated.

Results

The point prevalence of LBP had a tendency to become significantly higher as the pupils got older until they became 13 years old. The lifetime prevalence of LBP significantly increased as they got older yearly. As for the severity of LBP among students with a lifetime prevalence, the rate of more severe LBP (levels 2 and 3) increased as they got older. Significant positive associations were recognized between BMI and point prevalence of LBP in every years old (p < 0.05) and between ECSA and point prevalence of LBP at 11 (p = 0.001) and 14 years old (p < 0.001).

Conclusions

The point and lifetime prevalence of LBP and the rate of more severe LBP increased as the pupils got older. BMI may be associated with LBP in childhood and adolescence.

Keywords

Body mass index Low back pain Birth cohort study Childhood low back pain Adolescent low back pain 

Notes

Acknowledgments

We would like to sincerely thank the members of the Niigata City board of education, school teachers, and others associated with the elementary schools and junior high schools in Niigata City for their valuable cooperation in making this study possible.

Conflict of interest

None.

References

  1. 1.
    Balagué F, Dutoit G, Waldburger M (1988) Low back pain in schoolchildren. An epidemiological study. Scand J Rehabil Med 20:175–179PubMedGoogle 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(5):374–379PubMedGoogle Scholar
  3. 3.
    Burton AK, Clarke RD, McClune TD, Tillotson KM (1996) The natural history of low back pain in adolescents. Spine 21:2323–2328CrossRefPubMedGoogle Scholar
  4. 4.
    Cardon G, Balagué F (2004) Low back pain prevention’s effects in schoolchildren. What is the evidence? Eur Spine J 13:663–679 (Epub)CrossRefPubMedCentralPubMedGoogle Scholar
  5. 5.
    Grimmer K, Nyland L, Milanese S (2006) Longitudinal investigation of low back pain in Australian adolescents: a five-year study. Physiother Res Int 11:161–172CrossRefPubMedGoogle Scholar
  6. 6.
    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 20:2298–2302CrossRefPubMedGoogle Scholar
  7. 7.
    Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C (2006) The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine 31:468–472CrossRefPubMedGoogle Scholar
  8. 8.
    Jones GT, Macfarlane GJ (2005) Epidemiology of low back pain in children and adolescents. Arch Dis Child 90:312–316CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Kelsey JK, White AA (1985) Epidemiology and impact of low back pain. Spine 5:133–142CrossRefGoogle Scholar
  10. 10.
    Kjaer P, Wedderkopp N, Korsholm L, Leboeuf-Yde C (2011) Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskelet Disord 12:98CrossRefPubMedCentralPubMedGoogle Scholar
  11. 11.
    Leboeuf-Yde C, Kyvik KO (1998) At what age does low back pain become a common problem? A study of 29,424 individuals aged 12–41 years. Spine 23:228–234CrossRefPubMedGoogle Scholar
  12. 12.
    Mikkonen P, Leino-Arjas P, Remes J, Zitting P, Taimela S, Karppinen J (2008) Is smoking a risk factor for low back pain in adolescents? A prospective cohort study. Spine 33:527–532CrossRefPubMedGoogle Scholar
  13. 13.
    Nacheson AL (1976) The lumbar spine: an orthopaedic challenge. Spine 1:59–71CrossRefGoogle Scholar
  14. 14.
    Poussa MS, Heliövaara MM, Seitsamo JT, Könönen MH, Hurmerinta KA, Nissinen MJ (2005) Anthropometric measurements and growth as predictors of low-back pain: a cohort study of children followed up from the age of 11 to 22 years. Eur Spine J 14:595–598CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Salminen JJ, Erkintalo M, Laine M, Pentti J (1995) Low back pain in the young. A prospective three-year follow-up study of subjects with and without low back pain. Spine 20:2101–2108CrossRefPubMedGoogle Scholar
  16. 16.
    Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N (2008) Low back pain in childhood and adolescence: a cross-sectional study in Niigata City. Eur Spine J 17:1441–1447CrossRefPubMedCentralPubMedGoogle Scholar
  17. 17.
    Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N (2011) Low back pain in childhood and adolescence: assessment of sports activities. Eur Spine J 20:94–99CrossRefPubMedCentralPubMedGoogle Scholar
  18. 18.
    Shiri R, Karppinen J, Leino-Arjas P et al (2010) The association between obesity and low back pain: a meta-analysis. Am J Epidemiol 2:135–154CrossRefGoogle Scholar
  19. 19.
    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 11:459–464CrossRefPubMedCentralPubMedGoogle Scholar
  20. 20.
    Taimela S, Kujala UM, Salminen JJ, Viljanen T (1997) The prevalence of low back pain among children and adolescents. A nationwide, cohort-based questionnaire survey in Finland. Spine 22:1132–1136CrossRefPubMedGoogle Scholar
  21. 21.
    Walsh K, Cruddas M, Coggon D (1992) Low back pain in eight areas of Britain. J Epidemiol Community Health 46:227–230CrossRefPubMedCentralPubMedGoogle Scholar
  22. 22.
    Watson KD, Papageorgiou AC, Jones GT, Taylor S, Symmons DP, Silman AJ, Macfarlane GJ (2002) Low back pain in schoolchildren: occurrence and characteristics. Pain 97:87–92CrossRefPubMedGoogle Scholar
  23. 23.
    Widhe T (2001) Spine: posture, mobility and pain. A longitudinal study from childhood to adolescence. Eur Spine J 10:118–123CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Atsuki Sano
    • 1
    Email author
  • Toru Hirano
    • 1
  • Kei Watanabe
    • 1
  • Naoto Endo
    • 1
  • Takui Ito
    • 2
  • Naohito Tanabe
    • 3
  1. 1.Department of Orthopaedic SurgeryNiigata University Medical and Dental General HospitalNiigata CityJapan
  2. 2.Department of Orthopaedic SurgeryNiigata City General HospitalNiigataJapan
  3. 3.Department of Health and NutritionUniversity of Niigata PrefectureNiigataJapan

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