본문 바로가기
KERD
논문KCI 등재

Risk factors for low back pain among elementary school students in western Iran using penalized logistic regression

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

OBJECTIVES: This study investigated the prevalence of low back pain (LBP) and its risk factors among elementary-school students. METHODS: In this cross-sectional study, 693 elementary students from Hamadan city, western Iran, were selected by multistage stratified cluster sampling. Data were collected through interviews using questionnaires. Posture and psychosocial elements were assessed using the observational Rapid Upper Limb Assessment (RULA) checklist and the standard Strengths and Difficulties Questionnaire, respectively. Penalized logistic regression with the group smoothly-clipped absolute deviation regularization method was used for variable selection and data analysis (α=0.05). The chi-square test was also used. RESULTS: In total, 26.6% of the students (7-12 years old) reported LBP in the last month. Older age (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.80 to 5.26), watching TV for more than 3 hours a day (OR, 2.62; 95% CI, 1.46 to 4.68), very short seat backrests (OR, 3.08; 95% CI, 1.61 to 5.90), excessively curved seat backrests (OR, 4.36; 95% CI, 2.08 to 9.13), very short desks (OR, 3.44; 95% CI, 1.61 to 7.35), a family history of LBP (OR, 2.49; 95% CI, 1.58 to 3.91), carrying a school bag on one shoulder (OR, 1.91; 95% CI, 1.03 to 3.54), and RULA scores of 3 (OR, 2.26; 95% CI, 1.13 to 4.50) or 4 (OR, 2.85; 95% CI, 1.37 to 5.91) were associated with LBP. CONCLUSIONS: A high prevalence of LBP was found among elementary-school students. This study underscores the importance of recognizing vulnerable children and teenagers and developing interventional health promotion programs to prevent LBP based on an appropriate consideration of its contributory factors.

Abstract

OBJECTIVES: This study investigated the prevalence of low back pain (LBP) and its risk factors among elementary-school students. METHODS: In this cross-sectional study, 693 elementary students from Hamadan city, western Iran, were selected by multistage stratified cluster sampling. Data were collected through interviews using questionnaires. Posture and psychosocial elements were assessed using the observational Rapid Upper Limb Assessment (RULA) checklist and the standard Strengths and Difficulties Questionnaire, respectively. Penalized logistic regression with the group smoothly-clipped absolute deviation regularization method was used for variable selection and data analysis (α=0.05). The chi-square test was also used. RESULTS: In total, 26.6% of the students (7-12 years old) reported LBP in the last month. Older age (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.80 to 5.26), watching TV for more than 3 hours a day (OR, 2.62; 95% CI, 1.46 to 4.68), very short seat backrests (OR, 3.08; 95% CI, 1.61 to 5.90), excessively curved seat backrests (OR, 4.36; 95% CI, 2.08 to 9.13), very short desks (OR, 3.44; 95% CI, 1.61 to 7.35), a family history of LBP (OR, 2.49; 95% CI, 1.58 to 3.91), carrying a school bag on one shoulder (OR, 1.91; 95% CI, 1.03 to 3.54), and RULA scores of 3 (OR, 2.26; 95% CI, 1.13 to 4.50) or 4 (OR, 2.85; 95% CI, 1.37 to 5.91) were associated with LBP. CONCLUSIONS: A high prevalence of LBP was found among elementary-school students. This study underscores the importance of recognizing vulnerable children and teenagers and developing interventional health promotion programs to prevent LBP based on an appropriate consideration of its contributory factors.

참고문헌 (49)

  1. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, "Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 392, pp.1789~1858 (2018)
  2. Kamper SJ, "Musculoskeletal pain in children and adolescents", Braz J Phys Ther (2016)[DOI]
  3. MacDonald J, "Musculoskeletal low back pain in school-aged children : a review", JAMA Pediatr, 171, pp.280~287 (2017)
  4. Keeratisiroj O, "Prevalence of self-reported musculoskeletal pain symptoms among school-age adolescents : age and sex differences", Scand J Pain, 18, pp.273~280 (2018)
  5. Chiwaridzo M, "Prevalence and associated characteristics of recurrent non-specific low back pain in Zimbabwean adolescents : a cross-sectional study", BMC Musculoskelet Disord, 15, pp.381~ (2014)
  6. Azabagic S, "Epidemiology of musculoskeletal disorders in primary school children in Bosnia and Herzegovina", Mater Sociomed, 28, pp.164~167 (2016)
  7. Dianat I, "Prevalence and risk factors of low back pain among school age children in Iran", Health Promot Perspect, 7, pp.223~229 (2017)
  8. Hoy D, "A systematic review of the global prevalence of low back pain", Arthritis Rheum, 64, pp.2028~2037 (2012)
  9. Fritz JM, "Low back pain in adolescents : a comparison of clinical outcomes in sports participants and nonparticipants", J Athl Train, 45, pp.61~66 (2010)
  10. Smith A, "Low back pain with impact at 17 years of age is predicted by early adolescent risk factors from multiple domains : analysis of the Western Australian Pregnancy Cohort(Raine)study", J Orthop Sports Phys Ther, 47, pp.752~762 (2017)
  11. Dolphens M, "Multivariable modeling of factors associated with spinal pain in young adolescence", Eur Spine J, 25, pp.2809~2281 (2016)
  12. Mikkonen P, "Accumulation of psychosocial and lifestyle factors and risk of low back pain in adolescence : a cohort study", Eur Spine J, 25, pp.635~642 (2016)
  13. Picavet HS, "Musculoskeletal complaints while growing up from age 11 to age 14 : the PIAMA birth cohort study", Pain, 157, pp.2826~2833 (2016)
  14. Rosa BN, "4-year longitudinal study of the assessment of body posture, back pain, postural and life habits of schoolchildren", Motricidade, 13, pp.3~12 (2017)
  15. Kaspiris A, "Nonspecific low back pain during childhood : a retrospective epidemiological study of risk factors", J Clin Rheumatol, 16, pp.55~60 (2010)
  16. Trigueiro MJ, "Back pain in Portuguese schoolchildren : prevalence and risk factors", Eur J Public Health, 23, pp.499~503 (2013)
  17. Szita J, "Risk factors of non-specific spinal pain in childhood", Eur Spine J, 27, pp.1119~1126 (2018)
  18. Gheysvandi E, "Neck and shoulder pain among elementary school students : prevalence and its risk factors", BMC Public Health, 19, pp.1299~ (2019)
  19. Hatami M, "Dietary factors as the major determinants of overweight and obesity among Iranian adolescents. A cross-sectional study", Appetite, 82, pp.194~201 (2014)
  20. McAtamney L, "RULA : a survey method for the investigation of work-related upper limb disorders", Appl Ergon, 24, pp.91~99 (1993)
  21. Dianat I, "Working conditions of Iranian hand-sewn shoe workers and associations with musculoskeletal symptoms", Ergonomics, 57, pp.602~611 (2014)
  22. Goodman R, "The Strengths and Difficulties Questionnaire : a research note", J Child Psychol Psychiatry, 38, pp.581~586 (1997)
  23. Tehrani DM, "Validity of Farsi version of Strengths and Difficulties Questionnaire(SDQ)", Adv Cogn Sci, 8, pp.33~39 (2007)
  24. Diepenmaat AC, "Neck", shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents, 2006, pp.117, 412~416
  25. Huskisson EC, "Measurement of pain", J Rheumatol, 9, pp.768~769 (1982)
  26. "The WHO child growth standards" (2007)[URL]
  27. Arayeshgari M, "Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students", BMC Psychiatry, 20, pp.198~ (2020)
  28. Wang L, "Group SCAD regression analysis for microarray time course gene expression data", Bioinformatics, 23, pp.1486~1494 (2007)
  29. Agresti A, "Categorical data analysis", pp.165~192 (2013), John Wiley & Sons
  30. Murphy S, "A cross-sectional study of self-reported back and neck pain among English schoolchildren and associated physical and psychological risk factors", Appl Ergon, 38, pp.797~804 (2007)
  31. Yao W, "A cross-sectional survey of nonspecific low back pain among 2083 schoolchildren in China", Spine(Phila Pa 1976), 36, pp.1885~1890 (2011)
  32. Mohseni-Bandpei MA, "Nonspecific low back pain in 5000 Iranian school-age children", J Pediatr Orthop, 27, pp.126~129 (2007)
  33. Rostami-Moez M, "Decline in physical activity among Iranian girl students aged 10 to 16 and the related factors", Health Scope, 6, pp.e62422~ (2017)
  34. Rostami-Moez M, "Effect of educational program, based on PRECEDE and trans-theoretical models, on preventing decline in regular physical activity and improving it among students", J Res Health Sci, 17, pp.e00375~ (2017)
  35. Trevelyan FC, "Risk factors associated with back pain in New Zealand school children", Ergonomics, 54, pp.257~262 (2011)
  36. Trevelyan FC, "The prevalence and characteristics of back pain among school children in New Zealand", Ergonomics, 53, pp.1455~1460 (2010)
  37. Castellucci HI, "Equations for defining the mismatch between students and school furniture : a systematic review", Int J Ind Ergon, 48, pp.117~126 (2015)
  38. Heidarimoghadam R, "Match between school furniture dimensions and children’s anthropometric dimentions in male elementary schools", Iran J Ergon, 2, pp.9~18 (2014)
  39. Heidarimoghadam R, "Assessing the match between female primary students’ anthropometric dimensions and furniture dimensions in Hamadan schools in 2013", J Health Saf Work, 5, pp.47~56 (2015)
  40. Shehab DK, "Nonspecific low-back pain in Kuwaiti children and adolescents : associated factors", J Adolesc Health, 36, pp.32~35 (2005)
  41. Trevelyan FC, "Back pain in school children--where to from here?", Appl Ergon, 37, pp.45~54 (2006)
  42. Balagué F, "Non-specific low-back pain among schoolchildren : a field survey with analysis of some associated factors", J Spinal Disord, 7, pp.374~379 (1994)
  43. Dianat I, "Risk factors for neck and shoulder pain among schoolchildren and adolescents", J Paediatr Child Health, 54, pp.20~27 (2018)
  44. Murphy S, "Classroom posture and self-reported back and neck pain in schoolchildren", Appl Ergon, 35, pp.113~120 (2004)
  45. Geldhof E, "Classroom postures of 8-12 year old children", Ergonomics, 50, pp.1571~1581 (2007)
  46. Ilbeigi S, "The relationship between sitting posture and musculoskeletal pain in boy elementary school students", Iran J Ergon, 5, pp.41~49 (2017)
  47. Viana MC, "Previous mental disorders and subsequent onset of chronic back or neck pain : findings from 19 countries", J Pain, 19, pp.99~110 (2018)
  48. Mwaka ES, "Musculoskeletal pain and school bag use : a cross-sectional study among Ugandan pupils", BMC Res Notes, 7, pp.222~ (2014)
  49. Skoffer B, "Low back pain in 15-to 16-year-old children in relation to school furniture and carrying of the school bag", Spine(Phila Pa 1976), 32, pp.E713~E717 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (73건)