Low back pain in childhood and adolescence: assessment of sports activities
Low back pain in childhood and adolescence: assessment of sports activities
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DOI：
10.1007/s00586-010-1485-8
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发表时间：
2011-01-01
影响因子：
2.8
通讯作者：
Tanabe, Naohito
中科院分区：
文献类型：
--
作者：
Sato, Tsuyoshi;Ito, Takui;Tanabe, Naohito
对日本新泻市的43，630名小学生进行了横断面研究。该研究的目的是评估日本儿童和青少年时期体育活动与腰痛（LBP）之间的关联。关于LBP的危险因素，已经进行了大量的研究，研究了性别差异，身高和体重，体重指数，运动时间，生活方式的差异，家族史和精神因素，但尚未得出明确的结论。对新泻市（人口785，067人）的小学4 ~ 6年级全体学生（21，893人）和初中1 ~ 3年级全体学生（21，737人）共43，630人进行了问卷调查。26,766名学生被确定为具有有效回答（有效回答率61.3%）进行了分析。在26,766名有效回答的学生中，2,591名（9.7%）在调查时患有LBP，8,588名（32.1%）有LBP病史。将学生分为除学校体育课外不参加体育活动的学生（无体育组：5，486人，20.5%）和参加体育活动的学生（体育组：21，280人，79.5%），并检查无体育组和体育组之间终身患病率的差异。根据体育活动，LBP的比值比通过多元Logistic回归分析计算，调整了性别，年龄和体重指数。此外，将LBP的严重程度分为3个级别（1级：不限制任何活动，2级：必须避免参加体育和身体活动，3级：必须缺课），2级和3级定义为严重LBP;比较无运动组和运动组以及每项运动项目的严重程度。此外，在运动组中，将参加体育活动的时间分为三组（组1：每周少于6 h，组2：每周6-12 h，组3：每周12.1 h或更多），并比较参加体育活动的时间与LBP发生之间的剂量反应。无运动组有21.3%的患者有LBP病史，运动组有34.9%的患者有LBP病史（P < 0.001）。与不运动组相比，运动组的比值比显著更高（1.57），并且大多数运动项目也显著更高。运动组LBP严重程度明显高于运动组（20.1% vs.3.2%，P < 0.001）。参加体育活动的时间平均为每周9.8小时，在参加体育活动时间较长的组中，LBP病史显著增加（第3组的比值比为1.43）。这些结果表明，体育活动可能是LBP发生的危险因素，并可能增加儿童和青少年LBP的风险。
A cross-sectional study that targeted a total of 43,630 pupils in Niigata City, Japan was performed. The objective of the study was to evaluate the association between sports activities and low back pain (LBP) in childhood and adolescence in Japan. Regarding risk factors of LBP, a large number of studies have been conducted that have examined gender differences, height and weight, body mass index, sports time, differences in lifestyle, family history, and mental factors; however, no definitive conclusion has yet been made. A questionnaire survey was conducted using 43,630 pupils, including all elementary school pupils from the fourth to sixth grade (21,893 pupils) and all junior high pupils from the first to third year (21,737 pupils) in Niigata City (population of 785,067). 26,766 pupils who were determined to have valid responses (valid response rate 61.3%) were analyzed. Among the 26,766 pupils with valid responses, 2,591 (9.7%) had LBP at the time of the survey, and 8,588 (32.1%) had a history of LBP. The pupils were divided between those who did not participate in sports activities except the physical education in school (No sports group: 5,486, 20.5%) and those who participated in sports activities (Sports group: 21,280, 79.5%), and the difference in lifetime prevalence between No sports group and Sports group was examined. The odds ratio for LBP according to sports activity was calculated by multiple logistic regression analysis adjusted for gender, age, and body mass index. In addition, the severity of LBP was divided into three levels (Level 1: no limitation in any activity, Level 2: necessary to refrain from participating in sports and physical activities, and Level 3: necessary to be absent from school), and Levels 2 and 3 were defined as severe LBP; the severity was compared between No sports group and Sports group and in each sport's items. Moreover, in Sports group, the amount of time spent participating in sports activities were divided into three groups (Group 1: less than 6 h per week, Group 2: 6-12 h per week, and Group 3: 12.1 h per week or more), and the dose-response between the amount of time spent participating in sports activities and the occurrence of LBP were compared. In No sports group, 21.3% experienced a history of LBP; in Sports group, 34.9% experienced LBP (P < 0.001). In comparison to No sports group, the odds ratio was significantly higher for Sports group (1.57), and also significantly higher for most of the sports items. The severity of LBP was significantly higher in Sports group (20.1 vs. 3.2%, P < 0.001). The amount of time spent participating in sports activities averaged 9.8 h per week, and a history of LBP significantly increased in the group which spent a longer time participating in sports activities (odds ratio 1.43 in Group 3). These findings suggest that sports activity is possible risk factors for the occurrence of LBP, and it might increase the risk for LBP in childhood and adolescence.