ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2005
Low back pain in a cohort of 622 Tunisian schoolchildren and adolescents: an epidemiological study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07489638 (Effects of a Physiotherapist-Led School-Based Back-Health Education Program on Postural Habits, Physical Activity, Electronic Device Use, and Spinal Pain in Schoolchildren With and Without Symptoms), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of a Physiotherapist-Led School-Based Back-Health Education Program on Postural Habits, Physical Activity, Electronic Device Use, and Spinal Pain in Schoolchildren With and Without Symptoms
Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 140 citations in OpenAlex.
- An update on the prevalence of low back pain in Africa: a systematic review and meta-analyses.BMC musculoskeletal disorders · 2018Pooled it
- Prevalence of low back pain in children and adolescents: a meta-analysis.BMC pediatrics · 2013Pooled it
- Preventive physiotherapy interventions for back care in children and adolescents: a meta-analysis.BMC musculoskeletal disorders · 2012Pooled it
- The prevalence of low back pain in Africa: a systematic review.BMC musculoskeletal disorders · 2007Pooled it
- Prevalence and associated characteristics of recurrent non-specific low back pain in Zimbabwean adolescents: a cross-sectional study.BMC musculoskeletal disorders · 2014Trial
- Research Trends and Insights in Chronic Nonspecific Low Back Pain: Bibliometric Analysis (1996-2025).Pain research & management · 2026Review
- The association between the site of back pain and number of painful sites with daily activities, seeking healthcare, and medication use among school adolescents.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Clinical presentation and imaging findings in juvenile-onset back pain: a ten-year hospital-based retrospective analysis in Douala (Cameroon).Frontiers in pediatrics · 2024Article
- The Impact of Low Back Pain on the Quality of Life of Children between 6 and 12 Years of Age.Healthcare (Basel, Switzerland) · 2023Article
- Family structure and multisite musculoskeletal pain in adolescence: a Northern Finland Birth Cohort 1986 study.BMC musculoskeletal disorders · 2023Article
- Excessive use of electronic devices among children and adolescents is associated with musculoskeletal symptoms, visual symptoms, psychosocial health, and quality of life: a cross-sectional study.Frontiers in public health · 2023Article
- The explanatory role of sedentary screen time and obesity in the increase of chronic back pain amongst European adolescents: The HBSC study 2002-2014.European journal of pain (London, England) · 2022Article
- Paediatric chronic pain prevalence in low- and middle-income countries: A systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Article
- Back pain and its risk factors in Brazilian adolescents: a longitudinal study.British journal of pain · 2021Article
- Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children.BMJ open · 2020Article
- Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children.Journal of research in health sciences · 2019Article
- Prevalence of low Back pain among adolescents in relation to the weight of school bags.BMC musculoskeletal disorders · 2019Article
- Potential risk factors and triggers for back pain in children and young adults. A scoping review, part II: unclear or mixed types of back pain.Chiropractic & manual therapies · 2019Article
- Spinal posture changes using dynamic rasterstereography during the modified Matthiass test discriminate between postural weak and strong healthy children (10-14 years): a pilot study.European journal of pediatrics · 2018Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Low back pain (LBP) in children was considered for many years to be a rare condition revealing a serious disease, but in the last two decades, epidemiological studies have shown that the prevalence of nonspecific LBP in children is high. This study was aimed at analyzing the prevalence, severity, consequences and associated factors of LBP in children. A cross-sectional study was undertaken in two preparatory schools in the city of Monastir, Tunisia, in April 2002. This study included a total of 622 children and adolescents--326 females and 296 males--with a mean age of 14 years (range: 11-19 years). They completed the questionnaire in the presence of the physician. For the first 201 questionnaires collected, the corresponding children and adolescents underwent a spine medical examination, with evaluation of pain by visual analog scale if LBP was present. A stepwise logistic regression analysis was carried out to determine the risk factors associated with LBP and chronic LBP. The cumulative lifetime prevalence of LBP was 28.4%. Eight percent of the subjects suffered from chronic LBP. LBP was responsible for 23% of school absenteeism and 29% for sports absenteeism. Medical care requirement was observed in 32.2% and psychological symptoms in 75%. Stepwise logistic regression analysis showed that three factors were associated with LBP: school failure (held back 1 year), odds ratio (OR) =2.6 (95% confidence interval [CI], 1.96-3.44), family history of LBP (parental or sibling LBP), OR=3.80 (95% CI, 2.94-5.92), dissatisfaction with school chair (in height and comfort), OR=3.40 (95% CI, 2.24-5.29). Two factors were associated with chronic LBP: dissatisfaction with school chair, OR=1.62 (95% CI, 1.46-3.32) and football playing, OR=3.07 (95% CI, 2.15-5.10). The prevalence of LBP among Tunisian schoolchildren and adolescents is high. This requires preventive measures and longitudinal studies, which are very important from the standpoint of public health.
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