Evidence map›Paper›PMID 33902525›Full record

ArticleBMC musculoskeletal disorders2021

Spinal pain in pre-adolescence and the relation with screen time and physical activity behavior.

Anne Cathrine Joergensen, Katrine Strandberg-Larsen, Per Kragh Andersen, Lise Hestbaek, Anne-Marie Nybo Andersen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anne Cathrine JoergensenSection of Epidemiology, Department of Public Health, Faculty of Health and Medical Science, University of Copenhagen, Oster Farimagsgade 5, Box 2099, DK-1014, Copenhagen K, Denmark. acjo@sund.ku.dk.
Katrine Strandberg-LarsenSection of Epidemiology, Department of Public Health, Faculty of Health and Medical Science, University of Copenhagen, Oster Farimagsgade 5, Box 2099, DK-1014, Copenhagen K, Denmark.
Per Kragh AndersenSection of Biostatistics, Department of Public Health, Faculty of Health and Medical Science, University of Copenhagen, Copenhagen, Denmark.
Lise HestbaekDepartment of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Anne-Marie Nybo AndersenSection of Epidemiology, Department of Public Health, Faculty of Health and Medical Science, University of Copenhagen, Oster Farimagsgade 5, Box 2099, DK-1014, Copenhagen K, Denmark.

Funding

Japan Society for the Promotion of Science JSPS KAKENHI Grant Number JP19K07178
6 · The paper itself

Abstract

backgroundTo investigate how screen time and physical activity behavior were associated with spinal pain in pre-adolescence.

methodsThis study included 45,555 pre-adolescents who participated in the 11-year follow-up of the Danish National Birth Cohort. The 11-year follow-up included self-reported information on computer and TV behavior, aspects of physical activity, as well as frequency and intensity of spinal pain (neck-, mid back- and low back pain). Data were linked with parental socioeconomic data from Statistics Denmark registers. Associations were estimated using multinomial logistic regression models. To account for sample selection, we applied inverse probability weighting.

resultsDuration of screen time was stepwise associated with the degree of spinal pain. Compared with those spending < 2 h/day in front of a screen, screen time of ≥6 h/day was associated with a substantially increased relative risk ratio (RRR) of severe pain for both girls (RRR: 2.49, 95% CI: 2.13-2.92) and boys (RRR: 1.95, 95% CI: 1.65-2.32). Being physical inactive was likewise associated with higher likelihood of severe spinal pain (RRR: 1.22, 95% CI: 1.10-1.34) relative to those being moderately active. We observed that being physically active was seemingly associated with lower risk of spinal pain among boys with high frequency of screen time.

conclusionFindings indicate that both duration of screen time and physical inactivity are correlated with spinal pain in pre-adolescents with the strongest associations for screen time. Reducing screen time or increasing physical activity might help preventing spinal pain in pre-adolescents, particularly among high frequent screen users. Future prospective studies investigating the causal relationship are necessary.

Indexed as

Motor ActivityScreen TimeAdolescentExerciseFemaleHumansMaleProspective StudiesSedentary BehaviorAdolescence healthBack painEpidemiologyLifestyle behaviorMusculoskeletal disorderPhysical activityPreventionPublic healthScreen time

Identifiers

PMID33902525
PMCPMC8077847

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.