ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022
Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross-sectional 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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis.British journal of sports medicine · 2025Pooled it
- Obesity and overweight as risk factors for low back pain in children and adolescents: a meta-analysis.International journal of obesity (2005) · 2024Pooled it
- Effect of 12 weeks of Judo Practice and Ball Games on Neck and Low Back Pain in Children and Adolescents: A Randomized Clinical Trial.Indian journal of pediatrics · 2024Trial
- Sleep duration and compliance with sleep recommendations among Brazilian children and adolescents: an updated systematic review and meta-analysis.Jornal de pediatria · 2026Review
- Sedentary Behavior and Low Back Pain in Children and Adolescents: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Resting-state cortical activity, biomarkers and functional performance identify distinct biopsychosocial phenotypes in young adults with chronic postsurgical pain.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Influence of Physical Activity, Physical Fitness, Age, Biological Maturity and Anthropometric Variables on the Probability of Suffering Lumbar, Neck and Shoulder Pain in Spanish Adolescents from the Region of Murcia.Healthcare (Basel, Switzerland) · 2024Article
- Editorial: Intervertebral disc degeneration: mechanisms and therapeutics.Frontiers in cell and developmental biology · 2024Article
- Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study.Preventive medicine reports · 2024Article
- Causal association of physical activity with low back pain, intervertebral disc degeneration and sciatica: a two-sample mendelian randomization analysis study.Frontiers in cell and developmental biology · 2023Article
- The burden of low back pain in children and adolescents with overweight and obesity: from pathophysiology to prevention and treatment strategies.Therapeutic advances in musculoskeletal disease · 2023Review
- 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
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the association of sedentary behavior and physical activity from childhood to adolescence with prevalence of low back pain in adolescents. In addition, we also explored whether sleep quality influences this association.
methodsThis is a cross-sectional epidemiological study. Participants (aged 10-17 years) were recruited from public and private schools in Brazil. Sedentary behavior and previous and current engagement in physical activity were assessed through questionnaires. Low back pain and sleep quality were assessed by the Nordic questionnaire and Mini-Sleep Questionnaire, respectively. Sex, age, body mass index, abdominal obesity, socioeconomic status and sleep quality were used as potential confounders. Binary logistic regression models were used to generate values of odds ratio (OR) and 95% confidence intervals (95%CI).
resultsA total of 1,001 (44,5% boys; n = 446) were included. Overall prevalence of low back pain was 18%, with higher rates among inactive and sedentary participants. Physical inactivity from childhood to adolescence in combination with high sedentary behavior doubled the likelihood of having low back pain (OR = 2.40 [95%CI: 1.38-4.18]), independent of potential confounders. Sleep quality attenuates, but not eliminates, this association (OR = 2.19 [95%CI: 1.25-3.84]).
conclusionBeing inactive from childhood to adolescence in combination with high sedentary behavior is associated with low back pain in adolescents. Sleep quality seems to attenuate, but not eliminate, this association.
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Registered trials
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.