Evidence map›Paper›PMID 42626879›Full record

Observational studyJournal of global health2026

Posture management for neck pain: identification and quantification of associated factors based on a multicentre cross-sectional study in China.

Guangqi Lu, Hanze Mao, Xinran Chen, Xinyue Sun, Yakun Liu, Mingming Ma, Jing Li, Shuaiqi Zhou, Jiaming Hu, Guoliang Ma and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Guangqi Lu *Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Hanze Mao *Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Xinran ChenCenter for Applied Statistics, School of Statistics, Renmin University of China, Beijing, China.
Xinyue SunWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Yakun LiuWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Mingming MaWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Jing LiWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Shuaiqi ZhouWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Jiaming HuWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Guoliang MaWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Zhizhuang WangWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Xin XiuWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Minghui ZhuangWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Bin TangWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Liguo ZhuWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Jie YuWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neck pain (NP) is a leading musculoskeletal disorder globally. Posture management is crucial for its prevention; however, population-level evidence quantifying the associated factors in real-world settings remains limited. We aimed to identify and quantify threshold effects of key factors related to posture management associated with NP among Chinese adults. Methods: We conducted a multicentre, cross-sectional study across six Chinese cities. We collected data via face-to-face interviews using a questionnaire covering demographics, occupational factors, electronic device use, sleep, transportation, and exercise. Multivariable logistic regression identified factors associated with NP. We used restricted cubic splines to model nonlinear relationships, and applied the Akaike information criterion to determine dichotomisation cutoffs for continuous variables. Propensity score matching assessed the robustness of these associations, and subgroup analyses by sex and age assessed heterogeneity. Results: We included a total of 6,969 adults (≥18 years), comprising 2,662 (38.2%) with NP and 4,307 (61.8%) without. Identified associated factors included: computer use time for work ≥2 hours/day (odds ratio (OR) = 1.39; 95% confidence interval (CI) = 1.16-1.67, P < 0.001), smartphone use time for work ≥3 hours/day (OR = 1.21; 95% CI = 1.03-1.42, P = 0.022), smartphone screen height below horizontal eye level (OR = 1.16; 95% CI = 1.00-1.34, P = 0.043), and firm mattress (OR = 1.19; 95% CI = 1.04-1.37, P = 0.012) were associated with increased odds of NP. Sleeping time ≥7 hours/day (OR = 0.79; 95% CI = 0.69-0.89, P < 0.001), supine sleeping (OR = 0.87; 95% CI = 0.76-0.99, P = 0.039) and walking as the primary mode of transportation (OR = 0.80, 95% CI = 0.70-0.91, P < 0.001) were associated with decreased odds of NP. Conclusions: This study identified and quantified threshold effects of key factors associated with NP among Chinese adults, including electronic device use, sleep habits, and commuting patterns. These quantified thresholds offer actionable benchmarks for posture management of NP in clinical practice and public health interventions. Registration: Chinese Clinical Trial Registry: ChiCTR2400093567.

Indexed as

Neck PainPostureAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSurveys and QuestionnairesYoung Adultassociated factorscross-sectional studyelectronic devicesneck painposture

Identifiers

PMID42626879
PMCPMC13494847

What OpenQuestion holds

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LicenceCC BY
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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.