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[Risk factors for back pain in children and adolescents]
A Roth-Isigkeit1, J Schwarzenberger, W Baumeier
1Klinik für Anästhesiologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck. isigkeit@uni-luebeck.de
Summary
Back pain in children and adolescents is influenced by physical, behavioral, emotional, and social factors. Lifestyle and psychosocial elements are linked to persistent back pain, but spinal changes are not.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Context:
- Increasing prevalence of pediatric back pain in industrialized nations.
- Risk factors remain largely unknown.
- Need for comprehensive understanding of contributing factors.
Purpose:
- To identify and review risk factors for back pain in children and adolescents.
- Literature review of studies published between 1985 and 2003.
- Examine physical, behavioral, emotional, and social influences.
Summary:
- Physical activity, sedentary behavior, muscle status, schoolbag weight, exercise, screen time, age, and gender were assessed.
- Psychosocial factors like lifestyle and emotional well-being showed associations with chronic back pain.
- No correlation found between radiological spinal changes and chronic back pain.
Impact:
- Highlights the multifactorial nature of pediatric back pain.
- Underscores the need for longitudinal studies to establish causality and natural history.
- Informs potential prevention and intervention strategies for youth back pain.