儿童和青少年的静坐行为和腰部疼痛:系统性审查和元分析
Inmaculada Calvo-Muñoz1, José Manuel García-Moreno2, Antonia Gómez-Conesa3
1Faculty of Physiotherapy, Occupational Therapy and Podiatry, UCAM Catholic University of Murcia, 30007 Murcia, Spain.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
儿童和青少年每天增加屏幕时间与腰部疼痛 (LBP) 的风险更高有关. 这种剂量反应关系表明,更多的屏幕使用与更高的LBP概率相关,突出了公共卫生问题.
科学领域:
- 儿科卫生保健 儿科卫生保健
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 腰部疼痛 (LBP) 在儿童和青少年中越来越令人担忧,可能会持续到成年.
- 在儿科患者中,以屏幕为基础的久坐行为增加缺乏连贯的证据将其与LBP联系起来.
- 屏幕时间和儿科LBP之间没有明确的剂量反应关系是不确定的.
研究的目的:
- 系统地审查和对儿童和青少年基于屏幕的久坐行为和LBP的观察研究进行元分析.
- 评估每日屏幕时间和LBP风险之间的剂量反应关系.
- 评估将屏幕时间与儿科LBP联系起来的证据的一致性和强度.
主要方法:
- 对30项遵循PRISMA指南的观察性研究进行了系统审查和元分析.
- 包括涉及6至18岁儿童和青少年的研究.
- 应用随机效应元分析用于持续暴露和每日屏幕时间的剂量反应分析.
主要成果:
- 双对分析显示屏幕时间和LBP (OR = 1.02) 之间没有显著的关联.
- 剂量-反应元分析揭示了一个显著的积极关联:每天每小时额外的屏幕时间增加了26%的LBP几率.
- 大多数研究中高异质性和依赖自我报告的数据需要谨慎的解释.
结论:
- 基于屏幕的较高静坐行为与年轻人增加LBP风险有关,当分析剂量反应时.
- 对比对照和剂量反应分析之间的发现突出了方法论上的差异.
- 显著的异质性和偏差风险限制了关于屏幕时间和儿科LBP的最终因果推断.
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