Prevalence and factors associated with low lumbar strength in adolescents

Authors

  • Eliane Cristina de Andrade Gonçalves Universidade Federal de Santa Catarina, Florianópolis, SC
  • Diego Augusto Santos Silva Universidade Federal de Santa Catarina, Florianópolis, SC

DOI:

https://doi.org/10.7322/jhgd.112680

Keywords:

Motor activity, physical fitness, low back pain, adolescent health, spine, pain.

Abstract

Introduction: Low back pain is a multifactorial disorder and is one of the most common musculoskeletal discomfort in adolescents and adults. Objective: To determine the prevalence and factors associated with low levels of lumbar force in adolescents.  Methods: This is a cross-sectional study involving 909 adolescents aged 14 to 16 years enrolled in public schools in São José, of Santa Catarina State – Southern Brazil. Lumbar force was analyzed by the lumbar extension test developed by a Canadian research group, which proposes different cutoffs according sex. Independent variables were sex, age, socioeconomic status, alcohol consumption, screen time, physical activity, aerobic fitness and mass body index. For data analysis, binary logistic regression was used, with significance level of 5%.  Results: The prevalence of low levels of lumbar force was 45.2%, being 36.2% for boys and 53.1% for girls. The population subgroups most likely to present low levels of lumbar force were females (OR: 1,99; CI95%: 1,52 to 2,60) and those adolescents with overweight (OR: 1,48; CI95%: 1,12 to 1,96). Conclusion: Almost half of the students had low levels of lumbar force. The girls, the adolescents with overweight and with excessive time in front of the screen most likely present low levels of lumbar force. The innovation of this study is  modifiable factors such as  the excessive time screen and overweight may be used to promote health  interventions to improve  levels of  lumbar strength of youth.

Author Biography

  • Eliane Cristina de Andrade Gonçalves, Universidade Federal de Santa Catarina, Florianópolis, SC
    Departamento de Educação Física da Universidade Federal de Santa Catarina - Centro de Desportos

References

Zapater AR, Silveira DM, Vitta A, Padovani CR, Silva JCP. Seat posture: the efficiency of an educational program for scholars. Ciênc Saúde Coletiva. 2004;9(1):191-9. DOI: http://dx.doi.org/10.1590/S1413-81232004000100019

Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(6):968-74. DOI: http://dx.doi.org/10.1136/annrheumdis-2013-204428

King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, et al. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain. 2011;152(12):2729-38. DOI: http://dx.doi.org/10.1016/j.pain.2011.07.016

Nascimento PRC, Costa LOP. Prevalência da dor lombar no Brasil: uma revisão sistemática. Cad Saúde Pública. 2015; 31(6):1141-55. DOI: http://dx.doi.org/10.1590/0102-311X00046114

Perry MC, Straker LM, Oddy WH, O'Sullivan PB, Smith AJ. Spinal pain and nutrition in adolescents – an exploratory cross-sectional study. BMC Musculoskeletal Disord. 2010; 11:138. DOI: http://dx.doi.org/10.1186/1471-2474-11-138

Silva DAS, Gonçalves ECA, Grigollo LR, Petroski EL. Factors associated with low levels of lumbar strength in adolescents in Southern Brazil. Rev Paul Pediatr. 2014;32(4): 360-6. DOI: http://dx.doi.org/10.1590/S0103-05822014000400012

Yu YL, Su TK, Liaw LJ, Wu WL, Chu IH, Guo LY. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clientes with low back pain. J Phys Ther Sci. 2015;(8):2591-6. DOI: http://dx.doi.org/10.1589/jpts.27.2591

Yahiaa A, Jribi S, Ghroubi S, Elleuchb M, Baklouti S, Habib EM. Evaluation of the posture and muscular strength of the trunk and inferior members of patients with chronic lumbar pain. Joint Bone Spine. 2011;78(3):291-7. DOI: http://dx.doi.org/10.1016/j.jbspin.2010.09.008

Lee JH, Hoshino Y, Nakamura K, Kariya Y, Saita K, Ito K. Trunk muscle weakness as a risk factor for low back pain. A 5‐year prospective study. Spine (Phila Pa 1976). 1999;24(1):54‐7. DOI: http://dx.doi.org/10.1097/00007632-199901010-00013

Vital E, Melo MJ, Nascimento AR, Roque A. Raquialgias na entrada da adolescência: estudo dos factores condicionantes em alunos do 5º ano. Rev Port Saude Publica. 2006;24(1):57-84.

Pondofe KM, Meyer PF, Andrade MCC , Silva EMS. Relationship between abdominal force, abdominal protusion and lobossacral angle in young women. Fisioter Mov 2006;19(4):99-104.

Soares Ferreira F, Ramos Duarte JA. Overweight, obesity, physical activity, cardiorespiratory and muscular fitness in a Portuguese sample of high school adolescents. Minerva Pediatr. 2013;65(1):83-91.

Thackeray A, Fritz JM, Childs JD, Brennan GP. The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back Pain and Leg Pain: A Randomized Trial. J Orthopaedic Sports Phys Therapy. 2016;46(3):144-56. DOI: http://dx.doi.org/10.2519/jospt.2016.6238

Canadian Society for Exercise Physiology. The Canadian Physical Activity, Fitness & Lifestyle Approach: CSEP - Health-Related Appraisal & Counseling Strategy. In: Physiology CSfE, editor. 3 ed: Canadian Society for Exercise Physiology; 2003.

Demoulin C, Vanderthommen M, Duysens C, Crielaard JM. Pinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine. 2006;73(1):43–50. DOI: http://dx.doi.org/10.1016/j.jbspin.2004.08.002

Guedes DP, Lopes CC. Validação da versão brasileira do Youth Risk Behavior Survey 2007. Rev Saude Publ. 2010;44(5):840-850. DOI: http://dx.doi.org/10.1590/S0034-89102010000500009

American Academy of Pediatrics. Children, Adolescents, and television. Pediatrics. 2001;107(2):423-6. DOI: http://dx.doi.org/10.1542/peds.107.2.423

Weller IM, Thomas SG, Gledhill N, Paterson D, Quinney A. A study to validate the modified Canadian Aerobic Fitness Test. Can J Appl Physiol. 1995;20(2):211-21.

Gonçalves ECA, Silva DAS. Factors associated with low levels of aerobic fitness among adolescents. Rev Paul Pediatr. 2016;34(2):141-7. DOI: http://dx.doi.org/10.1016/j.rpped.2015.06.015

Gonçalves ECA, Silva DAS. Baixos níveis de aptidão aeróbia em adolescentes de uma cidade do sul do Brasil. Rev Medicina (Ribeirão Preto). 2016;49(3):202-11. DOI: http://dx.doi.org/10.11606/issn.2176-7262.v49i3p202-211

Silva DA, Tremblay M, Pelegrini A, Silva RJS, Oliveira ACC, Petroski EL. Association Between Aerobic Fitness And High Blood Pressure in Adolescents in Brazil: Evidence for Criterion-Referenced Cut-Points. Pediatr Exerc Sci. 2016;28(2):312-20. DOI: http://dx.doi.org/10.1123/pes.2015-0172

Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. http://dx.doi.org/10.1590/S0042-96862007000900010

Lemos AT, Santos FR, Moreira RB, Machado DT, Braga FC, Gaya AC. Low back pain and associated factors in children and adolescents in a private school in Southern Brazil. Cad Saude Publica. 2013;29(11):2177-85. http://dx.doi.org/10.1590/0102-311x00030113

Malina RM. Adherence to physical activity from childhood to adulthood: a perspective from tracking studies. J Quest. 2001;53(3):346-55. DOI: http://dx.doi.org/10.1080/00336297.2001.10491751

Shan Z, Deng G, Li J, Li Y, Zhang Y, Zhao Q. Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity and psychological status among adolescents in Shanghai. Plos One. 2013;8(10):e78109. DOI: http://dx.doi.org/10.1371/journal.pone.0078109

Alves Junior CAS, Nunes HEG, Gonçalves ECA, Silva DAS. Suicidal behaviour in adolescents: Characteristics and prevalence. J Hum Growth Dev. 2016;26(1):88-94. DOI: http://dx.doi.org/10.7322/jhgd.113733

Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993;138(11):923-36. DOI: http://dx.doi.org/10.1093/oxfordjournals.aje.a116813

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Published

2017-09-06

Issue

Vol. 27 No. 2 (2017)

Section

Artigos Originais

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