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Original Article
- Risk factors for low back pain among elementary school students in western Iran using penalized logistic regression
- Forouzan Rezapur-Shahkolai, Elham Gheysvandi, Leili Tapak, Iman Dianat, Akram Karimi-Shahanjarini, Rashid Heidarimoghadam
- Epidemiol Health. 2020;42:e2020039. Published online June 2, 2020
- DOI: https://doi.org/10.4178/epih.e2020039
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- 7 Web of Science
- 9 Crossref
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Abstract
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AbstractOBJECTIVES
This study investigated the prevalence of low back pain (LBP) and its risk factors among elementary-school students.METHODSIn this cross-sectional study, 693 elementary students from Hamadan city, western Iran, were selected by multistage stratified cluster sampling. Data were collected through interviews using questionnaires. Posture and psychosocial elements were assessed using the observational Rapid Upper Limb Assessment (RULA) checklist and the standard Strengths and Difficulties Questionnaire, respectively. Penalized logistic regression with the group smoothly-clipped absolute deviation regularization method was used for variable selection and data analysis (α=0.05). The chi-square test was also used.RESULTSIn total, 26.6% of the students (7-12 years old) reported LBP in the last month. Older age (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.80 to 5.26), watching TV for more than 3 hours a day (OR, 2.62; 95% CI, 1.46 to 4.68), very short seat backrests (OR, 3.08; 95% CI, 1.61 to 5.90), excessively curved seat backrests (OR, 4.36; 95% CI, 2.08 to 9.13), very short desks (OR, 3.44; 95% CI, 1.61 to 7.35), a family history of LBP (OR, 2.49; 95% CI, 1.58 to 3.91), carrying a school bag on one shoulder (OR, 1.91; 95% CI, 1.03 to 3.54), and RULA scores of 3 (OR, 2.26; 95% CI, 1.13 to 4.50) or 4 (OR, 2.85; 95% CI, 1.37 to 5.91) were associated with LBP.CONCLUSIONSA high prevalence of LBP was found among elementary-school students. This study underscores the importance of recognizing vulnerable children and teenagers and developing interventional health promotion programs to prevent LBP based on an appropriate consideration of its contributory factors. -
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Citations
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- Prevalence of chronic pain and contributing factors: a cross-sectional population-based study among 2,379 Iranian adolescents
Maryam Shaygan, Azita Jaberi, Marziehsadat Razavizadegan, Zainab Shayegan
The Korean Journal of Pain.2023; 36(2): 230. CrossRef - Examining the Relationship between Mental Health and Chronic Pain in Children and Adolescents: A Systematic Review Study
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Journal of Rafsanjan University of Medical Sciences.2023; 22(6): 617. CrossRef - Association between Physical Fitness and Low Back Pain: The Pepe Cross-Sectional Study
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Children.2022; 9(9): 1350. CrossRef - Prevalence of Low Back Pain among Primary School Students from the City of Valencia (Spain)
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Healthcare.2021; 9(3): 270. CrossRef - Identification of factors related to behaviors associated with musculoskeletal pain among elementary students
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