Predictors of low back pain in British schoolchildren: A population-based prospective cohort study

Gareth Tudor Jones, K. D. Watson, A. J. Silman, D. P. M. Symmons, Gary John MacFarlane

Research output: Contribution to journalEditorial

197 Citations (Scopus)

Abstract

Objective. To determine the onset of low back pain (LBP) in schoolchildren and to investigate the role of mechanical and psychosocial factors as risk factors for its onset.

Methods. A prospective population-based cohort study was conducted of 1046 schoolchildren, aged 11 to 14 years at baseline, identified as being free of LBP, from 39 secondary schools in Northwest England. New onset of LBP at 1-year follow-up was measured.

Results. Children who reported high levels of psychosocial difficulties were more likely to develop LBP than their peers (relative risk: 1.6; 95% confidence interval: 1.1-2.3). An excess risk was, in particular, associated with conduct problems (2.5; 1.7-3.7). Similarly, children who reported high numbers of somatic symptoms at baseline were at greater risk of developing LBP: abdominal pain (1.8; 1.1-3.0), headaches (1.6; 0.97-2.8), and sore throats (1.5; 0.8-2.6). In contrast, we have been unable to demonstrate a strong association between daily mechanical load (schoolbag weight) and the short-term risk of new-onset LBP (highest versus lowest quintile: 1.2; 0.7-2.1).

Conclusions. In children who were initially free of LBP, adverse psychosocial factors and the presence of other preexisting somatic pain symptoms were predictive of future LBP, reflecting findings in adults. In contrast, there was little evidence of an increase in short-term risk associated with mechanical load across the range of weights commonly carried by children to school.

Original languageEnglish
Pages (from-to)822-828
Number of pages6
JournalPediatrics
Volume111
Issue number4
DOIs
Publication statusPublished - Apr 2003

Keywords

  • low back pain
  • children
  • cause
  • mechanical
  • psychosocial
  • schoolbag
  • SCHOOL-CHILDREN
  • QUESTIONNAIRE
  • LOAD

Cite this

Predictors of low back pain in British schoolchildren : A population-based prospective cohort study. / Jones, Gareth Tudor; Watson, K. D.; Silman, A. J.; Symmons, D. P. M.; MacFarlane, Gary John.

In: Pediatrics, Vol. 111, No. 4, 04.2003, p. 822-828.

Research output: Contribution to journalEditorial

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abstract = "Objective. To determine the onset of low back pain (LBP) in schoolchildren and to investigate the role of mechanical and psychosocial factors as risk factors for its onset.Methods. A prospective population-based cohort study was conducted of 1046 schoolchildren, aged 11 to 14 years at baseline, identified as being free of LBP, from 39 secondary schools in Northwest England. New onset of LBP at 1-year follow-up was measured.Results. Children who reported high levels of psychosocial difficulties were more likely to develop LBP than their peers (relative risk: 1.6; 95{\%} confidence interval: 1.1-2.3). An excess risk was, in particular, associated with conduct problems (2.5; 1.7-3.7). Similarly, children who reported high numbers of somatic symptoms at baseline were at greater risk of developing LBP: abdominal pain (1.8; 1.1-3.0), headaches (1.6; 0.97-2.8), and sore throats (1.5; 0.8-2.6). In contrast, we have been unable to demonstrate a strong association between daily mechanical load (schoolbag weight) and the short-term risk of new-onset LBP (highest versus lowest quintile: 1.2; 0.7-2.1).Conclusions. In children who were initially free of LBP, adverse psychosocial factors and the presence of other preexisting somatic pain symptoms were predictive of future LBP, reflecting findings in adults. In contrast, there was little evidence of an increase in short-term risk associated with mechanical load across the range of weights commonly carried by children to school.",
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AU - Watson, K. D.

AU - Silman, A. J.

AU - Symmons, D. P. M.

AU - MacFarlane, Gary John

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N2 - Objective. To determine the onset of low back pain (LBP) in schoolchildren and to investigate the role of mechanical and psychosocial factors as risk factors for its onset.Methods. A prospective population-based cohort study was conducted of 1046 schoolchildren, aged 11 to 14 years at baseline, identified as being free of LBP, from 39 secondary schools in Northwest England. New onset of LBP at 1-year follow-up was measured.Results. Children who reported high levels of psychosocial difficulties were more likely to develop LBP than their peers (relative risk: 1.6; 95% confidence interval: 1.1-2.3). An excess risk was, in particular, associated with conduct problems (2.5; 1.7-3.7). Similarly, children who reported high numbers of somatic symptoms at baseline were at greater risk of developing LBP: abdominal pain (1.8; 1.1-3.0), headaches (1.6; 0.97-2.8), and sore throats (1.5; 0.8-2.6). In contrast, we have been unable to demonstrate a strong association between daily mechanical load (schoolbag weight) and the short-term risk of new-onset LBP (highest versus lowest quintile: 1.2; 0.7-2.1).Conclusions. In children who were initially free of LBP, adverse psychosocial factors and the presence of other preexisting somatic pain symptoms were predictive of future LBP, reflecting findings in adults. In contrast, there was little evidence of an increase in short-term risk associated with mechanical load across the range of weights commonly carried by children to school.

AB - Objective. To determine the onset of low back pain (LBP) in schoolchildren and to investigate the role of mechanical and psychosocial factors as risk factors for its onset.Methods. A prospective population-based cohort study was conducted of 1046 schoolchildren, aged 11 to 14 years at baseline, identified as being free of LBP, from 39 secondary schools in Northwest England. New onset of LBP at 1-year follow-up was measured.Results. Children who reported high levels of psychosocial difficulties were more likely to develop LBP than their peers (relative risk: 1.6; 95% confidence interval: 1.1-2.3). An excess risk was, in particular, associated with conduct problems (2.5; 1.7-3.7). Similarly, children who reported high numbers of somatic symptoms at baseline were at greater risk of developing LBP: abdominal pain (1.8; 1.1-3.0), headaches (1.6; 0.97-2.8), and sore throats (1.5; 0.8-2.6). In contrast, we have been unable to demonstrate a strong association between daily mechanical load (schoolbag weight) and the short-term risk of new-onset LBP (highest versus lowest quintile: 1.2; 0.7-2.1).Conclusions. In children who were initially free of LBP, adverse psychosocial factors and the presence of other preexisting somatic pain symptoms were predictive of future LBP, reflecting findings in adults. In contrast, there was little evidence of an increase in short-term risk associated with mechanical load across the range of weights commonly carried by children to school.

KW - low back pain

KW - children

KW - cause

KW - mechanical

KW - psychosocial

KW - schoolbag

KW - SCHOOL-CHILDREN

KW - QUESTIONNAIRE

KW - LOAD

U2 - 10.1542/peds.111.4.822

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JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

ER -