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CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(02): 107-112
DOI: 10.5935/1984-0063.20190138
Original Article

Back and neck pain and poor sleep quality in adolescents are associated even after controlling for confounding factors: An epidemiological study

Catarina Covolo Scarabottolo
1   São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
,
Rafael Zambelli Pinto
3   Federal University of Minas Gerais (UFMG), Physical Therapy Department - Belo Horizonte - Minas Gerais - Brazil.
,
Crystian Bitencourt Oliveira
4   Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil.
,
William Rodrigues Tebar
1   São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
,
Bruna Thamyres Ciccotti Saraiva
1   São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
,
Priscila Kalil Morelhão
4   Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil.
,
Leandro Delfino Dragueta
1   São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
,
Gustavo Santos Druzian
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
,
Diego Giulliano Destro Christofaro
1   São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.
2   São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.
4   Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil.
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ABSTRACT

Objective: Back pain and poor sleep quality are public health issues. Relating to adolescents particularly, the way in which this relationship can occur is still unclear. The aim of this study was to investigate whether low back and neck pain are associated with sleep quality among adolescents.

Material and Methods: In total, 1011 randomly selected adolescents participated in this study. Neck and back pain were assessed using the Nordic questionnaire, while sleep quality was assessed through the Mini-Sleep Questionnaire. The confounding variables used in the statistical analysis were age, socioeconomic status, physical activity, and body mass index. To analyze the associations between sleep quality and low back and neck pain, multivariate models and binary logistic regression were used.

Results: 19.9% of the girls reported low back pain while 18.9% reported neck pain. 15.6% of the boys reported low back or neck pain. Regarding low sleep quality, the prevalence was 46.0% for girls and 49.6% for boys. An association was observed between low back pain and sleep quality among girls (OR=1.98 [1.25 - 3.12]) and boys (OR=2.58 [1.48 - 4.50]). An association between neck pain and sleep quality was also observed among girls (OR=2.27 [1.41 - 3.64]) and boys (OR=2.80 [1.59 - 4.91]).

Conclusion: Low back pain and neck pain were associated with poor sleep quality among adolescents even after the insertion of confounding variables.

Keywords:

Back Pain - Students - Adolescent - Sleeplessness


Publication History

Received: 03 June 2019

Accepted: 08 October 2019

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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