Low back pain in university students: what is the impact of the COVID-19 pandemic?
DOI:
https://doi.org/10.1590/1809-2950/220109100922PTKeywords:
Low Back Pain, COVID-19, Social Isolation, StudentsAbstract
The social isolation resulting from the COVID-19 pandemic has changed the population's habits and raised health-related issues, such as low back pain. This study aimed to evaluate the prevalence and risk of chronic low back pain in university students during the social isolation of COVID-19. An online questionnaire was used. The STarT Back Screening Tool (SBST) was used to check for low back pain. The factors investigated were sociodemographic data, information about pain, and information about sedentary behavior and physical activity. The chi-square test was used for proportion heterogeneity. The adjusted analysis was performed using Poisson regression with robust variance. The sample consisted of 208 students. University students with a partner were twice as likely to have pain (PR=2.07; 95%CI) compared to single students. The prevalence of low back pain was 48.1%; 87% (PR=1.87; 95%CI: 1.09-3.21; p=0.027) higher in women when compared to men. University students with sedentary behavior were 35% more likely to have low back pain (PR=1.36; 95%CI: 1.02-1.81; p=0.038); and obese individuals were 42% more likely (PR=1.42; 95%CI: 1.04-1.94; p=0.032). The risk of chronicity was low in 82% of the sample. Low back pain was present in the lives of many people during the social isolation imposed by COVID-19. It is a common, limiting problem that must be considered and treated as a health and research priority.
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Morais BX, Dalmolin GL, Andolhe R, Dullius AIS, Rocha LP. Musculoskeletal pain in undergraduate health students: prevalence and associated factors. Rev Esc Enferm USP. 2019; 53:1-8. DOI: http://dx.doi.org/10.1590/S1980-220X2018014403444
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018; 391: 2356–2367. DOI: http://dx.doi.org/10.1016/ S0140-6736(18)30480-X
Prieto-González P, Šutvajová M, Lesňáková A, Bartík P, Bul’áková K, Friediger T. Back pain prevalence, intensity, and associated risk factors among female teachers in Slovakia during the COVID-19 pandemic: A cross-sectional study. Healthcare. 2021; 9(860): 1-11. DOI: 10.3390/healthcare9070860.
Falvey JR, Krafft C, Kornetti D. The essential role of home- and community-based physical therapists during the COVID-19 pandemic. Phys Ther. 2020; 100: 1058–1061. DOI: 10.1093/ptj/pzaa069
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109(10244): 1-4. DOI: 10.1016/j.jaut.2020.102433
Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. 2020; 63(3): 386–388. DOI: 10.1016/j.pcad.2020.03.009
Carregaro RL, Tottoli CR, Rodrigues DdS, Bosmans JE, da Silva EN, van Tulder M. Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016. PLoS One. 2020; 15(4): e0230902. DOI: 10.1371/journal.pone.0230902
Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain. 2011; 152(10): 2399–2404. DOI: 10.1016/j.pain.2011.07.005
Pilz B, Vasconcelos RA, Marcondes FB, Lodovichi SS, Mello WA, Grossi DB. The Brazilian version of STarT Back Screening Tool - translation, cross-cultural adaptation and reliability. Braz J Phys Ther. 2014; 18(5): 453–461. DOI: https://doi.org/10.1590/bjpt-rbf.2014.0028
Healy GN, Clark BK, Winkler EAH, Gardiner PA, Brown WJ, Matthews CE. Measurement of adults’ sedentary time in population-based studies. Am J Prev Med. 2011; 41(2): 216–227. DOI: 10.1016/j.amepre.2011.05.005
Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. International physical activity questionnaire (IPAQ): study of validity and reliability in Brazil. Rev Bras Ativ Fís Saúde. 2001; 6(2): 5–18. DOI: https://doi.org/10.12820/rbafs.v.6n2p5-18
Silva MC, Fassa AG, Valle NCJ. Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica. 2004; 20(2): 377–385. DOI: 10.1590/s0102-311x2004000200005
Meucci RD, Fassa AG, Paniz VMV, Silva MC, Wegman DH. Increase of chronic low back pain prevalence in a medium-sized city of southern Brazil. BMC Musculoskeletal Disorders. 2013; 14(155): 1–11. DOI: 10.1186/1471-2474-14-155
Zavarize SF, Wechsler SM, Lima AB, Martelli A. Dor Lombar Crônica: implicações do perfil criativo como estratégia de enfrentamento. J Manag Prim Heal Care. 2014; 5(2): 188–194. DOI: https://doi.org/10.14295/jmphc.v5i2.215
Jiménez-Trujillo I, López-De-Andrés A, Del Barrio JL, Hernández-Barrera V, Valero-de-Bernabé M, Jiménez-García R. Gender Differences in the Prevalence and Characteristics of Pain in Spain: Report from a Population-Based Study. Pain Medicine. 2019; 20(12): 2349–2359. DOI: 10.1093/pm/pnz004
Gouveia N, Rodrigues A, Eusébio M, Ramiro S, Machado P, Canhão H, et al. Prevalence and social burden of active chronic low back pain in the adult Portuguese population: results from a national survey. Rheumatol Int. 2016; 36: 183–197. DOI: 10.1007/s00296-015-3398-7
Santos AC, Bredemeier M, Rosa KF, Amantéa VA, Xavier RM. Impact on the quality of life of an educational program for the prevention of work-related musculoskeletal disorders: A randomized controlled trial. BMC Public Health. 2011; 11(60): 1–7. DOI: 10.1186/1471-2458-11-60
Nascimento PRC, Costa LOP. Low back pain prevalence in Brazil: A systematic review. Cad Saude Publica. 2015; 31(6): 1141–1155. DOI: http://dx.doi.org/10.1590/0102-311X00046114
Sant´Anna PCF, Watte G, Garcez A, Altmayer S, Olinto MTA, Dias da Costa JS. Predictive factors of chronic lower back pain risk in women: population-based study. BrJP. 2020; 3(3): 228–233. DOI: 10.5935/2595-0118.20200050
Mancin GB, Bonvicine C, Gonçalves C, Barboza MAI. Análise da influência do sedentarismo sobre a qualidade de vida de pacientes portadores de dor lombar crônica. ConScientiae Saúde. 2008; 7(4): 441–447. DOI: https://doi.org/10.5585/conssaude.v7i4.1376
He M, Xian Y, Lv X, He J, Ren Y. Changes in Body Weight, Physical Activity, and Lifestyle during the Semi-lockdown Period after the Outbreak of COVID-19 in China: An Online Survey. Disaster Medicine and Public Health Preparedness. 2020; 15(2): 23–28. DOI: 10.1017/dmp.2020.237
Lesser IA, Nienhuis CP. The impact of COVID-19 on physical activity behavior and well-being of Canadians. Int J Environ Res Public Health. 2020; 17(3899): 1–12. DOI:10.3390/ijerph17113899
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020; 12(1583): 1–13. DOI:10.3390/nu12061583
Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015; 49(73): 1–10. DOI: 10.1590/S0034-8910.2015049005874
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