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      Prevalence of Low Back Pain among Primary School Students from the City of Valencia (Spain)

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          Abstract

          It is well-known that low back pain (LBP) prevalence is high among school-age children. However, literature concerning the initial onset of back pain between the ages of three and eleven years is scarce. The present study aims to analyze the prevalence of LBP in kindergarten and primary school students. A total of 278 (9.9 ± 2.1 years old; 52.2% girls) students from two public kindergartens and primary schools in Valencia (Spain) participated in this cross-sectional study. The Nordic questionnaire on LBP was used to assess the onset and duration of LBP symptoms. The lifetime prevalence of LBP was 47.5% ( n = 132), the last year’s prevalence was 44.2% ( n = 123), and last week’s prevalence was 18.8% ( n = 50). Boys and girls reported a lifetime prevalence of 52.3% ( n = 64) and 47.7% ( n = 63) ( p = 0.186, Fisher’s exact test, 2-sided), respectively. By age group, lifetime episodes of LBP became more prevalent with increasing age ( p < 0.001, Fisher’s exact test, 2-sided). In summary, our findings show that LBP increases with age and further strengthens the evidence that LBP onset could start as young as 10 years of age.

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          Most cited references39

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          Non-specific low back pain.

          Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Management guidelines endorse triage to identify the rare cases of low back pain that are caused by medically serious pathology, and so require diagnostic work-up or specialist referral, or both. Because non-specific low back pain does not have a known pathoanatomical cause, treatment focuses on reducing pain and its consequences. Management consists of education and reassurance, analgesic medicines, non-pharmacological therapies, and timely review. The clinical course of low back pain is often favourable, thus many patients require little if any formal medical care. Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided. The overuse of imaging, opioids, and surgery remains a widespread problem.
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            The global burden of low back pain: estimates from the Global Burden of Disease 2010 study.

            To estimate the global burden of low back pain (LBP). LBP was defined as pain in the area on the posterior aspect of the body from the lower margin of the twelfth ribs to the lower glutaeal folds with or without pain referred into one or both lower limbs that lasts for at least one day. Systematic reviews were performed of the prevalence, incidence, remission, duration, and mortality risk of LBP. Four levels of severity were identified for LBP with and without leg pain, each with their own disability weights. The disability weights were applied to prevalence values to derive the overall disability of LBP expressed as years lived with disability (YLDs). As there is no mortality from LBP, YLDs are the same as disability-adjusted life years (DALYs). Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, LBP ranked highest in terms of disability (YLDs), and sixth in terms of overall burden (DALYs). The global point prevalence of LBP was 9.4% (95% CI 9.0 to 9.8). DALYs increased from 58.2 million (M) (95% CI 39.9M to 78.1M) in 1990 to 83.0M (95% CI 56.6M to 111.9M) in 2010. Prevalence and burden increased with age. LBP causes more global disability than any other condition. With the ageing population, there is an urgent need for further research to better understand LBP across different settings.
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              Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms

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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Healthcare (Basel)
                Healthcare (Basel)
                healthcare
                Healthcare
                MDPI
                2227-9032
                03 March 2021
                March 2021
                : 9
                : 3
                : 270
                Affiliations
                [1 ]Academic Unit of Physical Education, Body Languages Didactics Department, Teacher Training Faculty, University of Valencia, 46022 Valencia, Spain; manuel.monfort@ 123456uv.es (M.M.-P.); Antonio.Bosch@ 123456uv.es (A.H.B.-B.)
                [2 ]Public Health Department, Instituto Federal Goiano, Ceres 76300-000, Goias, Brazil; matias.noll@ 123456ifgoiano.edu.br
                [3 ]Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark
                Author notes
                [* ]Correspondence: vicente.minana@ 123456uv.es
                Author information
                https://orcid.org/0000-0003-2114-1294
                https://orcid.org/0000-0002-3181-2170
                https://orcid.org/0000-0002-1482-0718
                Article
                healthcare-09-00270
                10.3390/healthcare9030270
                8000525
                33802400
                1aaf0d35-b95d-4e3e-913a-06b4dfd4cf48
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 13 January 2021
                : 01 March 2021
                Categories
                Article

                back health,low back pain,prevalence,kindergarten,primary school,children

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