RISK FACTORS OF LOW BACK PAIN AMONG SCOOLCHILDREN, WHO ARE LIVING IN ZAPOROZHYE
Ivashchenko M.I., Podlyanova O.I.
Scientific mentor – prof. V.V. Povoroznyuk*
Zaporozhye State Medical University, Chair of Children Diseases FPE,
*Institute of Gerontology AMS Ukraine, Department of Clinical Physiology and Pathology of Locomotor Apparatus, Kyiv
Introduction. Low back pain (LBP) in adolescence is also as a common problem as that for adults and most of these studies have been conducted in Europe, however, there are no data in Ukraine.
The purpose of this study was to determine the prevalence of LBP and to associate risk factors among the children living in one of the cities of Ukraine - Zaporozhye.
Material and method. 274 of schoolchildren at the of age 10-17 years old were examined. There was used the objective examination of LBP with a structured questionnaire consisting of anthropometric items, psychosocial factors and life style, the family history of LBP et al. (Povoroznyuk V.V., 2008). Body composition parameters were estimated using the Slaughter formulas (1988).
Results. 22.6 % of schoolchildren had complaints in LBP (23.6 % - boys, 76.4 % - girls). The age-related peak of LBP was in 13-15 years among girls, in 14-15 years among boys. The girls with LBP were higher than the girls of the control group up to 13 years. The average height of the boys with LBP practically in all age-groups was shorter. The average weight of girls and boys with LBP practically in all age-groups was lower, but the weight of 15-17-year-ald boys was more than of children from the control group. The boys’ with LBP body mass increased thanks to the fat component and among girls with LBP – thanks to the lean body weight. According to Tanner scale the sexual development slowing-down was mentioned among the girls with LBP, especially at the age of 13 and 16. The analysis showed that the factors were associated with LBP: there was the family history of LBP, the developing of the LBP in sitting position, all children with LBP had overweight bookbags and the high common level of alarm and the alarm connected to the school.
Conclusion. Our study shows that LBP is a frequent event in teenagers, particularly in girls, sedentary children and those with a family history of LBP. The most vulnerable in physical development are girls with LBP at the age of 12-14 and boys with LBP at the age of 13-15 and that needs the early diagnostics and prophylactics of its dysfunction. This requires preventive measures and longitudinal studies, which are very important from the standpoint of public health.