Page 193 - Petelin, Ana, et al. Eds. 2019. Zdravje otrok in mladostnikov / Health of Children and Adolescents. Zbornik povzetkov z recenzijo / Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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ociation of sedentary time and low back pain in children otrok in mladostnik – okolje | child and adolescent - environment
and adolescents
Kaja Kastelic1, Nastja Podrekar2, Nejc Šarabon3
1 University of Primorska, Andrej Marusic Institute, Muzejski trg 2, 6000 Koper,
Slovenia
2 InnoRenew CoE, Livade 6, 6310 Izola, Slovenia
3 University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola, Slovenia
Introduction: Low back pain (LBP) is common in children and adolescents. Sev-
eral risk factors have been proposed, including prolonged sitting. The aim of
this study was to review the literature on association between sitting/seden-
tary time or specific sedentary behaviour and LBP in children and adolescents.
Methods: A literature search was conducted using PubMed electronic data-
base in April 2019. The following key words (and the synonyms) were searched:
low back pain, child or adolescent, sitting or sedentary behaviour, and risk fac-
tor.
Results: Out of 486 items found, 55 relevant studies were identified (48
cross-sectional, 2 prospective and 5 cross-sectional and prospective). Evidence
for the association between LBP and TV time, computer time, time using mo-
bile phone and educational sitting time were conflicting. In cross-sectional stud-
ies, time spent playing digital games and total screen time (or combination of dif-
ferent screen technologies) showed positive association, while in prospective
studies no association were found. Finally, limited evidence for no association
between LBP and total daily sedentary time were found.
Discussion and conclusion: Our findings indicate that the association between
sitting/sedentary time and LBP in children and adolescents is largely unknown.
Most studies are cross-sectional with self-reported screen time. Studies includ-
ing objective measure of total sitting/sedentary time are needed.
Keywords: sitting, lower back pain, epidemiology, risk factor

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