Back-Health-Related Physical Activity and Exercise Knowledge in Adolescents: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Ethical Statement
2.3. Subject Population
Selection Criteria
- Educational centers belonging to the Valencian Community (public and private schools).
- Students belonging to both sexes.
- Students aged between 12 and 18 years old.
- Students with or without low back pain.
- Being absent on the day of the administration of the questionnaire.
- Not completing the questionnaire correctly and not answering questions from the socio-demographic section.
- Students with disabilities: lesions of the spinal cord (i.e., spina bifida, quadriplegia, etc.), Cerebral palsy, Down syndrome, autism, tumors, etc.
2.4. Instrument
2.5. Data Collection
2.6. Data Analysis
3. Results
3.1. Normality of Distributions
3.2. Specific Level of Knowledge
3.3. Stepwise Binary Logistic Regression
4. Discussion
4.1. Limitations
4.2. Implications for Practice
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Vos, T.; Lim, S.S.; Abbafati, C.; Abbas, K.M.; Abbasi, M.; Abbasifard, M.; Abbasi-Kangevari, M.; Abbastabar, H.; Abd-Allah, F.; Abdelalim, A.; et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020, 396, 1204–1222. [Google Scholar] [CrossRef]
- Buchbinder, R.; Underwood, M.; Hartvigsen, J.; Maher, C.G. The Lancet Series call to action to reduce low value care for low back pain: An update. Pain 2020, 161, S57–S64. [Google Scholar] [CrossRef] [PubMed]
- Bento, T.P.F.; Cornelio, G.P.; de Oliveira Perrucini, P.; Simeão, S.F.A.P.; de Conti, M.H.S.; de Vitta, A. Low back pain in adolescents and association with sociodemographic factors, electronic devices, physical activity and mental health. J. De Pediatr. 2020, 96, 717–724. [Google Scholar] [CrossRef] [PubMed]
- Miñana-Signes, V.; Monfort-Pañego, M. Back Health in Adolescents between 12–18 Years of the Valencian Community, Spain: Prevalence and Consequences. J. Spine. 2015, 4, 2. [Google Scholar] [CrossRef]
- Gómez-Conesa, A.; Méndez, F.X.; Hidalgo, M.D. Cuestionario de información sobre salud lumbar para niños: Estudio con una muestra de alumnos de Educación Primaria. Rev. Int. De Psicol. Clínica Y De La Salud/Int. J. Clin. Health Psychol. 2001, 1, 495–508. [Google Scholar]
- Kulinna, P.H. Physical activity and HRF knowledge: How much 1–6 grade students know. Int. J. Phys. Educ. 2004, 41, 111–121. [Google Scholar]
- Stewart, S.; Mitchell, M. Instructional variables and student knowledge and conceptions of fitness. J. Teach. Phys. Educ. 2003, 22, 533–551. [Google Scholar] [CrossRef]
- Dale, D.; Corbin, C.B.; Cuddihy, T.F. Can conceptual physical education promote physically active lifestyles? Pediatric Exerc. Sci. 1998, 10, 97–109. [Google Scholar] [CrossRef]
- Dale, D.; Corbin, C.B. Physical activity participation of high school graduates following exposure to conceptual or traditional physical education. Res. Q Exerc. Sport. 2000, 71, 61–68. [Google Scholar] [CrossRef]
- Limon, S.; Valinsky, L.J.; Ben-Shalom, Y. Children at risk: Risk factors for low back pain in the elementary school environment. Spine 2004, 29, 697–702. [Google Scholar] [CrossRef]
- Vicas-Kunse, P. Educating our children: The pilot school program. Occup. Med. 1992, 7, 173–177. [Google Scholar] [PubMed]
- Spence, S.M.; Jensen, G.M.; Shepard, K.F. Comparison of methods of teaching children proper lifting techniques. Phys. Ther. 1984, 64, 1055–1061. [Google Scholar] [CrossRef] [PubMed]
- Schwartz, R.K.; Jacobs, K. Body basics, a cognitive approach to body mechanics training in elementary school back pain prevention programs. Work 1992, 7, 173–177. [Google Scholar]
- Sheldon, M.R. Lifting instruction to children in an elementary school. J. Orthop. Sports Phys. Ther. 1994, 19, 105–110. [Google Scholar] [CrossRef] [PubMed]
- Goodgold, S.A. Backpack intelligence: Implementation of a backpack safety program with fifth grade students. Orthop. Pract. 2003, 15, 15–20. [Google Scholar]
- Mendez, F.J.; Gomez-Conesa, A. Postural hygiene program to prevent low back pain. Spine 2001, 26, 1280–1286. [Google Scholar] [CrossRef]
- Cardon, G.; De Clercq, D.; De Bourdeaudhuij, I. Effects of back care education in elementary schoolchildren. Acta Paediatr. 2000, 89, 1010–1017. [Google Scholar] [CrossRef]
- Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D. Knowledge and Perceptions about Back Education among Elementary School Students, Teachers, and Parents in Belgium. J. Sch. Health 2002, 72, 100–106. [Google Scholar] [CrossRef]
- Cardon, G.; de Clercq, D.; Geldhof, E.; De Clercq, D.; de Bourdeaudhuij, I. Back education in elementary schoolchildren: The effects of adding a physical activity promotion program to a back care program. Eur. Spine J. 2007, 16, 125–133. [Google Scholar] [CrossRef]
- Geldhof, E.; Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D. Effects of a two-school-year multifactorial back education program in elementary schoolchildren. Spine 2006, 31, 1965–1973. [Google Scholar] [CrossRef]
- Geldhof, E.; Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D. Back posture education in elementary schoolchildren: Stability of two-year intervention effects. Eur. Med. 2007, 43, 369–379. [Google Scholar]
- Kim, S.; Kim, J.S. Knowledge of Good Posture and Postural Habits in Elementary School Children. J. Korean Acad. Child Health Nurs. 2007, 13, 182–190. [Google Scholar]
- Kovacs, F.; Oliver-Frontera, M.; Plana, M.N.; Royuela, A.; Muriel, A.; Gestoso, M.; Spanish Back Pain Research Network. Improving schoolchildren’s knowledge of methods for the prevention and management of low back pain: A cluster randomized controlled trial. Spine 2011, 36, 505. [Google Scholar] [CrossRef]
- Dolphens, M.; Cagnie, B.; Danneels, L.; De Clercq, D.; De Bourdeaudhuij, I.; Cardon, G. Long-term effectiveness of a back education programme in elementary schoolchildren: An 8-year follow-up study. Eur. Spine J. 2011, 20, 2134–2142. [Google Scholar] [CrossRef] [PubMed]
- Habybabady, R.H.; Ansari-Moghaddam, A.; Mirzaei, R.; Mohammadi, M.; Rakhshani, M.; Khammar, A. Efficacy and impact of back care education on knowledge and behaviour of elementary schoolchildren. J. Pak. Med. Assoc. 2012, 62, 580–584. [Google Scholar] [PubMed]
- Foltran, F.A.; Moreira, R.F.; Komatsu, M.O.; Falconi, M.F.; Sato, T.O. Effects of an educational back care program on Brazilian schoolchildren’s knowledge regarding back pain prevention. Rev. Bras. Fisioter. 2012, 16, 128–133. [Google Scholar] [CrossRef] [Green Version]
- Vidal, J.; Borras, P.A.; Ortega, F.B.; Cantallops, J.; Ponseti, X.; Palou, P. Effects of postural education on daily habits in children. Int. J. Sports Med. 2011, 32, 303–308. [Google Scholar] [CrossRef]
- Park, J.H.; Kim, J.S. Effects of spinal health educational programs for elementary school children. J. Spec Pediatr. Nurs. 2011, 16, 121–129. [Google Scholar] [CrossRef]
- Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D. Back care education in elementary school: A pilot study investigating the complementary role of the class teacher. Patient Educ. Couns. 2001, 45, 219–226. [Google Scholar] [CrossRef]
- Geldhof, E.; Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D. Back posture education in elementary schoolchildren: A 2-year follow-up study. Eur. Spine J. 2007, 16, 841–850. [Google Scholar] [CrossRef]
- Goodgold, S.A.; Nielsen, D. Effectiveness of a school-based backpack health promotion program: Backpack Intelligence. Work A J. Prev. Assess. Rehabil. 2003, 21, 113–123. [Google Scholar]
- Shinn, J.; Romaine, K.; Casimano, T.; Jacobs, K. The effectiveness of ergonomic intervention in the classroom. Work. A J. Prev. Assess. Rehabil. 2002, 18, 67–73. [Google Scholar]
- Guimaraes da Silva, M.A. El alumno de fisioterapia y programas educacionales profilácticos del dolor lumbar en adolescentes. Rev. Iberoam. De Fisioter. Y Kinesiol. 1998, 1, 89–104. [Google Scholar]
- Zapater, A.R.; Silveira, D.M.; Vitta, A.D.; Padovani, C.R.; Silva, J.C.P.D. Postura sentada: A eficácia de um programa de educação para escolares. Ciênc Saúde Coletiva 2004, 9, 191–199. [Google Scholar] [CrossRef]
- Rowe, G.; Jacobs, K. Efficacy of body mechanics education on posture while computing in middle school children. Work. A J. Prev. Assess. Rehabil. 2002, 18, 295–303. [Google Scholar]
- Ennis, C.D. 2006 CH McCloy Research Lecture: Defining Learning as Conceptual Change in Physical Education and Physical Activity Settings. Res. Q Exerc. Sport. 2007, 78, 138–150. [Google Scholar] [CrossRef]
- Placek, J.A.; Griffin, L.L.; Dodds, P.; Raymond, C.; Tremino, F.; James, A. Middle school students’ conceptions of fitness: The long road to a healthy lifestyle. J. Teach. Phys. Educ. 2001, 20, 314–323. [Google Scholar] [CrossRef]
- Keating, X.D.; Harrison, L.; Chen, L.; Xiang, P.; Lambdin, D.D.; Dauenhauer, B.; Rotich, W.; Piñero, J.C. An Analysis of Research on Student Health-Related Fitness Knowledge in K-16 Physical Education Programs. J. Teach. Phys. Educ. 2009, 28, 333–349. [Google Scholar] [CrossRef]
- Nahas, M.V. Knowledge and Attitudes Changes of Low-Fit College Students Following a Short-Term Fitness Education Program. Phys. Educ. 1992, 49, 152–159. [Google Scholar]
- Keating, X.D. The Current Often Implemented Fitness Tests in Physical Education Programs: Problems and Future Directions. Quest 2003, 55, 141–160. [Google Scholar] [CrossRef]
- Brynteson, P.; Adams, T.M. The Effects of Conceptually Based Physical Education Programs on Attitudes and Exercise Habits of College Alumni after 2 to 11 Years of Follow-Up. Res. Q Exerc. Sport. 1993, 64, 208–212. [Google Scholar] [CrossRef]
- Monfort-Pañego, M.; Miñana-Signes, V. Psychometric Study and Content Validity of a Questionnaire to Assess Back-Health-Related Postural Habits in Daily Activities. Meas. Phys. Educ. Exerc. Sci. 2020, 24, 1–10. [Google Scholar] [CrossRef]
- Miñana-Signes, V.; Monfort-Pañego, M.; Morant, J.; Noll, M. Cross-Cultural Adaptation and Reliability of the Back Pain and Body Posture Evaluation Instrument (BackPEI) for Spanish. Int. J. Environ. Res. Public Health 2021, 18, 854. [Google Scholar] [CrossRef]
- Minana-Signes, V.; Monfort-Panego, M. Knowledge on health and back care education related to physical activity and exercise in adolescents. Eur. Spine J. 2015, 25, 755–759. [Google Scholar] [CrossRef]
- Miñana-Signes, V.; Monfort-Pañego, M. Design and Validation of a Health Questionnaire about Knowledge for Health and Back Care Related to the Practice of Physical Activity and Exercise for Adolescents: COSACUES-AEF. J. Spine. 2015, 4, 1–4. [Google Scholar] [CrossRef]
- Kędra, A.; Kolwicz-Gańko, A.; Sitarski, D.; Kędra, P.; Czaprowski, D. Prevalence of back pain and the knowledge of preventive measures in a cohort of 11619 Polish school-age children and youth—an epidemiological study. Medicine 2019, 98, 22. [Google Scholar] [CrossRef]
- Dugan, J.E. Teaching the body: A systematic review of posture interventions in primary schools. Educ. Rev. 2018, 70, 643–661. [Google Scholar] [CrossRef]
- Bettany-Saltikov, J.; Kandasamy, G.; Van Schaik, P.; McSherry, R.; Hogg, J.; Whittaker, V.; Arnell, T.; Racero, G.A. School-based education programmes for improving knowledge of back health, ergonomics and postural behaviour of school children aged 4–18: A systematic review. Campbell Syst. Rev. 2019, 15, 1–11. [Google Scholar] [CrossRef]
- Aparicio-Sarmiento, A.; Rodríguez-Ferrán, O.; Martínez-Romero, M.T.; Cejudo, A.; Santonja, F.; Sainz de Baranda, P. Back pain and knowledge of back care related to physical activity in 12 to 17 year old adolescents from the Region of Murcia (Spain): ISQUIOS Programme. Sustainability 2019, 11, 5249. [Google Scholar] [CrossRef]
- Miñana-Signes, V.; Monfort-Pañego, M.; Rosaleny-Maiques, S. Improvement of knowledge and postural habits after an educational intervention program in school students. J. Hum. Sport Exerc. 2019, 14, 1. [Google Scholar] [CrossRef]
- Quiles, J.; Rizk, J.; Jiménez, R. Enquesta de Nutrició de la Comunitat Valenciana 2010. Viure en Salut. Dades De La Nutr. En La Comunitat Valencia. 2012, 91, 4–6. [Google Scholar]
- CSD. Estudio los Hábitos Deportivos de la Población Escolar en España; Consejo Superior de Deportes: Madrid, Spain, 2011. [Google Scholar]
- Cardon, G.; De Bourdeaudhuij, I.; De Clercq, D.; Philippaerts, R.; Verstraete, S.; Geldhof, E. Physical fitness, physical activity and self-reported back and neck pain in elementary schoolchildren. Pediatric Exerc. Sci. 2004, 16, 147–157. [Google Scholar] [CrossRef]
- García, M.; Llopis, R. Ideal Democrático y Bienestar Personal: Encuesta Sobre los Hábitos Deportivos en España 2010; CIS: Madrid, Spain, 2011. [Google Scholar]
- Sollerhed, A.C.; Andersson, I.; Ejlertsson, G. Recurrent pain and discomfort in relation to fitness and physical activity among young school children. Eur. J. Sport Sci. 2013, 13, 591–598. [Google Scholar] [CrossRef] [PubMed]
- Akbari-Chehrehbargh, Z.; Tavafian, S.S.; Montazeri, A. Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: A school-based randomised controlled trial (T-Bak study). BMC Public Health 2020, 20, 1–15. [Google Scholar] [CrossRef]
- López, I.J.P.; Delgado, M. Mejora de los conocimientos, procedimientos y actitudes del alumnado de secundaria tras un programa de intervención en educación física para la salud. Mot. Rev. De Cienc. De La Act. Física Y Del Deporte 2007, 18, 61–77. [Google Scholar]
- Téllez, C. Preparación teórica: Influencia para la mejora de la práctica y formación del alumnado sobre temas relacionados con la actividad física-salud. In A. GARCÍA, F. RUIZ Y A. CASIMIRO (coord.), La Enseñanza de la Educación Física y el Deporte Escolar; Instituto Andaluz del Deporte: Málaga, Spain, 1998; pp. 115–118. [Google Scholar]
- Balague, F.; Nordin, M.; Dutoit, G.; Waldburger, M. Primary prevention, education, and low back pain among school children. Bull. Hosp. Jt. Dis. 1996, 55, 130–134. [Google Scholar]
- Monfort-Pañego, M.; Molina-García, J.; Miñana-Signes, V.; Bosch-Biviá, A.H.; Gómez-López, A.; Munguía-Izquierdo, D. Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students. Eur. Spine J. 2016, 25, 2803–2808. [Google Scholar] [CrossRef] [Green Version]
Province | Secondary School | n | % |
---|---|---|---|
Alicante | SE n° 1 | 191 | 12.7 |
SE n° 5 | 77 | 5.1 | |
SE n° 8 | 231 | 15.4 | |
Castellón | SE n° 2 | 150 | 10.0 |
SE n° 3 | 170 | 11.3 | |
SE n° 4 | 62 | 4.1 | |
SE n° 6 | 192 | 12.8 | |
Valencia | SE n° 7 | 82 | 5.5 |
SE n° 9 | 57 | 3.8 | |
SE n° 10 | 152 | 10.1 | |
SE n° 11 | 136 | 9.1 | |
Total | 1500 | 100 |
Boys n = 556 | Girls n = 485 | |||
---|---|---|---|---|
X | SD | X | SD | |
Age (years) | 15 | 1.490 | 15 | 1.473 |
Weight (Kg) | 62.71 | 9.169 | 53.53 | 9.169 |
Height (m) | 1.67 | 0.010 | 1.67 | 0.099 |
BMI (Kg/m2) | 20.78 | 3.007 | 20.96 | 3.268 |
Ages | n | % |
---|---|---|
13 years | 14 | 6.5 |
14 years | 23 | 6.7 |
15 years | 35 | 11.7 |
16 years | 30 | 9.0 |
17 years | 50 | 21.6 |
18 years | 12 | 15.0 |
Total | 164 | 100.0 |
Scores | n | % |
---|---|---|
Very poor [≤2.9] | 901 | 60.1 |
Poor [3–4.9] | 435 | 29.0 |
Average [5–5.9] | 92 | 6.1 |
Good [6–6.9] | 38 | 2.5 |
Very good [7–8.9] | 30 | 2.0 |
Excellent [≥9] | 2 | 0.1 |
Total | 1500 | 100.0 |
Correct “1 Point” | ||
---|---|---|
HEBACAKNOW-PAE items | n | % |
Item 1. To take care of my back, what physical qualities should I pay special attention to and work on specifically? | 1196 | 81.7 |
Item 2. How often should I do specific physical exercise to care for my back? | 915 | 62.1 |
Item 3. To prepare my body to do a specific physical activity, what kind of exercises should I include in my warm-up? | 949 | 64.6 |
Item 4. For back care, which muscles should we specifically strengthen? | 584 | 39.9 |
Item 5. For the care of your back, which exercise to strengthen the trunk muscles is not being performed properly? | 673 | 46.1 |
Item 6. For the care of your back, which exercise to strengthen the trunk muscles is not being performed properly? | 582 | 40.2 |
Item 7. When we perform exercises to strengthen the abdominal muscles starting from the position of lying on our back, what is the correct position for the legs? | 485 | 33.3 |
Item 8. When doing exercises to strengthen the abdominal muscles (abdominals) starting from the position of lying on my back, we must… | 577 | 39.7 |
Item 9. For the health and care of my back, which muscles should I stretch specifically and with special attention? | 243 | 17.0 |
Item 10. When I perform full extension or flexion movements of the trunk, what effects do they have on the lumbar spine? | 318 | 21.9 |
Item 11. When doing a stretching exercise it is important | 935 | 64.2 |
Item 12. How long does a stretch have to last? | 882 | 60.3 |
Item 13. When I have discomfort in the lower back, I should | 638 | 43.8 |
Variables | OR (95% CI) | p |
---|---|---|
13 years old | 1 | >0.001 |
14 years old | 1.028 (0.517–2.045) | 0.937 |
15 years old | 1.884 (0.987–3.597) | 0.055 |
16 years old | 1.421 (0.735–2.748) | 0.296 |
17 years old | 3.927 (2.100–7.342) | >0.001 |
18 years old | 2.508 (1.106–5.688) | 0.028 |
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Miñana-Signes, V.; Monfort-Pañego, M. Back-Health-Related Physical Activity and Exercise Knowledge in Adolescents: A Cross-Sectional Study. Children 2022, 9, 1291. https://doi.org/10.3390/children9091291
Miñana-Signes V, Monfort-Pañego M. Back-Health-Related Physical Activity and Exercise Knowledge in Adolescents: A Cross-Sectional Study. Children. 2022; 9(9):1291. https://doi.org/10.3390/children9091291
Chicago/Turabian StyleMiñana-Signes, Vicente, and Manuel Monfort-Pañego. 2022. "Back-Health-Related Physical Activity and Exercise Knowledge in Adolescents: A Cross-Sectional Study" Children 9, no. 9: 1291. https://doi.org/10.3390/children9091291