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Lee H, Lee Y. Effects of Postural Changes Using a Standing Desk on the Craniovertebral Angle, Muscle Fatigue, Work Performance, and Discomfort in Individuals with a Forward Head Posture. Healthcare (Basel) 2024; 12:2436. [PMID: 39685059 DOI: 10.3390/healthcare12232436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2024] [Revised: 11/22/2024] [Accepted: 11/23/2024] [Indexed: 12/18/2024] Open
Abstract
Forward head posture is common among office workers who sit for long periods of time and is one of the main causes of neck pain. This study aimed to assess the effects of utilizing a standing desk on the craniovertebral angle, muscle fatigue, work performance, and discomfort in individuals with forward head posture. Twenty-four participants meeting the inclusion criteria were randomly assigned to either a traditional desk group (n = 12) or a standing desk group (n = 12). Each group engaged in 30 min of computer typing. To evaluate the impact of posture change using a standing desk, pre- and post-experiment discomfort surveys were conducted, and the craniovertebral angle and muscle fatigue were measured throughout the experiment. Work performance was assessed post-experiment based on the work completed by the participants. Intra-group analysis of the craniovertebral angle showed a significant decrease in the traditional desk group (p < 0.05) and a significant increase in the standing desk group (p < 0.05). When comparing the craniovertebral angle between the two groups, a significant difference was observed (p < 0.05). Additionally, significant differences in muscle fatigue, particularly in the levator scapulae muscles, were observed between the two groups (p < 0.05). The traditional desk group reported increased discomfort in the neck and shoulders (p < 0.05). These findings suggest that utilizing a standing desk can positively impact posture, reduce muscle fatigue, and alleviate discomfort in individuals with forward head posture, potentially serving as an intervention to prevent musculoskeletal disorders.
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Affiliation(s)
- Hyunju Lee
- Department of Physical Therapy, Graduate School, Sahmyook University, Seoul 01795, Republic of Korea
| | - Yongwoo Lee
- Department of Physical Therapy, College of Health and Welfare, Sahmyook University, Seoul 01795, Republic of Korea
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Antunes EP, Tebar WR, Cucato GG, Silva CCM, Leoci I, Dos Santos AB, Ferrari G, Christofaro DGD. Association of different domains of sedentary behavior and cardiovascular risk factors in adolescents: Cross-sectional study. HIPERTENSION Y RIESGO VASCULAR 2024:S1889-1837(24)00110-7. [PMID: 39592279 DOI: 10.1016/j.hipert.2024.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Revised: 10/11/2024] [Accepted: 10/15/2024] [Indexed: 11/28/2024]
Abstract
BACKGROUND Sedentary behavior (SB) has been related to cardiovascular risk factors (CVRF) such as high BMI, waist circumference (WC) and blood pressure (BP), including pediatric populations. However, it is still unclear whether the association between SB and CVRF could be domain dependent. Therefore, this study aimed to analyze the relationship between sedentary at different domains (time spent in TV, videogames, computer, smartphone) with CVRF in adolescents. METHODS A sample of 1011 adolescents (10-17 years old; 55.1% girls) was assessed. The different BS domains were obtained through a questionnaire, as well as socioeconomic status, habitual physical activity, smoking and alcohol consumption. BMI was calculated by objectively measured height and body mass, WC was assessed at middle point between the last rib and iliac crest, and BP was assessed by a digital oscillometric device. The relationship between SB and CVRF was determined by quantile regression, adjusted for sex, age, socioeconomic status, physical activity, smoking and alcohol consumption. RESULTS Elevated time in smartphone use was associated with higher median values of WC (β=1.88; 95%CI: (0.27; 3.49) and SBP (β=2.70; 95%CI: 0.35; 5.05). High total time spent in SB was associated with higher median values of BMI (β=0.68; 95%CI=(0.02; 1.35), WC (β=1.95; 95%=0.47; 3.42) and SBP (β=2.52; 95%CI: 0.37; 4.68). CONCLUSIONS Smartphone use and total SB time were related to higher CVRF in adolescents. Cardiovascular health promotion strategies should focus on reducing SB in pediatric populations, especially smartphone use.
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Affiliation(s)
- E P Antunes
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil
| | - W R Tebar
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil
| | - G G Cucato
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - C C M Silva
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil
| | - I Leoci
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil
| | - A B Dos Santos
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil
| | - G Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - D G D Christofaro
- School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, São Paulo, Brazil.
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Montgomery LRC, Swain M, Dario AB, O'Keeffe M, Yamato TP, Hartvigsen J, French S, Williams C, Kamper S. Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis. Br J Sports Med 2024:bjsports-2024-108648. [PMID: 39438037 DOI: 10.1136/bjsports-2024-108648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2024] [Indexed: 10/25/2024]
Abstract
OBJECTIVE To evaluate whether sedentary behaviour is a risk or prognostic factor for spinal pain in children and adolescents. Specifically, to estimate the (1) direction and strength of the association; (2) risk of spinal pain onset and (3) effect on spinal pain prognosis. DESIGN Systematic review with meta-analysis. DATA SOURCES Electronic searches of MEDLINE, Embase, CINAHL and Web of Science up to 23 March 2023. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Reports estimating the effect of sedentary behaviour on spinal pain in young people (≤19 years). RESULTS We included 129 reports, 14 were longitudinal (n = 8 433) and 115 were cross-sectional (n > 697 590). We incorporated 86 studies into meta-analyses. (1) From cross-sectional data, we found low certainty evidence of a small positive association between sedentary behaviour and spinal pain (adjusted odds ratio 1.25 (95% CI 1.17 to 1.33), k = 44, n > 92 617). (2) From longitudinal data, we found low certainty evidence of no increased risk for the onset of spinal pain due to sedentary behaviour (adjusted risk ratio 1.07 (95% CI 0.84 to 1.35), k = 4, n = 1 292). (3) No studies assessed prognosis. CONCLUSION Cross-sectional data suggest minimally higher odds of spinal pain for children and adolescents who engage in greater sedentary behaviours. However, longitudinal data do not support a causal relationship, indicating that sedentary behaviour does not increase the risk for onset of spinal pain. Due to the low certainty of evidence, these findings must be interpreted with caution. We found no evidence of the effect sedentary behaviour has on spinal pain prognosis in children and adolescents, highlighting a considerable gap in the literature.
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Affiliation(s)
- Laura R C Montgomery
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Michael Swain
- Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Amabile B Dario
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Mary O'Keeffe
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Tie P Yamato
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
- Nepean Blue Mountains Local Health District, Sydney, New South Wales, Australia
| | - Jan Hartvigsen
- Center for Muscle and Joint Health, Department of Sports and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Chiropractic Knowledge Hub, Odense, Denmark
| | - Simon French
- Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Christopher Williams
- University Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia
- Research and Knowledge Translation Directorate, Mid North Coast Local Health District, Port Macquarie, New South Wales, Australia
| | - Steve Kamper
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
- Nepean Blue Mountains Local Health District, Sydney, New South Wales, Australia
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Oliveira CBS, Damato TM, Tebar WR, Grande GHD, Vidal RVC, Ferrari G, Saraiva BTC, Christofaro DGD. Replacing sedentary time or light physical activity with moderate physical activity is associated with a lower prevalence of back pain: a cross-sectional study using isotemporal analysis: Isotemporal substitution and LBP prevalence. Braz J Phys Ther 2024; 28:101123. [PMID: 39393276 DOI: 10.1016/j.bjpt.2024.101123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 08/15/2024] [Accepted: 09/25/2024] [Indexed: 10/13/2024] Open
Abstract
BACKGROUND Evidence shows that lack of physical activity and sedentary time are associated with higher prevalence of low back pain (LBP). OBJECTIVE To investigate the association between replacing sedentary time and light physical activity with a higher physical activity level with the prevalence of LBP. METHODS Two hundred and sixty-six individuals from a city in southeastern Brazil were recruited to this cross-sectional study. Sedentary behavior and physical activity level were evaluated using an ActiGraph GT3X tri-axial accelerometer during 7 days. The prevalence of LBP was assessed using the Nordic questionnaire. Isotemporal substitution using logistic regression analyses were performed to investigate the association between replacing an activity with another in the prevalence of LBP. RESULTS Replacing time spent in sedentary behavior with moderate physical activity slightly reduced the prevalence of LBP (odds ratio [OR]= 0.97; 95% CI: 0.95, 0.98). In addition, replacing time spent in light physical activity with moderate physical activity also slightly reduced the prevalence of LBP (OR= 0.97; 95% CI: 0.95, 0.98). There was no association for replacing sedentary time and light or moderate physical activity with vigorous physical activity on the prevalence of LBP. CONCLUSIONS The results suggest a small protective effect for LBP when replacing time in sedentary activities or light physical activity with moderate physical activity.
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Affiliation(s)
- Crystian B S Oliveira
- Faculty of Medicine, University of West Sao Paulo (UNOESTE), Presidente Prudente, Brazil; Master's Health Sciences Program, University of West Sao Paulo (UNOESTE), Presidente Prudente, Brazil
| | - Tatiana M Damato
- Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - William R Tebar
- Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Guilherme H D Grande
- Faculty of Medicine, University of West Sao Paulo (UNOESTE), Presidente Prudente, Brazil; Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Rubens V C Vidal
- Master's Health Sciences Program, University of West Sao Paulo (UNOESTE), Presidente Prudente, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Bruna T C Saraiva
- Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Diego G D Christofaro
- Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil.
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Zhang X, Yang D, Luo J, Meng M, Chen S, Li X, Yin Y, Hao Y, Sun C. Determinants of sedentary behavior in community-dwelling older adults with type 2 diabetes based on the behavioral change wheel: a path analysis. BMC Geriatr 2024; 24:502. [PMID: 38844849 PMCID: PMC11157943 DOI: 10.1186/s12877-024-05076-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 05/14/2024] [Indexed: 06/09/2024] Open
Abstract
BACKGROUND Sedentary behavior (SB) is deeply ingrained in the daily lives of community-dwelling older adults with type 2 diabetes mellitus (T2DM). However, the specific underlying mechanisms of the determinants associated with SB remain elusive. We aimed to explore the determinants of SB based on the behavior change wheel framework as well as a literature review. METHODS This cross-sectional study recruited 489 community-dwelling older adults with T2DM in Jinan City, Shandong Province, China. Convenience sampling was used to select participants from relevant communities. This study used the Measure of Older Adults' Sedentary Time-T2DM, the Abbreviated-Neighborhood Environment Walkability Scale, the Social Support Rating Scale, the Lubben Social Network Scale 6, the Subjective Social Norms Questionnaire for Sedentary Behavior, the Functional Activities Questionnaire, the Numerical Rating Scale, the Short Physical Performance Battery, and the Montreal Cognitive Assessment Text to assess the levels of and the determinants of SB. Descriptive statistical analysis and path analysis were conducted to analyze and interpret the data. RESULTS Pain, cognitive function, social isolation, and social support had direct and indirect effects on SB in community-dwelling older adults with T2DM (total effects: β = 0.426, β = -0.171, β = -0.209, and β = -0.128, respectively), and physical function, walking environment, and social function had direct effects on patients' SB (total effects: β = -0.180, β = -0.163, and β = 0.127, respectively). All the above pathways were statistically significant (P < 0.05). The path analysis showed that the model had acceptable fit indices: RMSEA = 0.014, χ 2/df = 1.100, GFI = 0.999, AGFI = 0.980, NFI = 0.997, RFI = 0.954, IFI = 1.000, TLI = 0.996, CFI = 1.000. CONCLUSION Capability (physical function, pain, and cognitive function), opportunity (social isolation, walking environment, and social support), and motivation (social function) were effective predictors of SB in community-dwelling older adults with T2DM. Deeper knowledge regarding these associations may help healthcare providers design targeted intervention strategies to decrease levels of SB in this specific population.
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Affiliation(s)
- Xiaoyan Zhang
- Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R. China
| | - Dan Yang
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China
| | - Jiayin Luo
- Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R. China
| | - Meiqi Meng
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China
| | - Sihan Chen
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China
| | - Xuejing Li
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China
| | - Yiyi Yin
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China
| | - Yufang Hao
- School of Nursing, Beijing University of Chinese Medicine, No. 11, Beisanhuandonglu, Chaoyang District, Beijing, People's Republic of China.
| | - Chao Sun
- Department of Nursing, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R. China.
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Xia W, Liu J, Liu C, Xu S, Wang K, Zhu Z, Wang W, Wang H, Liu H, Zhou M. Burden of neck pain in general population of China, 1990-2019: An analysis for the Global Burden of Disease Study 2019. J Glob Health 2024; 14:04066. [PMID: 38574355 PMCID: PMC10994671 DOI: 10.7189/jogh.14.04066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/06/2024] Open
Abstract
Background Neck pain has become very common in China and has greatly affected individuals, families, and society in general. In this study, we aimed to report on the rates and trends of the prevalence, incidence, and years lived with disability (YLDs) caused by neck pain in the general population of China from 1990 to 2019. Methods We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) study to estimate the number and age standardised rates per 100 000 population of neck pain point prevalence, annual incidence, and YLDs in 33 provinces/municipalities/autonomous regions of China, stratified by age, sex, and sociodemographic index (SDI) from 1990 to 2019. We then compared these estimates with other G20 countries. Results There were 6.80 × 107 patients with neck pain in 2019, presenting an increase from 3.79 × 107 in 1990. Likewise, the national age-standardised point prevalence increased slightly from 3.53% in 1990 to 3.57% in 2019. The YLDs increased by 78.08%, from 3814 × 103 in 1990 to 6792 × 103 in 2019. The age-standardised YLDs rate increased 1.50% from 352.84 in 1990 to 358.10 in 2019. The point prevalence of neck pain in 2019 was higher in females compared with males. These estimates were all above the global average level and increased more rapidly among G20 countries from 1990 to 2019. We generally observed a positive association between age-standardised YLD rates for neck pain and SDI, suggesting the burden is higher at higher sociodemographic indices. Conclusions Neck pain is a serious public health problem in the general population in China, especially in its central and western regions, with an overall increasing trend in the last three decades. This is possibly related to changes of people's lifestyles and work patterns due to improvements in societal well-being and technology. Raising awareness of risk factors for neck pain in the general population and establishing effective preventive and treatment strategies could help reduce the future burden of neck disorders.
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Affiliation(s)
- Weiwei Xia
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Jiangmei Liu
- National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Chenjun Liu
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Shuai Xu
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Kaifeng Wang
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Zhenqi Zhu
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Weiyan Wang
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Huimin Wang
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Haiying Liu
- Department of Spinal Surgery, Peking University People’s Hospital, Peking University, Beijing, China
- Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China
| | - Maigeng Zhou
- National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
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Kangrga M, Nikolic D, Santric-Milicevic M, Rakic L, Knezevic T, Djuricic G, Stojkovic J, Radosavljevic N, Mihajlovic S, Medjo B, Lackovic M. Recognizing the Frequency of Exposure to Cyberbullying in Children: The Results of the National HBSC Study in Serbia. CHILDREN (BASEL, SWITZERLAND) 2024; 11:172. [PMID: 38397284 PMCID: PMC10887102 DOI: 10.3390/children11020172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 01/19/2024] [Accepted: 01/22/2024] [Indexed: 02/25/2024]
Abstract
Nowadays, children are able to enrich their reality via the Internet. Unfortunately, this may increase their risk of becoming victims of cyberbullying. We analyzed the health characteristics and risk behavior of two cohorts of children in Serbia; those who reported being exposed to cyberbullying and those who did not. The statistical differences and logistic regression models were applied to the data on 3267 students collected from 64 schools participating in the 2017 Serbian Study on health behavior in school-age children (HBSC). Children exposed to cyberbullying reported having the following health problems on a daily basis: headache (18.5%), back pain (19.5%), depression (21.6%), irritability or bad mood (17.7%), nervousness (16.0%), sleep problems (16.1%), and dizziness (21.2%). As for the different types of risk behavior, cigarette smoking ranging from six to nine days ever was the most prevalent (26.9%). It was followed closely by getting drunk more than 10 times ever (24.1%). Compared to non-victims, victims were found to be at a higher risk of perceived back pain (OR = 2.27), depression (OR = 1.43), irritability or bad mood (OR = 2.07), nervousness (OR = 2.23), and dizziness (OR = 2.43) as well as being injured once or twice (OR = 1.98) or three or more times (OR = 4.09). Victims were associated with further risk factors: having smoked more than five cigarettes ever in life (OR = 1.73) and having gotten drunk two to three times (OR = 1.71) or four or more times (OR = 1.65). As the number of school-age children using social media continues to rise, we must prioritize educating them about self-help and community resources for addressing related health issues with greater speed and intensity. The findings from Serbia suggest that while children may be aware of their health issues, they may be unaware of their link to cyberbullying, which could hinder their ability to address these issues promptly. The respondents' attention to the health implications of cyberbullying could be increased by reformulating the survey questions used in the HBSC study.
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Affiliation(s)
- Milica Kangrga
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia
| | - Dejan Nikolic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia
| | - Milena Santric-Milicevic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Ljiljana Rakic
- Clinic for Hematology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
| | - Tatjana Knezevic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia
| | - Goran Djuricic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Radiology, University Children's Hospital, 11000 Belgrade, Serbia
| | - Jasna Stojkovic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia
| | - Natasa Radosavljevic
- Department of Biomedical Sciences, State University of Novi Pazar, 36300 Novi Pazar, Serbia
| | - Sladjana Mihajlovic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Obstetrics and Gynecology, University Hospital "Dragisa Misovic", Heroja Milana Tepica 1, 11000 Belgrade, Serbia
| | - Biljana Medjo
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
- Department of Pediatrics and Neonatal Intensive Care, University Children's Hospital, 11000 Belgrade, Serbia
| | - Milan Lackovic
- Department of Obstetrics and Gynecology, University Hospital "Dragisa Misovic", Heroja Milana Tepica 1, 11000 Belgrade, Serbia
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Said MA, Almatar AA, Alibrahim MS. Higher Sedentary Behaviors and Lower Levels of Specific Knowledge Are Risk Factors for Physical Activity-Related Injuries in Saudi Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4610. [PMID: 36901623 PMCID: PMC10001543 DOI: 10.3390/ijerph20054610] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 02/25/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
Encouraging physical activity (PA) for adolescents is necessary to achieve and maintain optimal health, but it may increase the risk of PA-related injuries. This study sought to assess the frequency, location, type, and severity of PA-related injuries in Saudi students aged 13 to 18 years and to identify associated risk factors. A total of 402 students, including 206 boys aged 15.87 ± 1.69 years and 196 girls aged 15.83 ± 1.70 years, were randomly assigned to participate in this study. For each participant, height, weight, body mass index, and fat percentage were measured. Responses to a specially designed four-part self-administered questionnaire were also collected. Results revealed that better specific knowledge was associated with a lower likelihood of sustaining injuries (β = -0.136; p = 0.001) but increased sedentary behaviors were associated with a greater likelihood of sustaining a PA-related injury (β = 0.358; p = 0.023). Gender, knowledge, and sedentary behaviors were the factors overall associated with a greater likelihood of suffering 1, 2, and 3 or more PA-related injuries. However, gender, fat-free mass, knowledge, and sedentary behaviors were associated overall with a greater likelihood of bruises, strains, fractures, sprains, concussions, and at least two types of PA-related injuries. Collectively, we should pay attention to the PA-related injury problem among middle and high school students, particularly when promoting a physically active lifestyle.
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Affiliation(s)
- Mohamed Ahmed Said
- Department of Physical Education, College of Education, King Faisal University, Al-Ahsa 31982, Saudi Arabia
- Higher Institute of Sport and Physical Education of Kef, Jendouba 7100, Tunisia
| | - Amnah Ahmed Almatar
- Department of Physical Education, College of Education, King Faisal University, Al-Ahsa 31982, Saudi Arabia
| | - Mohammed Shaab Alibrahim
- Department of Physical Education, College of Education, King Faisal University, Al-Ahsa 31982, Saudi Arabia
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