Sains Malaysiana 43(3)(2014): 423–428

 

Low Back Pain and Associated Risk Factors among Health Science Undergraduates

(Sakit Belakang dan Faktor Risikonya dalam Kalangan Prasiswazah Sains Kesihatan)

 

 

NOR AZLIN MOHD NORDIN, DEVINDER KAUR AJIT SINGH* & LIM KANGLUN

Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences

Universiti Kebangsaan Malaysia, Jalan Raja Muda Aziz, 50300 Kuala Lumpur, Malaysia

 

Received: 9 January 2013/Accepted: 17 July 2013

 

ABSTRACT

Identification of associated risk factors is important to enable successful implementation of low back pain prevention strategies. To date, there is limited research data on back pain among young adults in Malaysia despite an increasing incidence of this disabling condition worldwide. A cross-sectional survey was conducted to determine the incidence of low back pain (LBP) and associated factors among health science undergraduates. A self-administered questionnaire was distributed to full time students of a main public university. One hundred and forty undergraduates; mean age 21.4±1.3 years, 70% female, 60% in year 3 of study, participated in the survey. The results showed that 31% spent between 6 and 8 h and another 31% spent more than 9 h sitting in a day. Twelve percent of the undergraduates rated their fitness level as ‘poor’. The incidence of LBP was 40.3% among the undergraduates. LBP incidence was associated with age (X2=12.1, p=0.007), years of study (X2=8.7, p=0.03), self-rated physical fitness (X2=7.0, p=0.02) and hours spent sitting (X2 =8.7, p=0.03). Gender, body mass index and hours spent in sports and physical activity were not associated with LBP. The findings from this study demonstrate that physical fitness and sitting duration is associated with low back pain among health science undergraduates. Health science undergraduates should improve their physical fitness, practice frequent breaks and stretching during sitting. This will help to minimize LBP related to decreased fitness levels and prolonged sitting.

 

Keywords: Back pain; physical fitness; sitting; undergraduates

 

ABSTRAK

Mengenal pasti faktor risiko adalah penting dalam implementasi strategi pencegahan sakit belakang. Data kajian mengenai sakit belakang dalam kalangan generasi muda adalah terhad di Malaysia di sebalik peningkatan insiden kondisi ini di seluruh dunia. Kajian keratan rentas ini bertujuan mengenal pasti insiden sakit belakang dan faktor risikonya dalam kalangan prasiswazah sains kesihatan. Soal-selidik kajian diedar kepada prasiswazah sepenuh masa sebuah universiti tempatan. Sejumlah 140 prasiswazah; min umur 21.4±1.3 tahun, 70% perempuan, 60% dalam tahun 3 pengajian telah mengambil bahagian di dalam kajian ini. Hasil kajian menunjukkan bahawa 31% daripada prasiswazah menghabiskan sejumlah 6 hingga 8 jam sehari dalam posisi duduk manakala dalam kalangan 31% lagi prasiswazah, jumlah masa berada dalam posisi duduk dalam sehari melebihi 9 jam. Dua belas peratus daripada prasiswazah menilai tahap kecergasan mereka sebagairendah’. Insiden sakit belakang dalam kalangan prasiswazah ini ialah 40.3%. Sakit belakang didapati berkait dengan faktor umur (X2=12.1, p=0.007), tempoh pengajian (X2=8.7, p=0.03), tahap kecergasan fizikal (X2=7.0, p=0.02) dan tempoh duduk (X2 =8.7, p=0.03). Jantina, indeks jisim tubuh dan tempoh aktiviti fizikal dan sukan tidak berkait dengan sakit belakang. Keputusan ini menunjukkan peranan kecergasan fizikal dan tempoh duduk terhadap insiden sakit belakang dalam kalangan prasiswazah sains kesihatan. Prasiswazah perlu meningkatkan kecergasan fizikal dan mengamalkan rehat dan regangan yang kerap sewaktu duduk bagi meminimumkan risiko sakit belakang akibat penurunan tahap kecergasan dan duduk yang terlalu lama.

 

Kata kunci: Duduk yang lama; kecergasan fizikal; prasiswazah; sakit belakang

 

REFERENCES

 

Anderson, L.B., Wedderkopp, N. & Leboeuf-Yde, C. 2006. Association between back pain and physical fitness in adolescents. Spine 31(15): 1740-1744.

Bernard, J.C., Bard, R., Pujol, A., Combey, A., Boussard, D., Begue, C. & Salghetti, A.M. 2008. Muscle assessment in healthy teenagers, comparison with teenagers with Low back pain. Ann. Readapt. Med. Phy. 51: 263-283.

Brattberg, G. 1994. The incidence of back pain and headache among Swedish school children Qual. Life Res. 3(1): S27-S31.

Burton, A.K., Clarke, R.D., McClune, T.D., Tomothy, D. & Tillotson, K.M. 1996. The natural history of low back pain in adolescents. Spine 21(20): 2323-2328.

Callaghan, J.P. & McGill, S.M. 2001. Low back joint loading and kinematics during standing and unsupported sitting. Ergon 44: 280-294.

Chung, Y.L., Kratter, R., Duvoisin, N., Taskin, N.D.A. & Schilling, J. 2005. Cross-sectional view of factors associated with back pain. Int. Arch. Occup. Environ. Health 78: 319- 324.

Feldman, D.E., Shrier, I., Rossignol, M. & Abenhaim, L. 2001. Risk factors for the development of low back pain in Adolescence. Am. J. Epidemiol. 154(1): 30-36.

Grimmer, K. & Williams, K. 2000. Gender-age environment associates of adolescent low back pain. Appl. Ergon. 31: 343-360.

Harreby, M., Neergaard, K., Hesselsøe, G. & Kjer, J. 1995. Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25- year prospective cohort study of 640 school children. Spine 20(21): 2298-2302.

Harrison, D.D., Harrison, S.O., Croft, A.C., Harrison, D.E. & Troyanovich, S.J. 1999. Sitting biomechanics part I: Review of the literature. J. Manip. Physiol. Ther. 22: 594-609.

Jones, G.T. & Macfarlane, G.J. 2005. Epidemiology of low back pain in children and adolescents. Arch. Dis. Child. 90: 312-316.

Kamwendo, K. 2000. Adherence to healthy lifestyles: A comparison of occupational therapy students with nursing and physiotherapy students. Scand. J. Occup. Ther. 7: 156-164.

Kopec, J.A., Sayre, E.C. & Esdaile, J.M. 2003. Predictors of back pain in a general population cohort. Spine 29(1): 70-78.

Korovessis, P., Repantis, T. & Baikousis, A. 2010. Factors affecting low back pain in adolescents. J. Spinal Disor. Tech. 10: 1-8.

Leboeuf-Yde, C. 2000. Body weight and low back pain: A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine 25(2): 226-237.

Leggat, P.A. & Smith, D.R. 2006. Musculoskeletal disorders self-reported by dentist in Queensland, Australia. Aust. Dent. J. 51: 324-327.

Leggat, P.A., Smith, D.R. & Clark, M.J. 2008. Prevalance and correlates of low back pain among occupational therapy students in Northern Queensland. Can. J. Occup. Ther. 759(1): 35-31.

Levangie, P.K. 1999. Association of low back pain with self-reported risk factor among patients seeking physical therapy services. Phys. Ther. 79(8): 757-766.

Liddle, S.D., Gracey, J.H. & Baxter, G.D. 2007. Advice for the management of low back pain: A systematic review of randomised controlled trials. Man. Ther. 12(4): 310-327.

Lis, A.M., Black, K.M. & Korn, H. 2007. Association between sitting and occupational low back pain. Eur. Spine J. 16: 283-298.

Moroder, P., Runer, A., Resch, H. & Tauber, M. 2011. Low back pain among medical students. Acta Orthop. Belg. 77: 88-92.

NurulIzzah, A.S., Haslinda, A. & Saidi, M. 2010. Prevalence of low back pain and its risk factors among school teachers. Amer. J. Appl. Sci. 7(5): 634-639.

Nyland, L.J. & Grimmer, K.A. 2003. Is undergraduate physiotherapy student a risk factor for low back pain? A prevalence study of low back pain in physiotherapy students. BMC Musculoskelet Disord4(21): 1-8.

O’Sullivan, P.B., Smith, A.J., Beales, D.J. & Straker, L.M. 2011. Association of biopsychosocial factors with degree of slump in sitting posture and self-report of back pain in adolescents: A cross-sectional study. Phys. Ther. 91(4): 470-483.

Pellisé, F., Balaguê, F., Rajmil, L., Cedraschi, C., Aguirre, M., Fontecha, C.G., Pasarin, M. & Ferrer, M. 2009. Prevalance of low back pain and its effect on health-related quality of life in adolescents. Arch. Pediat. Adol. Med. 163(1): 65-71.

Poussa, M.S., Heliövaara, M.M., Seitsamo, J.T., Könönen, M.H., Hurmerinta, K.A. & Nissinen, M.J. 2005. Anthropometric measurements and growth as predictors of low back pain: A cohort study of children followed up from the age of 11 to 22 years. Eur. Spine. J. 14: 595-598.

Rising, D.W., Bennett, B.C., Hursh, K. & Plesh, O. 2005. Reports of body pain in dental student population. J. Am. Dent. Assoc. 136: 81-86.

Rozali, A., Rampal, K.G. & Shamsul Bahri, M.T. 2009. Low back pain and association with whole body vibration among military armoured vehicle drivers in Malaysia. Med. J. Malaysia 64(3): 197-204.

Shebab, D.K. & Al-Jarullah, K.F. 2005. Non-specific low back pain in Kuwait children and adolescents: Associated factors. J. Adol. Health 36: 32-35.

Singh, J. & Noor Hassim, I. 2006. A study of prevalence of low back pain among workers of Dunham-Bush Industries Sdn Bhd Kajang Selangor. 1998. Malaysian J. Comm. Health 12(1).

Skoffer, B. & Foldspang, A. 2008. Physical activity and low back pain in school children. Eur. Spine J. 17: 373-379.

Smith, D.R. & Leggat, P.A. 2007. Back pain in the young: A review of studies conducted among school children and university students. Curr. Pediat. Rev. 3: 69-77.

Solomonow, M., Bratta, R.V., Zhou, B.H., Burger, E., Zieske, A. & Gedalia, A. 2003. Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. J. Electromyogr. Kinesiol. 13: 381-396.

Tamrin, S.B., Abdullah, M.Y. & Hamzah, R. 2004. School bag load and its effect on the erector spinae muscles and low back pain among primary school children in Malaysia. Malaysian J .Med. Health Sci. 1(1): 21-31.

Urquhart, D.M., Berry, P.B., Wluka, A.E., Strauss, B.J., Wang, Y., Proietto, J., Jones, G., Dixon, J. & Cicuttini, F. 2011. Increased fat mass is associated with high levels of low back pain intensity and disability. Spine 36(16): 1320-1325.

 

*Corresponding author; email: devinderkas@gmail.com

 

 

 

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