Abstract
Background
Sedentary behavior has been associated with musculoskeletal pain in school teachers.
However, our hypothesis is that physical activity practice could mitigate this association.
Aim
The aim of this study was to investigate the relationship of musculoskeletal pain
with high screen-based sedentary behavior among public school teachers and whether
physical activity could mitigate this relationship.
Method
A sample of 246 teachers from 13 public schools were assessed (45.0 ± 10.4 years,
76.0% of women). Musculoskeletal pain was assessed using the Nordic Musculoskeletal
Questionnaire, screen-based sedentary behavior was measured considering the sum of
screen time in television, computer, and smartphone/tablet, and physical activity
using the Baecke habitual physical activity questionnaire. Binary logistic regression
was used to verify the associations between high screen-based sedentary behavior and
musculoskeletal pain in school teachers (Model 1-unadjusted; Model 2-adjusted by age,
sex, and socioeconomic status; Model 3-variables of Model 2 + adjusted by physical
activity).
Results
High screen-based sedentary behavior was associated with pain in neck (odds ratio = 2.09;
95%confidence interval = 1.08-4.04), upper back (odds ratio = 2.21; 95%confidence
interval = 1.07-4.56), and low back (odds ratio = 1.91; 95%confidence interval = 1.00-3.65).
However, after inserting the variables, including physical activity, these associations
were mitigated.
Conclusions
High screen-based sedentary behavior was associated with musculoskeletal pain in public
school teachers. However, this relationship was mitigated after the inclusion of confounding
variables, including physical activity.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Pain Management NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Cálculo de tamanho de amostra: Proporções [Sample size calculation: Proportions].Revista HCPA. 2011; 31: 382-388
- Occupational stress and mental and musculoskeletal health among university teachers.Eurasian Journal of Medical Investigation. 2018; 2: 139-147
- Musculoskeletal health: Addressing the leading causes of disability. (2017).North Carolina Medical Journal. 2017; 78: 306-309
- Critério Brasil 2015 e atualização da distribuição de classes para 2016.Critério de Classificação Econômica Brasil. 2016; (Retrieved Month 01/12/2021, from): 1-6
- Is occupational or leisure physical activity associated with low back pain? Insights from a cross-sectional study of 1059 participants.Brazilian Journal of Physical Therapy. 2019; 23: 257-265
- A short questionnaire for the measurement of habitual physical activity in epidemiological studies.American Journal Clinical Nutrition. 1982; 36: 936-942
- Sex differences in pain: a brief review of clinical and experimental findings.British Journal of Anaesthesia. 2013; 111: 52-58
- Association between sedentary behavior and low back pain; A systematic review and meta-analysis.Health promotion perspectives. 2021; 11: 393-410
- Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population.Applied Ergonomics. 2011; 42: 371-378
- The Gender Pain Gap: Gender inequalities in pain across 19 European countries.Scandinavian Journal of Public Health. 2022; 50: 287-294
- Fatores associados à prática de Atividade Física na população brasileira - Vigitel 2013.Saúde Em Debate. 2018; 42: 134-144
- Depressive symptoms associated with musculoskeletal pain in inactive adults during COVID-19 quarantine.Pain Management Nursing. 2022; 23: 38-42
- Factors associated with musculoskeletal disorders and disability in elementary teachers: A cross-sectional study.Journal of Bodywork and Movement Therapies. 2019; 23: 658-665
- Does sedentary behaviour contribute to the development of a new episode of low back pain? A systematic review of prospective cohort studies.European Journal of Pain (London, England). 2022; 26: 1412-1423
- Association of sedentary behaviour patterns with dietary and lifestyle habits among public school teachers: A cross-sectional study.BMJ Open. 2020; 10: 1-9
- Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: A systematic review with meta-analysis.International Journal of Behavioral Nutrition and Physical Activity. 2021; 18: 159
- Neck pain in Iranian school teachers: Prevalence and risk factors.Journal of Bodywork and Movement Therapies. 2018; 22: 64-68
- A systematic review of musculoskeletal disorders among school teachers.BMC Musculoskeletal Disorders. 2011; 12: 260
- Musculoskeletal disorders in the teaching profession: An emerging workplace hazard with significant repercussions for developing countries.Industrial Health. 2015; 53: 385-386
- Isotemporal substitution of sedentary behavior by different physical activity intensities on pain and disability of patients with chronic low back pain: A cross-sectional study.Archives of Physical Medicine and Rehabilitation. 2022; (Advance online publication)
- Global, regional, and national incidence, prevalence, and years lived with disability for 354 Diseases and Injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017.Lancet (London, England). 2018; 392: 1789-1858https://doi.org/10.1016/S0140-6736(18)32279-7
- Prevalence and factors associated with neck pain: A population-based study.Brazilian Journal of Physical Therapy. 2017; 21: 274-280
- Exploration of the inter-relationships between obesity, physical inactivity, inflammation, and low back pain.Spine. 2018; 43: 1218-1224
- Sedentary Behavior in Dutch workers. differences between occupations and business sectors.American Journal of Preventive Medicine. 2007; 33: 450-454
- Exercise therapy and work-related musculoskeletal disorders in sedentary workers.Occupational Medicine. 2018; 68: 262-272
- Sedentary behaviour at work increases muscle stiffness of the back: Why roller massage has potential as an active break intervention.Applied Ergonomics. 2020; 82102947
- Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms.Applied Ergonomics. 1987; 18: 233-237
- The ubiquity of the screen: An overview of the risks and benefits of screen time in our modern world.Translational Journal of the American College of Sports Medicine. 2017; 2: 104-113
- Sedentary behavior in U.S. adults: Fall 2019.Medicine and Science in Sports and Exercise. 2021; 53: 2512-2519
- Musculoskeletal disorders a universal source of pain and disability misunderstood and mismanaged: A critical analysis based on the U.S. model of care.Anesthesiology and Pain Medicine. 2018; 8: e85532
- Implementation of specific strength training among industrial laboratory technicians: Long-term effects on back, neck and upper extremity pain.BMC Musculoskeletal Disorders. 2013; 14: 287
- Reliability and validity of the sedentary behavior questionnaire (SBQ) for adults.Journal of Physical Activity and Health. 2010; 7: 697-705
- Back and neck pain among school teachers in Poland and its correlations with physical activity.Medycyna Pracy. 2015; 66: 771-778
- The association between displacement of sedentary time and chronic musculoskeletal pain: An isotemporal substitution analysis.Physiotherapy. 2017; 103: 471-477
- Association between chronic pain and leisure time physical activity and sedentary behavior in schoolteachers.Behavioral Medicine. 2017; 44: 335-343
- Associations of physical activity and sedentary time with body composition in Brazilian young adults.Scientific Reports. 2019; 9: 5444
- Correlates of screen-based behaviors among adults from the 2019 Brazilian National Health Survey.BMC Public Health. 2021; 21: 2289
- The association between physical activity and neck and low back pain: A systematic review.European Spine Journal. 2011; 20: 677-689
- Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome.International Journal of Behavioral Nutrition and Physical Activity. 2017; 14: 1-17
- Frequency and associated risk factors for neck pain among software engineers in Karachi, Pakistan.Journal of the Pakistan Medical Association. 2017; 67: 1009-1012
- Gender differences in the prevalence of chronic pain and leisure time physical activity among US adults: A NHANES Study.International Journal of Environmental Research and Public Health. 2019; 16: 988
- Musculoskeletal disorders and quality of life in Chilean teachers: A cross-sectional study.Frontiers in Public Health. 2022; 10810036
Article info
Publication history
Published online: September 10, 2022
Accepted:
August 13,
2022
Received in revised form:
July 19,
2022
Received:
February 15,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.