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. All data relevant to the study are included in the article or uploaded as online supplemental information.

中文翻译：

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久坐行为会导致儿童和青少年脊柱疼痛吗？荟萃分析的系统评价


目的 评估久坐行为是否是儿童和青少年脊柱疼痛的危险因素或预后因素。具体来说，估计 （1） 协会的方向和强度;（2） 脊髓疼痛发作的风险和 （3） 对脊髓疼痛预后的影响。设计 系统评价与荟萃分析。数据来源 MEDLINE、Embase、CINAHL 和 Web of Science 的电子检索，截至 2023 年 3 月 23 日。选择研究的资格标准 估计久坐行为对年轻人 （≤19 岁） 脊柱疼痛影响的报告。结果 我们纳入了 129 份报告，其中 14 份是纵向报告（n = 8 433），115 份是横断面报告（n > 697 590）。我们将 86 项研究纳入 meta 分析。（1） 从横断面数据中，我们发现低质量证据表明久坐行为与脊髓疼痛之间存在小的正相关 （调整后的比值比 1.25 （95% CI 1.17 至 1.33），k = 44，n > 92 617）。（2） 从纵向数据中，我们发现低质量证据表明久坐行为不会增加脊柱疼痛发作的风险 （调整后的风险比 1.07 （95% CI 0.84 至 1.35），k = 4，n = 1 292）。（3） 没有研究评估预后。结论横断面数据表明，久坐行为较多的儿童和青少年患脊髓疼痛的几率略高。然而，纵向数据不支持因果关系，表明久坐行为不会增加脊柱疼痛发作的风险。由于证据质量低，必须谨慎解释这些发现。我们没有发现久坐行为对儿童和青少年脊柱疼痛预后有影响的证据，这凸显了文献中存在相当大的空白。 与研究相关的所有数据都包含在文章中或作为在线补充信息上传。