Health Promot Perspect. 2022;12(3): 240-248.
doi: 10.34172/hpp.2022.31
PMID: 36686056
PMCID: PMC9808908
  Abstract View: 61
  PDF Download: 50

Systematic Review

Sedentary behavior and neck pain in children and adolescents; a systematic review and meta-analysis

Sadegh Baradaran Mahdavi 1,2,3 ORCID logo, Sadegh Mazaheri-Tehrani 2,3* ORCID logo, Roya Riahi 2,4 ORCID logo, Babak Vahdatpour 1 ORCID logo, Roya Kelishadi 2* ORCID logo

1 Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Authors: Corresponding Author: Sadegh Mazaheri-Tehrani, Email: , Email: mazaheri.sadegh99@gmail.com; Corresponding Author: Roya Kelishadi, Email: , Email: kelishadi@med.mui.ac.ir


Background: Sedentary behavior (SB) is considered a risk factor for musculoskeletal pain. We aimed to explore the association of sedentary behavior indicators with neck pain among children and adolescents.

Methods: A comprehensive review was performed in different databases until the end of January 2022. Odds ratios (ORs) with 95% confidence intervals were used as desired effect sizes to evaluate the association between prolonged screen time or mobile phone (MP) usage and neck pain risk.

Results: Among 1651 records, 15 cross-sectional studies were included in the systematic review, and 7 reports were included in the meta-analysis. Our results suggested a significant relationship between prolonged MP use and neck pain (OR=1.36, 95% CI=1.001–1.85, I2=40.8%, P value for heterogeneity test=0.119). Furthermore, a marginally insignificant association was found between prolonged screen time and neck pain (OR=1.13, 95% CI=0.98–1.30, I2=60.3%, P value=0.01); however, after sensitivity analysis and removing one study, this association became significant (OR=1.30, 95% CI=1.03–1.64). Moreover, a significant association between prolonged sitting time and neck pain was reported in two studies.

Conclusion: Available good-quality evidence reveals a significant mild association between sedentary behavior and the risk of neck pain among children and adolescents. However, longitudinal studies with objective measurement tools are warranted. In particular, potential preventive educational programs are suggested for pediatrics to reduce sedentary behavior and neck pain.

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Submitted: 13 Jul 2022
Revision: 04 Sep 2022
Accepted: 16 Sep 2022
ePublished: 10 Dec 2022
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