Relationship of Physical Activity and Sedentary Occupation to Headache and Back Pain in 11-15-year-Old Adolescents in Slovakia

Authors

  • Nora Halmová Department of Physical Education and Sports, Constantine the Philosopher University, Faculty of Education, Nitra, Slovak Republic
  • Janka Kanásová Department of Physical Education and Sports, Constantine the Philosopher University, Faculty of Education, Nitra, Slovak Republic

DOI:

https://doi.org/10.18662/rrem/17.2/999

Keywords:

headache; physical activity; spinal pain

Abstract

The worldwide COVID-19 pandemic, as well as the increase in the use of technological devices, has greatly affected the education system, leading to increased sedentary behaviour among students due to prolonged computer use and limited physical activity. This article examines the increase in headaches and back pain (affecting any part of the back) among Slovak children and adolescents, exploring the relationship between these problems, physical activity and sedentary lifestyles. The representative sample consists of 12 randomly selected primary schools in Slovakia. The data were collected from 888 children and adolescents aged 11-15 years. Subjective data on the prevalence of headache and spinal pain during physical activity and sedentary activities were obtained using a questionnaire survey. The parametric Spearman's correlation coefficient was used to determine the relationship between these variables. The findings reveal a high incidence of pain among respondents, with 99.1% of children experiencing headaches daily or occasionally and 97.5% reporting spinal pain. Additionally, 74.5% engage in physical activity at least three times per week. When analyzing the relationships between pain indicators, we observed a statistically significant correlation at the 1% level, although the association was weak. Specifically, we found a significant relationship at the 1% level between headaches, physical activity, and the amount of time spent playing computer games. However, no significant relationship was found between back pain and either physical activity or sedentary activities.

References

Abu-Arafeh, I. (2014). Diagnosis and management of headache in children and adolescents. Progress in Neurology and Psychiatry, 18(4), 16–20. https://doi.org/10.1002/pnp.338

Alsufiany Muhsen. B., Lohman, E. B., Daher, N. S., Gang, G. R., Shallan, A. I., & Jaber, H. M. (2020). Non-specific chronic low back pain and physical activity: A comparison of postural control and hip muscle isometric strength. Medicine, 99(5), e18805. https://doi.org/10.1097/MD.0000000000018544

Alzahrani, H., Shirley, D., Cheng, S. W. M., Mackey, M., & Stamatakis, E. (2019). Physical activity and chronic back conditions: A population-based pooled study of 60,134 adults. Journal of Sport and Health Science, 8(4), 386–393. https://doi.org/10.1016/j.jshs.2019.01.003

Antonaci, F., Voiticovschi-Iosob, C., Di Stefano, A., Galli, F., Ozge, A., & Balottin, U. (2014). The evolution of headache from childhood to adulthood: A review of the literature. The Journal of Headache and Pain, 15, 15. https://doi.org/10.1186/1129-2377-15-15

Azabagic, S., Spahic, R., Pranjic, N., & Mulic, M. (2016). Epidemiology of musculoskeletal disorders in primary school children in Bosnia and Herzegovina. Materia Socio Medica, 28(2), 164–167. https://doi.org/10.5455/msm.2016.28.164-167

Bailly, F., Genevay, S., Foltz, V., Bohm-Sigrand, A., Zagala, A., Nizard, J., & Petit, A. (2022). Effects of COVID-19 lockdown on low back pain intensity in chronic low back pain patients: Results of the multicenter CONFI-LOMB study. European Spine Journal, 31, 159–166. https://doi.org/10.1007/s00586-021-07007-8

Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. H. (2012). Non-specific low back pain. The Lancet, 379(9814), 482–491. https://doi.org/10.1016/S0140-6736(11)60610-7

Calvo-Muñoz, I., Gómez-Conesa, A., & Sánchez-Meca, J. (2013). Prevalence of low back pain in children and adolescents: A meta-analysis. BMC Pediatrics, 13, 14. https://doi.org/10.1186/1471-2431-13-14

Faedda, N., Cerutti, R., Verdecchia, P., Migliorini, D., Arruda, M. A., & Guidetti, V. (2016). Behavioral management of headache in children and adolescents. The Journal of Headache and Pain, 17, 80. https://doi.org/10.1186/s10194-016-0671-4

Fearon, P., & Hotopf, M. (2001). Relation between headache in childhood and physical and psychiatric symptoms in adulthood: National birth cohort study. BMJ, 322(7295), 1145–1148. https://doi.org/10.1136/bmj.322.7295.1145

Feldman, D. E., Shrier, I., Rossignol, M., & Abenhaim, L. (2001). Risk factors for the development of low back pain in adolescence. American Journal of Epidemiology, 154(1), 30–36. https://doi.org/10.1093/aje/154.1.30

Garcia, J. B. S., Hernandez-Castro, J. J., Nunez, R. G., Pazos, M. A. R., Aguirre, J. O., Jreige, A., Delgado, W., Serpentegui, M., Berenguel, M., & Cantisani, A. F. (2014). Prevalence of low back pain in Latin America: A systematic literature review. Pain Physician, 17(5), 379–391. https://pubmed.ncbi.nlm.nih.gov/25247896/

GBD 2016 Headache Collaborators. (2018). Global, regional, and national burden of migraine and tension-type headache, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 17(11), 954–976. https://doi.org/10.1016/S1474-4422(18)30322-3

Gordon, R., & Bloxham, S. (2016). A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. Healthcare (Basel), 4(2), 22. https://doi.org/10.3390/healthcare4020022

Hendrick, P., Milosavljevic, S., Hale, L., Hurley, D. A., McDonough, S., Ryan, B., & Baxter, G. D. (2011). The relationship between physical activity and low back pain outcomes: A systematic review of observational studies. European Spine Journal, 20(3), 464–474. https://doi.org/10.1007/s00586-010-1616-2

Heneweer, H., Staes, F., Aufdemkampe, G., van Rijn, M., & Vanhees, L. (2011). Physical activity and low back pain: A systematic review of recent literature. European Spine Journal, 20(6), 826–845. https://doi.org/10.1007/s00586-010-1680-7

Heuch, I., Heuch, I., Hagen, K., & Zwart, J.-A. (2016). Is there a U-shaped relationship between physical activity in leisure time and risk of chronic low back pain? BMC Public Health, 16, 306. https://doi.org/10.1186/s12889-016-2970-8

Hill, J. J., & Keating, J. L. (2009). A systematic review of the incidence and prevalence of low back pain in children. Physical Therapy Reviews, 14(4), 272–284. https://doi.org/10.1179/108331909X12488667116899

Hochheim, M., Ramm, P., Wunderlich, M., & Amelung, V. (2002). Association between chronic low back pain and regular exercise, sedentary behaviour and mental health before and during COVID-19 pandemic: Insights from a large-scale cross-sectional study in Germany. BMC Musculoskeletal Disorders, 23, 860. https://doi.org/10.1186/s12891-022-05806-8

Howard, A. (1999). Back pain in children. Orthopedic Clinics of North America, 30(1), 1–12. https://doi.org/10.1016/S0030-5898(05)70099-7

Inchley, J., Currie, D., Young, T., Samdal, O., Torsheim, T., Augustson, L., et al. (Eds.). (2016). Growing up unequal: Gender and socioeconomic differences in young people’s health and well-being. Health Behaviour in School-aged Children (HBSC) study: International report from the 2013/2014 survey (Health Policy for Children and Adolescents, No. 7). WHO Regional Office for Europe. https://apps.who.int/iris/handle/10665/326320

Jeffries, L. J., Milanese, S. F., & Grimmer-Somers, K. A. (2007). Epidemiology of adolescent spinal pain: A systematic overview of the research literature. Spine, 32(23), 2630–2637. https://doi.org/10.1097/BRS.0b013e318158d70b

Kjaer, P., Wedderkopp, N., Korsholm, L., & Leboeuf-Yde, C. (2011). Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskeletal Disorders, 12, 98. https://doi.org/10.1186/1471-2474-12-98

Kröner-Herwig, B., & Vath, N. (2009). Menarche in girls and headache – A longitudinal analysis. Headache, 49(6), 860–867. https://doi.org/10.1111/j.1526-4610.2009.01397.x

Lardon, A., Leboeuf-Yde, C. H., Le Scanff, C. H., & Wedderkopp, N. (2014). Is puberty a risk factor for back pain in the young? A systematic critical literature review. Chiropractic & Manual Therapies, 22, 27. https://doi.org/10.1186/s12998-014-0027-6

Lemes, I. R., Pinto, R. Z., Turi-Lynch, B. C., Codogno, J. S., Oliveira, C. B., Ross, L. M., Araújo Fernandes, R., & Monteiro, H. L. (2021). The association between leisure-time physical activity, sedentary behavior, and low back pain: A cross-sectional analysis in primary care settings. Spine, 46(9), E515–E521. https://doi.org/10.1097/BRS.0000000000003996

Mazzotta, G., Gallai, B., Mattioni, A., Floridi, F., Foti, F., Allegretti, M., & D’Angelo, R. (2005). Cost assessment of headache in childhood and adolescence: Preliminary data. The Journal of Headache and Pain, 6, 281–283. https://doi.org/10.1007/s10194-005-0207-9

Neusüss, K., Neumann, B., Steinhoff, B. J., Thegeder, H., Bauer, A., & Reimers, D. (1997). Physical activity and fitness in patients with headache disorders. International Journal of Sports Medicine, 18(8), 607–611. https://doi.org/10.1055/s-2007-972689

Shiri, R., & Falah-Hassani, K. (2016). Does leisure time physical activity protect against low back pain? Systematic review and meta-analysis of 36 prospective cohort studies. British Journal of Sports Medicine, 51, 19. https://doi.org/10.1136/bjsports-2016-097352

Soysal, M., Kara, B., & Arda, N. M. (2013). Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery, 23(1), 1–7. https://doi.org/10.5137/1019-5149.JTN.6885-12.0

Tholl, C. H., Bickmann, P., Wechsler, K., Froböse, I., & Grieben, C. H. (2022). Musculoskeletal disorders in video gamers – A systematic review. BMC Musculoskeletal Disorders, 23, 678. https://doi.org/10.1186/s12891-022-05614-0

Varkey, E., Hagen, K., Zwart, J. A., & Linde, M. (2008). Physical activity and headache: Results from the Nord-Trøndelag Health Study (HUNT). Cephalalgia, 28(12), 1292–1297. https://doi.org/10.1111/j.1468-2982.2008.01678.x

Wöber-Bingöl, C. (2013). Epidemiology of migraine and headache in children and adolescents. Current Pain and Headache Reports, 17, 341. https://doi.org/10.1007/s11916-013-0341-z

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Published

2025-06-17

How to Cite

Halmová, N., & Kanásová, J. . . (2025). Relationship of Physical Activity and Sedentary Occupation to Headache and Back Pain in 11-15-year-Old Adolescents in Slovakia. Revista Romaneasca Pentru Educatie Multidimensionala, 17(2), 652-666. https://doi.org/10.18662/rrem/17.2/999

Issue

Section

Shaping Health Perception through Education