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The data analysed came from surveys of 14- to 18-year-old male and female high school students in their first and second years in Bauru, a medium-sized city in the state of Sao Paulo.

Digital Desk: Children and teenagers are spending more time staring at screens, often with poor posture, as a result of the popularity of smartphones and tablets, as well as the proliferation of television channels, computer games, and educational programmes.

A study funded by FAPESP and reported in the scientific journal Healthcare identified several risk factors for spinal health, including looking at screens for more than three hours per day, sitting or lying on the stomach, and sitting or lying on the back.

The research concentrated on thoracic spine discomfort. (TSP). The thoracic spine runs from the bottom of the neck to the beginning of the lumbar spine and is placed in the back of the chest (the thorax). The data analysed came from surveys of 14- to 18-year-old male and female high school students in their first and second years in Bauru, a medium-sized city in the state of Sao Paulo.

A baseline questionnaire was completed by 1,628 individuals between March and June 2017, with 1,393 completing a follow-up questionnaire in 2018. The study found a one-year prevalence of 38.4% (the proportion of those who reported TSP in both the baseline and follow-up surveys) and a one-year incidence of 10.1%. (new TSP reported only in the follow-up survey). TSP was reported by more girls than boys.

Risk factors

TSP is prevalent in various age groups of the general population around the world, with prevalence ranging from 15%-35% in adults and 13%-35% in children and adolescents. The rapid increase in the usage of electronic gadgets during the COVID-19 pandemic certainly exacerbated the problem. According to various studies, the risk factors connected with TSP are physical, physiological, psychological, and behavioural. There is also substantial evidence that physical exercise, sedentary behaviors, and mental illnesses all have an impact on spine health. The World Health Organization (WHO) considers all of these elements significant in its most recent global review of evidence and guidance.

"The study can be used to inform health education programmes for school students, teachers, staff, and parents," said first author Alberto de Vitta. He holds a PhD in education from the State University of Campinas (UNICAMP) and a postdoctoral position in public health from the University of Sao Paulo (UNESP) in Botucatu.



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"This is consistent with some of the objectives of the National Curriculum Parameters [PCN, Brazilian government guidelines for secondary schools], which state that schools are responsible for health education, including the identification of risks to individual and collective health and interventions to combat them, as well as the promotion of self-care habits with regard to the body's possibilities and limits," said Vitta, who is currently teaching and researching at Eduvale College as a faculty member in its Department of Physical Therapy in Avare, Sao Paulo state, and the University of Sapucai Valley’s Graduate Program in Education, Knowledge and Society in Pouso Alegre, Minas Gerais state.

According to the paper, information on TSP risk factors in high school students is crucial because children and adolescents with back pain are less active, perform worse academically, and have more psychological difficulties. Furthermore, less studies on TSP have been completed than on lower back and neck discomfort. A systematic review of the TSP literature discovered just two prospective studies on predictive variables.





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