Prevalence of Low Back Pain in Medical Students due to Prolonged Sitting
Main Article Content
Abstract
Background: Low back pain (LBP) is a prevalent condition among medical students, attributed to their sedentary lifestyle and prolonged periods of sitting due to the demanding nature of medical education. This health concern not only affects their academic performance and quality of life but also has implications for their future professional practice in healthcare.
Objective: This study aims to determine the prevalence and severity of low back pain among medical students at Akhtar Saeed Medical and Dental College, Lahore, and to assess its impact on their daily functioning and academic activities.
Methods: A cross-sectional study was conducted over six months, involving 169 medical students aged 18-25 years from various programs (DPT, MBBS, BDS, Pharm-D). Participants were selected through stratified random sampling. The study utilized the Oswestry Disability Index and the Visual Analog Scale to measure the severity of LBP and its impact on daily activities. Data were analyzed using SPSS version 25 for descriptive and inferential statistics.
Results: Out of 169 participants, 56.8% reported experiencing LBP. Among those with LBP, 69.8% described their pain as mild, 27.1% as moderate, and 3.1% as severe. Regarding disability, 63.5% of the affected students reported minimal disability, 25% moderate disability, 7.3% severe disability, and 4% were crippled. The study highlighted a significant correlation between prolonged sitting and the incidence of LBP among medical students.
Conclusion: The high prevalence of low back pain among medical students at Akhtar Saeed Medical and Dental College indicates a need for targeted interventions. These include ergonomic adjustments, promotion of physical activity, and incorporation of musculoskeletal health education into medical curricula. Addressing these factors is essential for improving the health and academic performance of medical students and preparing them for healthier professional practices.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Ilic I, Milicic V, Grujicic S, Macuzic IZ, Kocic S, Ilic MD. Prevalence and correlates of low back pain among undergraduate medical students in Serbia, a cross-sectional study. PeerJ. 2021;9:e11055.
Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best practice & research Clinical rheumatology. 2010;24 (6):769-81.
Moroder P, RunER A, Resch H, TAuBER M. Low back pain among medical students. Acta Orthopaedica Belgica. 2011;77 (1):88.
Fernandes JAA, Genebra CVdS, Maciel NM, Fiorelli A, Conti MHSd, De Vitta A. Low back pain in schoolchildren: a cross-sectional study in a western city of São Paulo State, Brazil. Acta ortopedica brasileira. 2015;23:235-8.
Lionel K. Risk factors forchronic low back pain. J Community Med Health Educ. 2014;4 (271):2161-0711.
Park S-M, Kim H-J, Jeong H, Kim H, Chang B-S, Lee C-K, et al. Longer sitting time and low physical activity are closely associated with chronic low back pain in population over 50 years of age: a cross-sectional study using the sixth Korea National Health and Nutrition Examination Survey. The Spine Journal. 2018;18 (11):2051-8.
Hadgraft NT, Lynch BM, Clark BK, Healy GN, Owen N, Dunstan DW. Excessive sitting at work and at home: Correlates of occupational sitting and TV viewing time in working adults. BMC Public Health. 2015;15 (1):1-13.
Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJ. Correlates of sedentary behaviour in university students: A systematic review. Preventive medicine. 2018;116:194-202.
Waongenngarm P, Rajaratnam BS, Janwantanakul P. Perceived body discomfort and trunk muscle activity in three prolonged sitting postures. Journal of physical therapy science. 2015;27 (7):2183-7.
Adib-Hajbaghery M, Zohrehea J. Back pain among paramedics: a pilot study. Nursing and Midwifery Studies. 2013;2 (4):103.
Al Amer HS. Low back pain prevalence and risk factors among health workers in Saudi Arabia: A systematic review and meta-analysis. Journal of occupational health. 2020;62 (1):e12155.
Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic-Grujicic S. Low back pain among medical students in Belgrade (Serbia): a cross-sectional study. Pain Research and Management. 2018;2018.
Amelot A, Mathon B, Haddad R, Renault M-C, Duguet A, Steichen O. Low back pain among medical students: a burden and an impact to consider! Spine. 2019;44 (19):1390-5.
Dighriri YH, Akkur MA, Alharbi SA, Madkhali NA, Matabi KI, Mahfouz MS. Prevalence and associated factors of neck, shoulder, and low-back pains among medical students at Jazan University, Saudi Arabia: A cross-sectional study. Journal of family medicine and primary care. 2019;8 (12):3826.
Algarni AD, Al-Saran Y, Al-Moawi A, Bin Dous A, Al-Ahaideb A, Kachanathu SJ. The prevalence of and factors associated with neck, shoulder, and low-back pains among medical students at university hospitals in Central Saudi Arabia. Pain research and treatment. 2017;2017.
Hendi OM, Alturkistani LH, Bajaber AS, Alhamoud MA, Mahfouz MEM. Prevalence of musculoskeletal disorder and its relation to stress among medical student at Taif University, Saudi Arabia. International journal of preventive medicine. 2021;12.
Nyland LJ, Grimmer KA. Is undergraduate physiotherapy study a risk factor for low back pain? A prevalence study of LBP in physiotherapy students. BMC musculoskeletal disorders. 2003;4:1-12.
Tavares C, Salvi CS, Nisihara R, Skare T. Low back pain in Brazilian medical students: a cross-sectional study in 629 individuals. Clinical rheumatology. 2019;38 (3):939-42.
YÜCEL H, Torun P. Incidence and risk factors of low back pain in students studying at a health university. 2016.
Haroon H, Mehmood S, Imtiaz F, Ali SA, Sarfraz M. Musculoskeletal pain and its associated risk factors among medical students of a public sector University in Karachi, Pakistan. JPMA The Journal of the Pakistan Medical Association. 2018;68 (4):682-8.
Sany SA, Tanjim T, Hossain MI. Low back pain and associated risk factors among medical students in Bangladesh: a cross-sectional study. F1000Research. 2021;10.
Alshagga MA, Nimer AR, Yan LP, Ibrahim IAA, Al-Ghamdi SS, Radman Al-Dubai SA. Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College. BMC research notes. 2013;6 (1):1-7.
Stienen M, Richter H, Prochnow N, Schnakenburg L, Gautschi O. Does smoking correlate with low back pain and the outcome of spinal surgery? Zeitschrift fur Orthopadie und Unfallchirurgie. 2011;149 (3):317-23.
Shekhar S, Rao R, Nirala SK, Naik BN, Singh C, Pandey S. Prevalence of acute low back pain with risk of long-term disability and its correlates among medical students: A cross-sectional study. Journal of Education and Health Promotion. 2023;12 (1):179.
Kientchockwiwat K, Tangcheewinsirikul S. Low Back Pain Prevalence and Associated Factors among Medical Students. Vajira Medical Journal: Journal of Urban Medicine. 2022;66 (5):321-30.