Macquarie University
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Sedentary behaviour and spinal pain in adolescents

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posted on 2022-03-28, 09:11 authored by Laura Rose Cooper Montgomery
Spinal pain in adolescents is a significant public health concern, and adolescent sedentary behaviour is a proposed modifiable risk factor for spinal pain. Whether sedentary behaviour recommendations in international public health guidelines are relevant for adolescent spinal pain is unknown. This thesis reports a systematic review exploring associations between sedentary behaviours and spinal pain in adolescents. It also reports a secondary cross-sectional analysis, of a population-based cohort of young adolescent Danes, to investigate the association between sedentary behaviour (as per public health guidelines) and non-trivial spinal pain. Cross-sectional multinominal logistic regression investigated associations between sedentary behaviour, by duration and type, and spinal pain, by region and triviality, adjusted for age and sex. The systematic review found there was no meaningful association between sedentary behaviour and adolescent spinal pain; however, the evidence base is inconsistent and at high risk of bias. The cross-sectional analysis demonstrated there was no association between exceeding two hours per day of sedentary behaviour and spinal pain. The collective thesis findings suggest that sedentary behaviour is not a meaningful risk factor for adolescent back pain. Therefore, we challenge existing public and clinical beliefs that sedentary behaviour is causally associated with spinal pain in adolescents.


Table of Contents

Chapter One. An introduction to sedentary behaviour and spinal pain in adolescents -- Chapter Two. The relationship between sedentary behaviour and spinal pain in adolescents : a systematic review -- Chapter Three. Association between sedentary behaviours and spinal pain in young adolescents : study methods -- Chapter Four. Association between sedentary behaviours and spinal pain in young adolescents : study results -- Chapter Five. Discussion -- References -- Appendices.


Empirical thesis. Bibliography: pages 43-49

Awarding Institution

Macquarie University

Degree Type

Thesis MRes


MRes, Macquarie University, Faculty of Science and Engineering, Department of Chiropractic

Department, Centre or School

Department of Chiropractic

Year of Award


Principal Supervisor

Michael Steven Swain

Additional Supervisor 1

Simon French

Additional Supervisor 2

Steven Kamper


Copyright Laura Rose Cooper Montgomery 2019. Copyright disclaimer:




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