Changes in movement behaviors and back pain during the firstwave of the COVID-19 pandemic in Brazil

Author(s)

Silva, Danilo R. ^[1] ; Werneck, Andre O. ^[2] ; Malta, Deborah C. ^[3] ; Romero, Dalia ^[4] ; Souza-Junior, Paulo R. B. ^[4] ; Azevedo, Luiz O. ^[4] ; Barros, Marilisa B. A. ^[5] ; Szwarcwald, Celia L. ^[4]

Affiliation

^[1] Univ Fed Sergipe UFS, Dept Phys Educ, Ave Marechal Rondon S-No, BR-49100000 Sao Cristovao, SE - Brazil

^[2] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil

^[3] Univ Fed Minas Gerais, Dept Maternal & Child Nursing & Publ Hlth, Belo Horizonte, MG - Brazil

^[4] Fundacao Oswaldo Cruz Fiocruz, Inst Comunicacao & Informacao Cient & Tecnol Saud, Rio De Janeiro, RJ - Brazil

^[5] Univ Estadual Campinas, Sch Med Sci, Dept Publ Hlth, Campinas, SP - Brazil

• Document type: Journal article
• Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 25, n. 6, p. 819-825, NOV-DEC 2021.
• Web of Science Citations: 0

Abstract

Background: Quarantine periods change routines and behaviors with potential impact on different health outcomes. Objective: To determine the association between changes in physical activity and sedentary behaviors with changes in back pain during the COVID-19 pandemic quarantine among Brazilian adults. Methods: This was a nationwide survey through online questionnaires using data from 43,062 adults (>= 18 years of age). Information on back pain was assessed using questions about episodes of back pain and worsening symptoms during the quarantine. The pattern of movement behaviors adopted before and during the pandemic were considered for physical inactivity (< 150 min/week of activity), high TV-viewing (>= 4 h/d), and high computer/tablet use (>= 4 h/ d). Covariates included sex, age group, academic achievement, skin color, working status during the quarantine, and adherence to the quarantine. Logistic regression models were used for statistical analyses (weighted for national representativity). Results: Becoming inactive (OR=1.76, 95% CI: 1.32, 2.37), with high TV-viewing (OR=1.35, 95% CI: 1.14, 1.61) and high computer/tablet use (OR=1.39, 95% CI: 1.11, 1.73) during the pandemic were associated with a higher incidence of back pain. The incidence of physical inactivity was also associated with increased back pain (OR=2.71, 95%CI: 1.64, 4.48). Conclusions: We conclude that increased physical inactivity and sedentary behaviors due to the COVID-19 pandemic quarantine are associated with the incidence and worsening symptoms of back pain among Brazilian adults. (C) 2021 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Espana, S.L.U. All rights reserved. (AU)

• FAPESP's process: 19/24124-7 - Prospective association of ultra-processed food consumption and physical inactivity in the prediction of depressive symptoms among adults
• Grantee: André de Oliveira Werneck
• Support Opportunities: Scholarships in Brazil - Doctorate