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Table 3 Association between low back pain and the weight of school bag and other risk factors among 918 public high school students in Kuwait, 2017

From: Prevalence of low Back pain among adolescents in relation to the weight of school bags

Factor

Odds ratio of LBP (6-month)

OR [95% CI]

p-value1

Bag weight in kg

  ≤ 5.32

1.00 [Reference]

0.620

 5.33–7.35

1.17 [0.85–1.61]

 

  ≥ 7.36

1.10 [0.80–1.50]

 

Bag weight as percent of body weight

  < 10%

1.00[Reference]

0.041

 10 to 15%

1.42 [1.07–1.90]

 

  ≥ 15%

0.95 [0.62–1.10]

 

Gender

 Males

1.00 [Reference]

<0.001

 Females

2.17 [1.66–2.82]

 

Age (years)

0.98 [0 .87–1.11]

0.792

Nationality

 Kuwaiti

1.00 [Reference]

0.790

 Non-Kuwaiti

1.04 [0.76–1.44]

 

Governorate

 Al-Jahra

1.00 [Reference]

0.102

 Hawalli

0.96 [0.62–1.49]

 

 Al-Asimah (Capital)

1.11 [0.72–1.71]

 

 Al-Farwaniyah

0.76 [0.49–1.18]

 

 Al-Ahmadi

0.62 [0.41–0.95]

 

 Mubarak Al-Kabeer

0.90 [0.55–1.46]

 

Father’s education

 No formal education/ middle school

1.00 [Reference]

0.093

 High school

0.89 [0.56–1.40]

 

 Diploma/university degree

1.15 [0.75–1.75]

 

 Unknown

0.74 [0.46–1.20]

 

Mother’s education

 No formal education/middle school

1.00 [Reference]

0.332

 High school

1.14 [0.74–1.73]

 

 Diploma/university degree

1.32 [0.90–1.95]

 

 Unknown

1.00 [0.63–1.60]

 

Perceived heaviness of school bag1

 Light

1.00 [Reference]

< 0.001

 Normal

1.24 [0.70–2.18]

 

 Heavy

1.98 [1.13–3.50]

 

 Very heavy

4.20 [2.19–8.06]

 

Carrying a school bag ≤4 days or never3

1.00 [Reference]

< 0.001

Carrying a school bag every day

2.84 [1.72–4.68]

 

Number of bags taken to school

 None

1.00 [Reference]

< 0.001

 One

2.95 [1.76–4.97]

 

 Two

4.14 [1.56–11.00]

 

 More than two

8.00 [.79–81.25]

 

The way of carrying school bag4

 On two shoulders

1.00 [Reference]

0.384

 On one shoulder

1.02 [0.72–1.43]

 

 Others

0.54 [0.98–1.33]

 

Using lockers to reduce the weight of school bag

 Yes

1.00 [Reference]

0.156

 No

0.46 [0.16–1.34]

 

Walking to/from school per week5

 None

1.00 [Reference]

0.41

 1–8 times

0.78 [0.50–1.21]

 

 Every day (10 times)

1.21 [0.68–2.16]

 

Playing sports per week

 None

1.00 [Reference]

0.97

 Once

1.03 [0.69–1.55]

 

 2–3 times

1.09 [0.76–1.58]

 

 More than 3 times

1.06 [0.73–1.55]

 

Watching TV/ using computer per day

  ≤ 2 h

1.00 [Reference]

0.012

 3–5 h

1.33 [0.97–1.82]

 

 ≥ 6 h

1.76 [1.16–2.68]

 

Using iPad/ playing videogames per day

  ≤ 2 h

1.00 [Reference]

0.492

 3–5 h

1.21 [0.88–1.66]

 

 ≥ 6 h

0.99 [0.66–1.49]

 

Studying/ doing homework/ reading per day

 ≤ 2 h

1.00 [Reference]

0.483

 3–5 h

1.09 [0.79–1.48]

 

  ≥ 6 h

1.43 [0.78–2.62]

 

Favorite place for studying at home

 Bed

1.00 [Reference]

0.963

 Desk

0.94 [0.69–1.28]

 

 Floor

1.04 [0.72–1.50]

 

 Couch

0.95 [0.61–1.49]

 

 Other

0.63 [0.10–3.84]

 

Cigarette smoking

 Non-smoker

1.00 [Reference]

0.060

 Ex-smoker

0.64 [0.38–1.09]

 

 Current smoker

0.71 [0.52–1.01]

 

Shisha smoking

 Non-smoker

1.00 [Reference]

0.410

 Ex-smoker

1.45 [0.64–3.26]

 

 Current smoker

0.76 [0.43–1.35]

 

GPA of the participant

 Less than 74%

1.00 [Reference]

0.277

 74%- less than 85%

1.16 [0.84–1.95]

 

 ≥ 85%

1.29 [0.94–1.77]

 

BMI categories6

 Normal/underweight

1.00 [Reference]

0.587

 Overweight

1.20 [0.85–1.70

 

 Obese

0.94 [0.70–1.27]

 

 Underweight

0.88 [0.33–2.31]

 
  1. 1p-values were generated using likelihood ratio test
  2. 2as reported by the students and 78 students did not have school bags
  3. 378 students who did not have school bags are included in the reference group
  4. 4data were collected using a photo card and those who did not have school bags were excluded in this analysis
  5. 5going and coming from school is two times
  6. 6weight and height were measured and WHO growth charts were used to calculate z-score