Table 3.
Jansens[33] | Jansens[33] | Wedderkopp | LeResche | Hulsegge | |||
---|---|---|---|---|---|---|---|
Netherland | USA | [35] | [34] | [32] | |||
Prevalence estimates of back pain | |||||||
(Puberty stage: Number or percentage of children with BP/Number of individuals) | Stage 1 : 52/179 | ||||||
? : 15%/992 girls | ? : 30.5%/1069 girls | Stage 2 : 22/68 | Puberty stage <2 : ?/155 | ? : 3.2%/1313 girls | |||
Stage3 : 8/16 | Puberty stage 2 to 3 : ?/? | ||||||
? : 11.1%/1004 boys | ? : 22.1%/1018 boys | Stage 4 : 40/76 | Puberty stage > 3: ?/594 | ? : 2.1%/1325 boys | |||
Stage 5 : 38/74 | |||||||
OR obtained by logistic regression (Dependent variable : back pain/independent variable: puberty stage) |
Unadjusted OR = 1.34 * (95% CI 1.13-1.57) | Unadjusted OR = 1.61* (95% CI 1.30-1.99) | Unadjusted values: Not provided | Boys: Unadjusted OR = 1.9* (p < 0.0001) | Unadjusted values: Not provided | ||
Adjusted OR = 1.24 * (95% CI 1.04-1.46) a | Adjusted OR = 1.52* (95% CI 1.22-1.89)a | Adjusted OR = 1.2* (95% CI 1.2-1.4)b | Girls: Unadjusted OR OR = 2.0* (p < 0.0001) | Both: Adjusted OR = 1.23 (95% CI 0.77-1.96) c | |||
Adjusted values not provided, however association said to have remained when controlling on age and parental education | Boys: Adjusted OR = 2.86 * (95% CI 1.14-7.15) c | ||||||
Girls: Adjusted OR = 1.09 (95% CI 0.65-1.84)c | |||||||
Assumption of linearity fulfilled for logistic regression | Yes | Yes | Yes | Yes | Not reported | ||
For both sexes: | For both sexes: | For girls only: | For girls and boys: | For boys only: | |||
Unadjusted values: | Unadjusted values: | Unadjusted values: | Unadjusted values: | Unadjusted values : | |||
Dose-response (Odds ratios by puberty stage) | Puberty stage 1 (Index) | Puberty stage 1 (Index) | Puberty stage 1 (Index) | ||||
Puberty stage 2 OR = 1.34 # | Puberty stage 2 OR = 1.61# | Puberty stage 2 OR = 1.1 (95%CI0.6-2.0) | Puberty stage | girls | boys | ||
Puberty stage 3 OR = 1.79 # | Puberty stage 3 OR = 2.59# | Puberty stage 3 OR = 2.3 (95%CI0.8-6.5) | 1 | (Index) | (index) | not provided | |
Puberty stage 4 OR = 2.4# | Puberty stage 4 OR = 4.17# | Puberty stage 4 OR = 2.6 (95%CI1.5-4.7) | 2 | OR = 2# | OR = 1.9# | ||
Adjusted valuesa: | Adjusted valuesa: | Puberty stage 5 OR = 2.4 (95%CI1.4-4.3) | 3 | OR = 4# | OR = 3.61# | ||
4 | OR = 7.99# | OR = 6.86# | |||||
Puberty stage 1 (Index) | Puberty stage 1 (Index) | Adjusted valuesb: | Adjusted values: | Adjusted valuesc | |||
Puberty stage 2 OR = 1.24 # | Puberty stage 2 OR = 1.52 # | Puberty stage 1 (Index) | not provided | Puberty stage 1 (Index) | |||
Puberty stage 3 OR = 1.54 # | Puberty stage 3 OR = 2.3 # | Puberty stage 2 OR = 1.1 (95%CI 0.7-2.0) | Puberty Stage 2 OR = 2.86# | ||||
Puberty stage 4 OR = 1.9 # | Puberty stage 4 OR = 3.5 # | Puberty stage 3 OR = 1.6 (95%CI 0.5-4.6) | Puberty Stage 3 OR = 8.18# | ||||
Puberty stage 4 OR = 2.0 (95%CI 1.3-3.5)* | Puberty Stage 4 OR = 23.4# | ||||||
Puberty stage 5 OR = 2.1 (95%CI 1.1-4.1)* | |||||||
Strength of association based on index versus last stage of puberty | Puberty stage 4 | Puberty stage 4 | Puberty stage 5 | Puberty stage 4 | Puberty stage 4 | ||
Unadjusted OR = 2.4# | Unadjusted OR = 4.17# | Unadjusted OR = 2.4 (95%CI 1.4-4.3) | Unadjusted OR = 7.99# for girls | ||||
Adjusted OR = 1.9 # a | Adjusted OR = 3.5 # | Adjusted OR = 2.1 (95%CI 1.1-4.1)* b | Unadjusted OR = 6.86# for boys | Adjusted OR = 23.4# c | |||
Temporality tested | Positive association noted between puberty stage at baseline and BP at follow-up after adjustment for back pain at baseline | Positive association noted between puberty stage at baseline and BP at follow-up after adjustment for back pain at baseline | NA | NA | NA |
OR = Odds ratio.
BP = Back pain.
CI = confidence interval.
* statistically significant.
# estimations of odds ratio (comparison of each stages compared to the index value) calculated from logistic regression provided in article.
& ORs not calculated for girls and both sexes together because not significant.
(a) adjusted for sex and back pain.
(b) adjusted for overweight and smoking/stratified by age.
(c) adjusted for age and sex.