A new study indicates that teens who experience back pain more frequently are also more likely to smoke cigarettes, drink alcohol, and report problems like anxiety and depression. Sadly, adolescent back pain may play a role in characterizing poor overall health, and risk of chronic disease throughout life.
Back pain in adolescence is often musculoskeletal in nature arising from bones, joints or muscles and commonly viewed as inconsequential. Although the pain is often dismissed as trivial and fleeting, adolescent back pain is responsible for substantial health care use, school absence, and interference with day-to-day activities in some children.
In the new study, found in the Journal of Public Health, researchers assessed whether adolescents who experience back pain more often were also more likely to report other health risk indicators, such as alcohol use, smoking, school absenteeism, and depression or anxiety.
Researchers used data collected from approximately 6500 teenagers. The proportion of participants reporting smoking, drinking, and missing school rose incrementally with increasing frequency of pain. For example, 14 and 15 year-olds that experienced pain more than once a week were 2-3 times more likely to have drunk alcohol or smoked in the past month than those who rarely or never had pain.
Similarly, students that experienced pain more than once a week were around twice as likely to have missed school in the previous term. The trend with anxiety and depression was less clear, although there was a marked difference between the children who reported no pain, and those who reported frequent pain.
An important finding is that not only do back pain and unhealthy behaviors occur together, but they also extend into adulthood. This means that they are responsible for current issues, and also have implications for future health.
This association is a concern as researchers involved with the study believe the developing brain may be susceptible to negative influences of toxic substances, and use in early adolescence may increase the risk of substance abuse and mental health problems in later life.
“Findings like this provide an argument that we should be including pain in the broader conversation about adolescent health,” said the paper’s lead author, Steven Kamper.
“Unfortunately our understanding of the causes and impacts pain in this age group is quite limited, the area is badly in need of more research.”