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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Chronic pain in high school students is associated with physical activity and sleeping hours but not with screen time

Anabela G. Silva
  • Corresponding author
  • School of Health Sciences, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal, Phone: :+234401558, ext: 23899, Fax: +234401597
  • Center for Health Technology and Services Research (CINTESIS), Piso 2, edifício nascente, Rua Dr. Plácido da Costa, s/n, 4200-450 Porto, Portugal
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Pedro Sá Couto
  • Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, Aveiro, Portugal
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Alexandra Queirós
  • School of Health Sciences, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
  • Institute of Electronics and Telematics Engineering of Aveiro (IEETA), University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Maritza Neto / Nelson P. Rocha
  • Institute of Electronics and Telematics Engineering of Aveiro (IEETA), University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
  • Department of Health Sciences, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-06-17 | DOI: https://doi.org/10.1515/ijamh-2017-0014



Existing studies on the association between physical activity (PA), screen based time and sleeping show conflicting results.


This study investigates the association between chronic pain at different body regions and self-reported PA, screen based time and sleeping hours in high school students.


A total of 969 students aged 13–19 years old.


Participants completed a questionnaire on chronic pain, time spent in moderate and vigorous PA, screen based time watching televivsion (TV)/digital versatile discs (DVD), playing, using mobile phones and computers and sleeping hours. Univariate and multivariate associations between pain and PA, screen based time and sleeping hours were investigated.


In the univariate model time spent in moderate and vigorous PA, in screen based activities and sleeping were associated with pain in at least one body site. In the multivariate model, screen based activities were not associated with pain; sleeping 7 h or less and increased time in moderate PA were associated with pain at almost all body sites [odds ratio (OR) between 2.69–3.66 and 1.06–1.10, respectively].


Time spent in PA and sleeping increased the risk of chronic pain in almost all body regions and might confound the association between screen based time and pain.

Keywords: adolescents; chronic pain; physical activity; screen based time; sleeping hours


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About the article

Received: 2017-01-27

Accepted: 2017-03-06

Published Online: 2017-06-17

Citation Information: International Journal of Adolescent Medicine and Health, 20170014, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2017-0014.

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