Prevalence of Heavy Backpack Use Among Primary School Pupils in Ibadan, Nigeria
DOI:
https://doi.org/10.30442/ahr.0904-02-214Abstract
Background: Heavy backpacks may be associated with neck and back pain.
Objective: To determine the prevalence of heavy backpack use and its perceived effects among selected primary school pupils in Ibadan Oyo State, Nigeria.
Methods: A cross-sectional design that employed a multistage sampling technique was adopted. A semi-structured, interviewer-administered questionnaire was administered to 416 respondents. A standard weighing scale was used to measure pupils’ body weight and weight of the backpacks. The heaviness of backpack weight was determined by calculating backpack weight as a percentage of body weight and was categorised into <10, 10-15 and >15.
Results: The mean age, weight, backpack weight and the weight of backpack as a percentage of pupil’s body weight were 10.03±1.48years, 32.35±8.52kg, 4.18±2.34kg and 13.29±7.80%, respectively. The main perceived effects primarily associated with heavy backpack use, as reported by the pupils, were stooping (76.2%), neck pain (63.5%) and upper back pain (69.2%). Many (57.9%) of the schoolbags exceeded 10% of the pupil’s body weight, while about one-third (31.7%) had the weight of the backpack as a percentage of body weight greater than 15%. The prevalence of heavy backpack use was associated with perceived effects of heavy backpack use (p = 0.001).
Conclusions: The prevalence of heavy backpack use among school pupils is high in Ibadan. Guidelines regulating the use of heavy backpacks to protect school-aged children from potential adverse health are desired. Parents should also guide their children in arranging the contents of their bags.
References
Brzęk A, Dyrda B, Nowotny-Czupryna O, Jachacz-Łopata M. Postural defects prevention programme as the exemplification of actions in the scope of health promotion in early school education-an action research perspective. New Educ Rev 2011;24:194-204.
Panicker RK, Sandesh TS. Prevalence of musculoskeletal pain in school-going adolescents using school bags: A co-relational research. Int J Ther Rehabil Res 2014;3:1.
Syazwan AI, Azhar MM, Anita AR, Azizan HS, Shaharuddin MS, Hanafiah JM, et al. Poor sitting posture and a heavy schoolbag as contributors to musculoskeletal pain in children: an ergonomic school education intervention program. J Pain Res 2011;4:287-296. https://doi.org/10.2147/JPR.S22281.
Cynthia HH, Burstein, GR. Adolescents’ physical and social development. Nelson Textbook of Pediatrics. First South Asia Edition. Elsevier; 2016. pp. 926-931.
Mohammad WS, El-Sais WM. Prevalence of non-specific self-reported back pain among adolescents at Hail Territory-Ksa. J Asian Sci Res 2013;3:1036-1045.
Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, et al. Low back pain in childhood and adolescence: assessment of sports activities. Eur Spine J 2011;20:94-99. https://doi.org/10.1007/s00586-010-1485-8.
Group S, Dos Santos SG, Moro AR. Descriptive study on sagittal lumbar spine changes in students of the federal educational system of Florianópolis. Revista Brasileira de Ortopedia (English Edition) 2010; 45:453-459.
Sundas R, Ghous M, Sehar S. Association of backpack loads and wearing time with musculoskeletal disorders in school children of Wah Cant Pakistan: Correlational study. Int J Clin Med Educ Res 2022;1:1-6. https://doi.org/10.21203/rs.2.14212/v1.
Whittfield J, Legg SJ, Hedderley DI. Schoolbag weight and musculoskeletal symptoms in New Zealand secondary schools. Appl Ergonomics 2005;36:193-198. https://doi.org/10.1016/j.apergo.2004.10.004.
Iyer SR. An ergonomic study of chronic musculoskeletal pain in schoolchildren. The Indian J Pediatr 2001;68:937-941. https://doi.org/10.1007/BF02722589.
International Chiropractic Pediatric Association. Backpacks...your child's spine is at stake. CPA Newsletter November/December 1998, pp. 1-2.
Alghamdi RS, Nafee HM, El-Sayed A, Alsaadi SM. A study of school bag weight and back pain among intermediate female students in Dammam City, Kingdom of Saudi Arabia. J Nurs Educ Pract 2018;8:105-109. https://doi.org/10.5430/jnep.v8n12p105
Kistner F, Fiebert I, Roach K. Effect of backpack load carriage on cervical posture in primary schoolchildren. Work 2012;41:99-108.
Oka GA, Ranade AS, Kulkarni AA. Back pain and school bag weight–a study on Indian children and review of literature. J Pediatr Orthopaed 2019;28:397-404. https://doi.org/10.1097/BPB.0000000000000602.
Farhood HF. Low back pain in schoolchildren: the role of school bag weight and carrying way. J Nat Sci Res 2013;3:156-164.
Noll M, Candotti CT, Rosa BN, Loss JF. Back pain prevalence and associated factors in children and adolescents: an epidemiological population study. Revista de Saude Publica 2016;50:31. https://doi.org/10.1590/S1518-8787.2016050006175
De Paula AJ, Silva JC, Silva JC. The influence of load imposed by the backpack school in children and teens in Brazil. Procedia Manufacturing 2015;3:5350-5357. https://doi.org/10.1016/j.promfg.2015.07.645.
Barbosa J, Marques MC, Izquierdo M, Neiva HP, Barbosa TM, Ramírez-Vélez R, et al. Schoolbag weight carriage in Portuguese children and adolescents: a cross-sectional study comparing possible influencing factors. BMC Pediatr 2019;19:1-7. https://doi.org/10.1186/s12887-019-1519-2
Dianat I, Javadivala Z, Asghari-Jafarabadi M, Asl Hashemi A, Haslegrave CM. The use of schoolbags and musculoskeletal symptoms among primary school children: are the recommended weight limits adequate? Ergonomics. 2013;56:79-89. https://doi.org/10.1080/00140139.2012.729612
Moore MJ, White GL, Moore DL. Association of relative backpack weight with reported pain, pain sites, medical utilisation, and lost school time in children and adolescents. J School Health 2007;77:232-239. https://doi.org/10.1111/j.1746-1561.2007.00198.x.
Malik M, Vinay D. Awareness assessment of parents and teachers about school backpack. Indian J Res 2015;4:161-163.
Abdelati AA, Elmorshedi HK, Bassiouni FK, Mounir GM, Ahmed MH, Tayel MY. The characteristics and impact of school bags on primary and preparatory school students of Alexandria governorate. Int J Adv Res 2017;5:1266-1275. http://dx.doi.org/10.21474/IJAR01/3944
Javadivala Z, Allahverdipour H, Dianat I, Bazargan M. Awareness of parents about characteristics of a healthy school backpack. Health Promotion Persp 2012;2:166. https://doi.org/10.5681/hpp.2012.019
Forjuoh SN, Little D, Schuchmann JA, Lane BL. Parental knowledge of school backpack weight and contents. Arch Dis Child 2003;88:18-19. http://dx.doi.org/10.1136/adc.88.1.18
Dockrell S, Simms C, Blake C. Schoolbag weight limit: can it be defined? J School Health 2013;83:368-377. https://doi.org/10.1111/josh.12040
Hadžiomerović AM, Jaganjac A, Avdic D, Pašalić A, Kaljić E, Domljan D, Omerović E. School bags and associated back pain. J Health Sci 2018;8:10-19. https://doi.org/10.17532/jhsci.2017.510.
Johnson OE, Adeniji OA, Mbada CE, Obembe AO, Akosile CO. Percent of body weight carried by secondary school students in their bags in a Nigerian school. J Musculoskeletal Res 2011;14:1250003. https://doi.org/10.1142/S0218957712500030.
Park View Primary School Singapore. School Bag Policy. 2015.
Rai A, Agarawal S. Back problems due to heavy backpacks in school children. IOSR J Hum Soc Sci 2013;10:1-5. https://www.researchgate.net/profile/Shalini-Agarwal-5/publication/244483417_research_s/links/00b4951d3c849bc4c7000000/research-s.pdf. Accessed 09 December 2023.
Khan SM, Saleem MS, Inaam-ul-Haq, Qurieshi, AM. Back pain and school bag use: a cross-sectional study among school children in Kashmir valley. Int J Current Adv Res 2017;6:4598-4602. http://dx.doi.org/10.24327/ijcar.2017.4602.0542.
Green L, Kreuter M. The precede–proceed model. Health promotion planning: an educational approach. 3rd ed. Mountain View (CA): Mayfield Publishing Company. 1999. pp32-43.
Olatunya OS, Isinkaye AO, Agaja OT, Omoniyi E, Oluwadiya KS. Backpack use and associated problems among primary school children in Nigeria: A call to action by stakeholders. Niger J Paediatr 2017;44:157-162. http://dx.doi.org/10.4314/njp.v44i3.6.
El-Nagar SA, Mady MM. School bag usage, postural and behavioral habits and its effect on back pain occurrence among school children. Am J Nurs Sci 2017;6:218-231. https://doi.org/10.11648/j.ajns.20170603.20.
Shahid G, Aziz K, Arif A, Fahim MF. Prevalence of musculoskeletal pain due to heavy backpacks in school-going children of Karachi. Int J Phys Med Rehabil 2018;6:2. https://doi.org/10.4172/2329-9096.1000471.
Alsiddiky A, Alatassi R, Alsaadouni FN, Bakerman K, Awwad W, Alenazi A, et al. Assessment of perceptions, knowledge, and attitudes of parents regarding children’s schoolbags and related musculoskeletal health. J Orthopaed Surg Res 2019;14:1-5. https://doi.org/10.1186/s13018-019-1142-9
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