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Physical Development and Postural Behaviors in Children and Adolescents: A Cross-Sectional Study

Francesca D'Elia, Rosario Ceruso, Giuseppe Giardullo, Angelica Delfina Picone, V. Simões, T. D'Isanto, Giovanni Esposito

Children, 2026

70 participants

Abstract

Highlights What are the main findings? Flexed and asymmetrical sitting postures during academic and informal activities were significantly associated with back pain in children and adolescents. Gender differences emerged, with girls reporting a higher prevalence of back pain, while lifestyle factors (physical activity, screen time, sleep) showed no significant associations. What is the implication of the main finding? The results identify daily postural habits as modifiable behavioral determinants of adolescent musculoskeletal pain, expanding current theoretical models that emphasize multifactorial interactions. Findings support the development of targeted school-based interventions, including posture education, ergonomic adjustments, and structured movement breaks, to reduce cumulative spinal loading during adolescence. Abstract Background/Objectives: Musculoskeletal pain represents a frequent and increasingly recognized health issue during adolescence. During this developmental phase, daily habits such as prolonged sitting, sedentary behaviors and the adoption of non-neutral postures may contribute to spinal overload and pain symptoms. This study contributes to the existing literature by focusing on concrete postural behaviors in real-life daily situations, an aspect that is still underexplored despite its relevance for musculoskeletal health. The aim of this study was to investigate the associations between daily habits, postural behaviors and the presence of back and…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 70 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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