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Table 2

Relative risk ratio (RRR) of spinal pain according to screen time and physical activity among the 45,555 pre-adolescents included in the study population (The Danish National Birth Cohort, born 1996–2003)

Model 1abModel 2bcModel 3bd
No. of cases
Moderate/Severe
Moderate pain
RRR (95% CI)
Severe pain
RRR (95% CI)
Moderate pain
RRR (95% CI)
Severe pain
RRR (95% CI)
Moderate pain
RRR (95% CI)
Severe pain
RRR (95% CI)
Screen time, girls
  < 2 h/day1734/728Ref.Ref.Ref.Ref.Ref.Ref.
 2 to < 4 h/day3651/15841.25 (1.17–1.34)1.30 (1.18–1.43)1.24 (1.16–1.33)1.28 (1.16–1.41)1.23 (1.15–1.32)1.24 (1.13–1.37)
 4 to < 6 h/day1372/6311.49 (1.37–1.63)1.64 (1.45–1.84)1.47 (1.34–1.61)1.59 (1.41–1.80)1.43 (1.31–1.57)1.49 (1.32–1.68)
  ≥ 6 h/day493/3321.80 (1.58–2.05)2.89 (2.48–3.38)1.76 (1.54–2.01)2.77 (2.37–3.24)1.69 (1.48–1.93)2.49 (2.13–2.92)
Screen time, boys
  < 2 h/day973/283Ref.Ref.Ref.Ref.Ref.Ref.
 2 to < 4 h/day2856/9221.11 (1.02–1.22)1.24 (1.07–1.43)1.11 (1.01–1.21)1.23 (1.06–1.41)1.10 (1.01–1.20)1.21 (1.05–1.39)
 4 to < 6 h/day1652/5531.31 (1.19–1.44)1.51 (1.29–1.76)1.29 (1.17–1.41)1.47 (1.26–1.71)1.26 (1.15–1.39)1.41 (1.20–1.64)
  ≥ 6 h/day761/3551.38 (1.23–1.55)2.21 (1.87–2.62)1.34 (1.19–1.50)2.11 (1.78–2.51)1.30 (1.16–1.46)1.95 (1.65–2.32)
Physical activity behavior
 Inactive1627/7691.25 (1.16–1.33)1.56 (1.42–1.71)1.14 (1.06–1.22)1.28 (1.16–1.41)1.12 (1.04–1.20)1.22 (1.10–1.34)
 Lightly active6225/24741.14 (1.09–1.19)1.20 (1.12–1.28)1.11 (1.06–1.16)1.12 (1.05–1.20)1.09 (1.04–1.14)1.09 (1.02–1.16)
 Moderately active5066/1914Ref.Ref.Ref.Ref.Ref.Ref.
 Vigorously active574/2310.98 (0.88–1.09)1.04 (0.90–1.21)1.00 (0.90–1.11)1.09 (0.94–1.26)1.00 (0.90–1.11)1.08 (0.93–1.26)

a Crude model (Screen time was analyzed as the interaction between screen time and child’s sex)

b Reference categories: For explanatory variables; less than 2 h of daily screen time and being physically active, and for outcome variables; not having reported moderate or severe spinal pain in DNBC-11 (No pain)

c Simultaneously modelled for the interaction between screen time and child’s sex, and physical activity behavior, but without further adjustments

d Adjusted for child’s age, parity, family type, parental education, household income and simultaneously modelled for the interaction between screen time and child’s sex, and physical activity behavior