{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:47:53Z","timestamp":1790776073708,"version":"4.1.0"},"reference-count":89,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Rijeka","award":["uniri-biomed-18-41"],"award-info":[{"award-number":["uniri-biomed-18-41"]}]},{"name":"University of Rijeka","award":["uniri-iskusni-biomed-23-6"],"award-info":[{"award-number":["uniri-iskusni-biomed-23-6"]}]},{"name":"University of Rijeka","award":["uniri-biomed-18-283"],"award-info":[{"award-number":["uniri-biomed-18-283"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Background\/Aim: University students are a particularly vulnerable population, as they spend increasing amounts of time sitting, which poses a major threat to their musculoskeletal health and posture. The aim of this cross-sectional study was to investigate gender differences in the relationships between physical activity (PA) and sedentary behavior, spinal curvatures and mobility, the endurance and balance of the trunk muscles, and the possible presence of non-specific low back pain (NS-LBP) in young adults aged 18\u201325 years. Methods: A total of 139 students completed all required tests. Results: Male students engaged in significantly more PA related to recreation, sports and leisure and were significantly more likely to be hyperkyphotic than female students. The more the male students participated in sports, the more pronounced the thoracic kyphosis. Female students had significantly more pronounced lumbar lordosis and anterior pelvic tilt that correlated with lumbar lordosis. Female students generally had significantly higher trunk extensor endurance and more balanced trunk musculature than males. NS-LBP correlated with PA in female students who generally had higher levels of NS-LBP than male students, with a statistically significant difference between those who practiced the most PA. Conclusions: Our results suggest that female students practice less PA and have pronounced lordosis and trunk extensor endurance, in contrast to males who practice more PA and have pronounced trunk flexor endurance and hyperkyphosis. Our findings suggest that more PA should be encouraged but implemented with caution and as an individualized gender-specific approach to prevent postural deformities and chronic musculoskeletal disorders, including NS-LBP.<\/jats:p>","DOI":"10.3390\/jfmk9040189","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T06:30:03Z","timestamp":1728455403000},"page":"189","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Gender Differences in the Relationship between Physical Activity, Postural Characteristics and Non-Specific Low Back Pain in Young Adults"],"prefix":"10.3390","volume":"9","author":[{"given":"Verner","family":"Marijan\u010di\u0107","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanislav","family":"Peharec","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7252-2340","authenticated-orcid":false,"given":"Gordana","family":"Star\u010devi\u0107-Klasan","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Science, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-5263","authenticated-orcid":false,"given":"Tanja","family":"Grubi\u0107 Kezele","sequence":"additional","affiliation":[{"name":"Department of Physiology, Immunology and Pathophysiology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia"},{"name":"Department of Clinical Microbiology, Clinical Hospital Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"o348","DOI":"10.1136\/bmj.o348","article-title":"Lack of Physical Activity Is a Global Problem","volume":"376","author":"Haseler","year":"2022","journal-title":"BMJ"},{"key":"ref_2","unstructured":"World Health Organization (2024, June 25). Global Action Plan on Physical Activity 2018\u20132030: More Active People for a Healthier World. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241514187."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.4082\/kjfm.20.0165","article-title":"Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks","volume":"41","author":"Park","year":"2020","journal-title":"Korean J. Fam. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1002\/nur.21845","article-title":"Sedentary behavior and physical activity of young adult university students","volume":"41","author":"Peterson","year":"2018","journal-title":"Res. Nurs. Health"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Huang, Z., Liu, Y., and Zhou, Y. (2022). Sedentary Behaviors and Health Outcomes among Young Adults: A Systematic Review of Longitudinal Studies. Healthcare, 10.","DOI":"10.3390\/healthcare10081480"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Lee, M.K., and Oh, J. (2022). The relationship between sleep quality, neck pain, shoulder pain and disability, physical activity, and health perception among middle-aged women: A cross-sectional study. BMC Women\u2019s Health, 22.","DOI":"10.1186\/s12905-022-01773-3"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3492","DOI":"10.1016\/j.jbiomech.2016.09.026","article-title":"Effects of sex, age, body height and body weight on spinal loads: Sensitivity analyses in a subject-specific trunk musculoskeletal model","volume":"49","author":"Ghezelbash","year":"2016","journal-title":"J. Biomech."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"447","DOI":"10.2519\/jospt.2002.32.9.447","article-title":"Relationship between mechanical factors and incidence of low back pain","volume":"32","author":"Nourbakhsh","year":"2002","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-G\u00e1lvez, N., Vaquero-Crist\u00f3bal, R., L\u00f3pez-Vivancos, A., Albaladejo-Saura, M., and Marcos-Pardo, P.J. (2020). Back Pain Related with Age, Anthropometric Variables, Sagittal Spinal Curvatures, Hamstring Extensibility, Physical Activity and Health Related Quality of Life in Male and Female High School Students. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17197293"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jbmt.2020.08.011","article-title":"Muscular Fitness Is Associated with Spinal Pain among Young People: A Cross-Sectional Exploratory Study","volume":"26","author":"Cantieri","year":"2021","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_11","unstructured":"Greenough, C. (2024, June 25). NHS England. Available online: https:\/\/www.england.nhs.uk\/blog\/charles-greenough\/."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e010364","DOI":"10.1136\/bmjopen-2015-010364","article-title":"Prevalence of chronic pain in the UK: A systematic review and meta-analysis of population studies","volume":"6","author":"Fayaz","year":"2016","journal-title":"BMJ Open"},{"key":"ref_13","unstructured":"AANS (2024, September 23). Available online: https:\/\/www.aans.org\/patients\/conditions-treatments\/spinal-pain\/."},{"key":"ref_14","unstructured":"Chaitow, L. (2006). Muscle Energy Techniques, Elsevier Health Sciences. [3rd ed.]."},{"key":"ref_15","unstructured":"Janda, V. (,  1980). Muscles as a pathogenic factor in back pain. Presented at IFOMT, Christchurch, New Zealand."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"139","DOI":"10.21653\/tjpr.998024","article-title":"The Relationship Between Trunk Muscle Strength and Pelvic Oscillation in Asymptomatic Physically Inactive Adults","volume":"33","author":"Zorlular","year":"2022","journal-title":"Turk. J. Physiother. Rehabil."},{"key":"ref_17","unstructured":"Chaitow, L., and DeLany, J. (2000). Clinical Application of Neuromuscular Techniques, Churchill Livingstone."},{"key":"ref_18","unstructured":"Liebenson, C. (1996). Rehabilitation of the Spine: A Practitioner\u2019s Manual, Williams & Wilkins. [2nd ed.]."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"112","DOI":"10.2478\/v10197-011-0009-3","article-title":"The shape of anterior\u2014Posterior curvatures of the spine in athletes practising selected sports","volume":"18","author":"Lichota","year":"2011","journal-title":"Pol. J. Sport Tour."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Mizukoshi, R., Yagi, M., Yamada, Y., Yokoyama, Y., Yamada, M., Watanabe, K., Nakamura, M., Nagura, T., and Jinzaki, M. (2024). Gender differences in spinal mobility during postural changes: A detailed analysis using upright CT. Sci. Rep., 14.","DOI":"10.1038\/s41598-024-59840-8"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e126891","DOI":"10.61838\/kman.intjssh.4.2.4","article-title":"Impact of gender, change of base of support, and visual deprivation on postural balance control in young, healthy subjects","volume":"4","author":"Ghram","year":"2021","journal-title":"INTJSSH"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ohlendorf, D., Avaniadi, I., Adjami, F., Christian, W., Doerry, C., Fay, V., Fisch, V., Gerez, A., Goecke, J., and Kaya, U. (2023). Standard values of the upper body posture in healthy adults with special regard to age, sex and BMI. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-27976-8"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Warrener, A.G., Lewton, K.L., Pontzer, H., and Lieberman, D.E. (2015). A wider pelvis does not increase locomotor cost in humans, with implications for the evolution of childbirth. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0118903"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1089\/15246090260137626","article-title":"Gender differences in pelvic motions and center of mass displacement during walking: Stereotypes quantified","volume":"11","author":"Smith","year":"2002","journal-title":"J. Womens Health Gend. Based Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2790","DOI":"10.1210\/jc.2009-2680","article-title":"Free testosterone levels are associated with mobility limitation and physical performance in community-dwelling men: The Framingham Offspring Study","volume":"95","author":"Krasnoff","year":"2010","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/jor.22510","article-title":"Sex-related differences in neuromuscular control: Implications for injury mechanisms or healthy stabilisation strategies?","volume":"32","author":"Flaxman","year":"2014","journal-title":"J. Orthop. Res."},{"key":"ref_27","first-page":"1311","article-title":"Relationship between kyphosis and depression anxiety in athlete and nonathlete male students in selected universities of Tehran","volume":"7","author":"Asghari","year":"2009","journal-title":"World Appl. Sci. J."},{"key":"ref_28","first-page":"375","article-title":"The influence of sport on the devolopment of postural disorders in athletes","volume":"4","year":"2011","journal-title":"Facta Univ."},{"key":"ref_29","unstructured":"Taqieddine, S. (2024, June 25). The Effect of Sports Participation on Body Posture in Student\u2019s: A Scoping Review. Available online: https:\/\/www.researchgate.net\/publication\/361811664_The_effect_of_sports_participation_on_body_posture_in_student\u2019s_A_scoping_review#fullTextFileContent."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Salsali, M., Sheikhhoseini, R., Sayyadi, P., Hides, J.A., Dadfar, M., and Piri, H. (2023). Association between physical activity and body posture: A systematic review and meta-analysis. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-16617-4"},{"key":"ref_31","first-page":"424","article-title":"Study of postural misalignments between sex, school cycle and physical activity","volume":"17","author":"Gouveia","year":"2022","journal-title":"J. Hum. Sport Exerc."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Marijan\u010di\u0107, V., Grubi\u0107 Kezele, T., Peharec, S., Draga\u0161-Zubalj, N., Pavi\u010di\u0107 \u017de\u017eelj, S., and Star\u010devi\u0107-Klasan, G. (2023). Relationship between Physical Activity and Sedentary Behavior, Spinal Curvatures, Endurance and Balance of the Trunk Muscles-Extended Physical Health Analysis in Young Adults. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20206938"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/BRS.0000000000001665","article-title":"Behavior-related factors associated with low back pain in the US adult population","volume":"43","author":"Yang","year":"2018","journal-title":"Spine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"504","DOI":"10.3906\/sag-1511-155","article-title":"An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students:a randomized controlled study","volume":"47","year":"2017","journal-title":"Turk. J. Med. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Khobkhun, F., and Thanakamchokchai, J. (2023). Biological sex-related differences in whole-body coordination during standing turns in healthy young adults. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-49201-2"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Front. Psychol., 4.","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"ref_37","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"61","author":"Altman","year":"2008","journal-title":"J. Clin. Epidemiol."},{"key":"ref_39","unstructured":"(2023, June 23). \u201cGuidelines for the Data Processing and Analysis of the International Physical Activity Questionnaire\u201d for More Detailed Description of IPAQ Analysis and Recommendations for Data Cleaning and Processing. Available online: https:\/\/sites.google.com\/view\/ipaq\/score."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/02701367.2000.11082794","article-title":"Assessment of Physical Activity: An International Perspective","volume":"71","author":"Booth","year":"2000","journal-title":"Res. Q. Exerc. Sport"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/19325037.2006.10598924","article-title":"Validity and Reliability of the International Physical Activity Questionnaire in College Students","volume":"37","author":"Dinger","year":"2006","journal-title":"Am. J. Health Educ."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International Physical Activity Questionnaire: 12-country reliability and validity","volume":"35","author":"Craig","year":"2003","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jpain.2018.07.009","article-title":"Measurement Properties of Visual Analogue Scale, Numeric Rating Scale, and Pain Severity Subscale of the Brief Pain Inventory in Patients with Low Back Pain: A Systematic Review","volume":"20","author":"Chiarotto","year":"2019","journal-title":"J. Pain"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10072-019-04046-4","article-title":"Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: Part II analyses from feasibility study","volume":"41","year":"2020","journal-title":"Neurol. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1016\/S0003-9993(99)90087-4","article-title":"Endurance Times for Low Back Stabilization Exercises: Clinical Targets for Testing and Training from a Normal Database","volume":"80","author":"McGil","year":"1999","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2340\/1650197794211215","article-title":"Non-dynamometric trunk performance tests: Reliability and normative data","volume":"26","author":"Alaranta","year":"1994","journal-title":"Scand. J. Rehabil. Med."},{"key":"ref_47","first-page":"539","article-title":"Comparison of different trunk endurance testing methods in college aged individuals","volume":"7","author":"Reiman","year":"2012","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s00586-005-0976-5","article-title":"Influences of trunk muscles on lumbar lordosis and sacral angle","volume":"15","author":"Kim","year":"2006","journal-title":"Eur. Spine J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/01241398-199605000-00012","article-title":"A prospective evaluation of idiopathic left thoracic scoliosis with MRI","volume":"16","author":"Mejia","year":"1996","journal-title":"J. Pediatr. Orthop."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.jmpt.2008.09.001","article-title":"Reliability of Spinal Range of Motion in Healthy Boys Using a Skin-Surface Device","volume":"31","author":"Kellis","year":"2008","journal-title":"J. Manipulative Physiol. Ther."},{"key":"ref_51","first-page":"137","article-title":"The validity and reliability of spinal mouse device in measuring angle values of thoracic kyphosis and lumbar lordosis","volume":"19","author":"Fadaee","year":"2017","journal-title":"J. Shahrekord. Univ. Med. Sci."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.annrmp.2006.03.001","article-title":"Validit\u00e9 et reproductibilit\u00e9 du Spinal Mouse pour l\u2019\u00e9tude de la mobilit\u00e9 en flexion du rachis lombaire [Validity and reliability of Spinal Mouse to assess lumbar flexion]","volume":"49","author":"Guermazi","year":"2006","journal-title":"Ann. R\u00e9adapt. M\u00e9d. Phys."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1007\/s00586-003-0618-8","article-title":"A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: Reliability of measurements and comparison with data reviewed from the literature","volume":"13","author":"Mannion","year":"2004","journal-title":"Eur. Spine J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s00402-004-0641-1","article-title":"Spinal mobility: Sagittal range of motion measured with the SpinalMouse, a new non-invasive device","volume":"124","author":"Post","year":"2004","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.math.2013.09.003","article-title":"Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: A systematic review","volume":"19","author":"Barrett","year":"2014","journal-title":"Man. Ther."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Cepkov\u00e1, A., Zemkov\u00e1, E., \u0160oo\u0161, \u013d., Uva\u010dek, M., and Muyor, J.M. (2022). Spinal curvature in female and male university students with prolonged bouts of sedentary behaviour. Res. Sq. Prepr.","DOI":"10.21203\/rs.3.rs-1989231\/v1"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s10151-020-02179-9","article-title":"Posterior Pelvic Tilt Is a Risk Factor for Rectal Prolapse: A Propensity Score Matching Analysis","volume":"24","author":"Cantiani","year":"2020","journal-title":"Tech. Coloproctol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"175","DOI":"10.70252\/MDOK6464","article-title":"Physical Activity is Associated with Percent Body Fat and Body Composition but not Body Mass Index in White and Black College Students","volume":"15","author":"Zanovec","year":"2009","journal-title":"Int. J. Exerc. Sci."},{"key":"ref_59","unstructured":"Marijan\u010di\u0107, V., Star\u010devi\u0107-Klasan, G., and Grubi\u0107 Kezele, T. (June, January 30). Gender differences in physical activity and quality of life in university students of Rijeka. Proceedings of the 2nd International Scientific Conference 4 Healthy Academic Society, Pore\u010d, Croatia. Available online: https:\/\/conference.unisport.hr\/."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Espada, M., Romero-Parra, N., Bores-Garc\u00eda, D., and Delfa-De La Morena, J.M. (2023). Gender Differences in University Students\u2019 Levels of Physical Activity and Motivations to Engage in Physical Activity. Edu. Sci., 13.","DOI":"10.3390\/educsci13040340"},{"key":"ref_61","unstructured":"European Commission (2022). Eurobarometer. Sport and Physical Activity, European Commission. Available online: https:\/\/europa.eu\/eurobarometer."},{"key":"ref_62","first-page":"1141","article-title":"Quality of Life and Physical Activity among University Students","volume":"6","year":"2018","journal-title":"Uni. J. Edu. Res."},{"key":"ref_63","unstructured":"Consortium of European Social Science Data Archives (2024, August 27). University Student Health and Well-Being Survey 2021. Available online: https:\/\/datacatalogue.cessda.eu\/detail?q=b540058a77bdd35664aebe2d3fadd9198990d691634e5fd43b141662a467a379."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1007\/s11121-020-01093-8","article-title":"How Sedentary Are University Students? A Systematic Review and Meta-Analysis","volume":"21","author":"Castro","year":"2020","journal-title":"Prev. Sci."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Grabara, M., and Witkowska, A. (2024). Sagittal Spinal Curvatures of Young Adults in the Context of Their Self-Reported Physical Activity and Somatic Parameters. Sci. Rep., 14.","DOI":"10.1038\/s41598-024-62929-9"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"109","DOI":"10.26582\/k.49.1.2","article-title":"Comparison of Sagittal Spinal Curvatures and Pelvic Tilt in Highly Trained Athletes from Different Sport Disciplines","volume":"49","author":"Muyor","year":"2017","journal-title":"Kinesiology"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.gaitpost.2008.11.011","article-title":"Changes in the Coordination of Hip and Pelvis Kinematics with Mode of Locomotion","volume":"29","author":"Franz","year":"2009","journal-title":"Gait Posture"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"513","DOI":"10.3233\/BMR-140475","article-title":"Anteroposterior Curvatures of the Spine in Adolescent Athletes","volume":"27","author":"Grabara","year":"2014","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-G\u00e1lvez, N., Marcos-Pardo, P.J., Trejo-Alfaro, H., and Vaquero-Crist\u00f3bal, R. (2020). Effect of 9-Month Pilates Program on Sagittal Spinal Curvatures and Hamstring Extensibility in Adolescents: Randomised Controlled Trial. Sci. Rep., 10.","DOI":"10.1038\/s41598-020-66641-2"},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Hanuszkiewicz, J., Wo\u017aniewski, M., and Malicka, I. (2021). The Influence of Nordic Walking on Isokinetic Trunk Muscle Endurance and Sagittal Spinal Curvatures in Women after Breast Cancer Treatment: Age-Specific Indicators. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052409"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.medici.2015.08.003","article-title":"Spinal Posture in Different DanceSport Dance Styles Compared with Track and Field Athletes","volume":"51","author":"Maasalu","year":"2015","journal-title":"Medicina"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-G\u00e1lvez, N., Gea-Garc\u00eda, G.M., and Marcos-Pardo, P.J. (2019). Effects of Exercise Programs on Kyphosis and Lordosis Angle: A Systematic Review and Meta-Analysis. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0216180"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1177\/03635465000280040801","article-title":"The Association between Athletic Training Time and the Sagittal Curvature of the Immature Spine","volume":"28","author":"Wojtys","year":"2000","journal-title":"Am. J. Sports Med."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"49","DOI":"10.14474\/ptrs.2020.9.1.49","article-title":"Diagnostic Values of Abdominal Muscles Thickness and Sterno-Costal Angle for Young Adults with Rounded Shoulders","volume":"9","author":"Lee","year":"2020","journal-title":"Phys. Ther. Rehabil. Sci."},{"key":"ref_75","first-page":"5","article-title":"Functional Kyphosis and Lumbar Kyphosis in Adolescent Paddlers","volume":"17","year":"2010","journal-title":"DOAJ"},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Hay, O., Dar, G., Abbas, J., Stein, D., May, H., Masharawi, Y., Peled, N., and Hershkovitz, I. (2015). The Lumbar Lordosis in Males and Females, Revisited. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0133685"},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Stamenkovic, A., Clark, B.C., Pidcoe, P.E., van der Veen, S.M., France, C.R., Russ, D.W., Kinser, P.A., and Thomas, J.S. (2021). Publisher Correction: Distinguishing Chronic Low Back Pain in Young Adults with Mild to Moderate Pain and Disability Using Trunk Compliance. Sci. Rep., 11.","DOI":"10.1038\/s41598-021-95583-6"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1097\/00002060-200109000-00004","article-title":"Isokinetic Measurement of Trunk Muscle Strength in Women with Chronic Low-Back Pain","volume":"80","author":"Akman","year":"2001","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"115","DOI":"10.22159\/ajpcr.2017.v10i4.16254","article-title":"Measurement of anterior pelvic tilt in low back pain- an observational study","volume":"10","author":"Malarvizhi","year":"2017","journal-title":"Asian J. Pharm. Clin. Res."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.math.2015.01.001","article-title":"Is Lumbar Lordosis Related to Low Back Pain Development during Prolonged Standing?","volume":"20","author":"Sorensen","year":"2015","journal-title":"Man. Ther."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1302\/2058-5241.5.190017","article-title":"Non-Surgical Interventions for Excessive Anterior Pelvic Tilt in Symptomatic and Non-Symptomatic Adults: A Systematic Review","volume":"5","author":"Overgaard","year":"2020","journal-title":"EFORT Open Rev."},{"key":"ref_82","unstructured":"Jason, E. (2024, September 23). Lowenstein. Available online: https:\/\/jasonlowensteinmd.com\/how-to-correct-anterior-pelvic-tilt-lumbar-lordosis\/."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"e261566","DOI":"10.1590\/s1808-185120222104261566","article-title":"Postural changes and chronic lumbar pain in university students: Original study","volume":"21","author":"Marinho","year":"2022","journal-title":"Coluna\/Columna"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"416","DOI":"10.4184\/asj.2015.9.3.416","article-title":"Evaluating Kyphosis and Lordosis in Students by Using a Flexible Ruler and Their Relationship with Severity and Frequency of Thoracic and Lumbar Pain","volume":"9","author":"Mirbagheri","year":"2015","journal-title":"Asian Spine J."},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Alshehri, M.M., Alqhtani, A.M., Gharawi, S.H., Sharahily, R.A., Fathi, W.A., Alnamy, S.G., Alothman, S.A., Alshehri, Y.S., Alhowimel, A.S., and Alqahtani, B.A. (2023). Prevalence of lower back pain and its associations with lifestyle behaviors among college students in Saudi Arabia. BMC Musculoskelet. Disord., 24.","DOI":"10.1186\/s12891-023-06683-5"},{"key":"ref_86","first-page":"e44596","article-title":"Prevalence of Low Back Pain and Associated Factors Among Qassim University Medical Students: A Cross-Sectional Study","volume":"15","author":"Alwashmi","year":"2023","journal-title":"Cureus"},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Dal Farra, F., Arippa, F., Carta, G., Segreto, M., Porcu, E., and Monticone, M. (2022). Sport and Non-Specific Low Back Pain in Athletes: A Scoping Review. BMC Sports Sci. Med. Rehabil., 14.","DOI":"10.1186\/s13102-022-00609-9"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1177\/1941738111410861","article-title":"Evaluation of Low Back Pain in Athletes","volume":"3","author":"Daniels","year":"2011","journal-title":"Sports Health"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"67","DOI":"10.12974\/2313-0954.2014.01.02.7","article-title":"The Relationship between Low Back Pain and Sport Practice in Young People","volume":"1","year":"2022","journal-title":"Int. J. Orthop. Rehabil."}],"container-title":["Journal of Functional Morphology and Kinesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5142\/9\/4\/189\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:09:36Z","timestamp":1760112576000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5142\/9\/4\/189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":89,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["jfmk9040189"],"URL":"https:\/\/doi.org\/10.3390\/jfmk9040189","relation":{},"ISSN":["2411-5142"],"issn-type":[{"value":"2411-5142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,9]]}}}