University of Oulu

Heikkala, E, Paananen, M, Taimela, S, Auvinen, J, Karppinen, J. Associations of co‐occurring psychosocial and lifestyle factors with multisite musculoskeletal pain during late adolescence—A birth cohort study. Eur J Pain. 2019; 23: 1486– 1496. https://doi.org/10.1002/ejp.1414

Associations of co-occurring psychosocial and lifestyle factors with multisite musculoskeletal pain during late adolescence : a birth cohort study

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Author: Heikkala, Eveliina1,2; Paananen, Markus1; Taimela, Simo3,4;
Organizations: 1Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland
2Rovaniemi Health Center, Rovaniemi, Finland
3Department of Orthopedics and Traumatology, Helsinki University Hospital, Töölö hospital, Helsinki, Finland
4Clinicum, Department of Orthopedics and Traumatology, University of Helsinki, Helsinki, Finland
5Oulunkaari Health Center, Ii, Finland
6Center for Life Course Health Research, University of Oulu, Finland
7Finnish Institute of Occupational Health, Oulu, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2019093030532
Language: English
Published: John Wiley & Sons, 2019
Publish Date: 2020-05-09
Description:

Abstract

Background: Musculoskeletal (MS) pain is common. It often exists in several sites and is recurrent. Psychosocial difficulties and unhealthy behaviours have been related to multisite MS pain, but no literature has assessed the impact of accumulated psychosocial and lifestyle factors on recurrent multiple MS pain.

Methods: Our data were gathered from two questionnaires of the well‐known Northern Finland Birth Cohort 1986 (NFBC1986), sent to members when they were aged 16 and 18. A total of 1,625 adolescents (712 boys and 913 girls) answered questions on smoking, physical activity, sedentary behaviour, sleeping and emotional and behavioural problems at 16 years and on musculoskeletal pain at 16 and 18 years. Weight and height measurements were taken at a health examination at baseline. A latent class analysis and multinomial regression analysis were conducted.

Results: We identified four clusters among both sexes. “Externalizing behavior” among both genders (OR 2.98, CI 1.73–5.13 among boys; OR 2.38, CI 1.38–4.11 among girls), “Multiple risk behaviors” among girls (OR 2.73, CI 1.30–5.71) and a “Sedentary” cluster among boys (OR 1.85, CI 1.21–2.82) were associated to recurrent multisite MS pain. “Obese” clusters had no significant associations with recurrent multiple MS pain.

Conclusions: Adolescents with psychosocial difficulties and/or several adverse health behaviours were at an increased risk of recurrent multisite MS pain, which emphasizes the importance of simultaneously studying multiple rather than single factors. The identification of risk groups may help more accurately target preventive interventions.

Significance:/ This study found subgroups of adolescents at risk of recurrent multisite musculoskeletal pain during late adolescence. The accumulation of multiple adverse behaviours is likely to provide new perspectives for understanding the multidimensional nature of multiple MS pains.

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Series: European journal of pain
ISSN: 1090-3801
ISSN-E: 1532-2149
ISSN-L: 1090-3801
Volume: 23
Issue: 8
Pages: 1486 - 1496
DOI: 10.1002/ejp.1414
OADOI: https://oadoi.org/10.1002/ejp.1414
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
Subjects:
Copyright information: © 2019 European Pain Federation ‐ EFIC®. This is the peer reviewed version of the following article: Heikkala, E, Paananen, M, Taimela, S, Auvinen, J, Karppinen, J. Associations of co‐occurring psychosocial and lifestyle factors with multisite musculoskeletal pain during late adolescence—A birth cohort study. Eur J Pain. 2019; 23: 1486– 1496. https://doi.org/10.1002/ejp.1414, which has been published in final form at https://doi.org/10.1002/ejp.1414. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.