Longitudinal associations of changes in physical activity and TV viewing with chronic musculoskeletal pain in Brazilian schoolteachers

Santos, Mayara Cristina da Silva; Gabani, Flávia Lopes; Dias, Douglas Fernando; Andrade, Selma Maffei de; González, Alberto Durán; Loch, Mathias Roberto; Mesas, Arthur Eumann

doi:10.1371/journal.pone.0234609

Cited by 8 publications

(11 citation statements)

References 34 publications

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“…We confirmed that female gender and middle age predominate in chronic pain-independent of an acute start of pain like in CRPS or a slow process of pain chronification as in MSK (Elsharydah et al, 2017;Larsson et al, 2012;Santos et al, 2020;Scholz-Odermatt et al, 2019). Obesity was more prevalent in the MSK group: It is a known risk factor for chronic pain (Hauser et al, 2015;Lier et al, 2016;Suri et al, 2017) and weight loss improves the pain condition (Bout-Tabaku et al, 2019).…”

Section: Discussionsupporting

confidence: 70%

Pain, disability, and lifestyle: Patients with complex regional pain syndrome compared to chronic musculoskeletal pain—A retrospective analysis

Kindl

Teichmüller

Escolano‐Lozano³

et al. 2022

European Journal of Pain

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Background: Complex regional pain syndrome (CRPS) is an orphan disease occurring as a complication after trauma. Due to its acute onset and the typical clinical presentation of the inflammatory and autonomous signs, it is an eyecatching chronic pain disease affecting also young and working people. In social media and the internet, high pain severity and the unfavourable prognosis are often empathized.Methods: Here, we compared epidemiological, pain and lifestyle factors of 223 CPRS patients from the "ncRNAPain" cohort with 255 patients with chronic musculoskeletal pain (MSK). MSK patients were recruited at the beginning of a multimodal pain therapy programme. We searched for factors predicting pain intensity.Results: Both chronic pain diseases affected women in middle age. Patients with MSK were more obese, drank more alcohol, and were less educated (Pearson chisquare Test or Mann-Whitney/U-Test). Both groups smoked more than healthy people in the OECD (Organization for Economic Cooperation and Development).Mann-Whitney/U-Test confirmed that CRPS patients did not have more severe pain and did not suffer more from pain-related disability than patients with MSK.CRPS patients also had less psychiatric comorbidities. Multiple linear regression analysis revealed that group assignment, depressive characteristics, body mass index, average alcohol consumption and smoking predicted higher pain ratings, while disease duration, anxiety symptoms or gender had no influence on pain intensity. Conclusion:In summary, our study supports a more optimistic view on pain in CRPS patients in comparison to MSK and identifies lifestyle factors that might contribute to the pathophysiology like smoking and drinking. Important next steps are the identification of CRPS patients at risk for chronification or-vice versa-with protective factors for pain resolution.

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Section: Discussionsupporting

confidence: 70%

Pain, disability, and lifestyle: Patients with complex regional pain syndrome compared to chronic musculoskeletal pain—A retrospective analysis

Kindl

Teichmüller

Escolano‐Lozano³

et al. 2022

European Journal of Pain

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“…For the two prospective studies, both of high quality, one reported no association of TV time > 2 h/day with LBP-intensity, but a positive association with LBP-disability only in women [ 78 ]. The other study [ 114 ], however, reported a positive association of TV time with general MSP. Herein also, prospective evidence of associations of TV time with MSP conditions and MSP-related outcomes are insufficient.…”

Section: Resultsmentioning

confidence: 81%

“…The highest score among the general population category was 0.95 scored in six studies [ 16 , 64 , 66 , 67 , 75 , 76 ]. In the occupational category, the highest score in observational studies was 0.95 scored by six studies [ 39 , 57 , 100 , 109 , 114 , 129 ], and in experimental/intervention studies was 0.96 for one study, Brakenridge et al [ 121 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five cross-sectional [ 58 , 61 , 72 , 73 , 86 ] and two prospective [ 78 , 114 ] studies – five of general population [ 58 , 61 , 72 , 73 , 78 ], two of occupational [ 86 , 114 ] – investigated time spent in SBs and MSP conditions [ 58 , 61 , 72 , 73 , 86 ] or MSP-related outcomes [ 78 ]. Three were of high-quality [ 72 , 73 , 86 ] and two low-quality [ 58 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

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Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis

Dzakpasu

Carver

Brakenridge

et al. 2021

Int J Behav Nutr Phys Act

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Background Sedentary behaviour (SB; time spent sitting) is associated with musculoskeletal pain (MSP) conditions; however, no prior systematic review has examined these associations according to SB domains. We synthesised evidence on occupational and non-occupational SB and MSP conditions. Methods Guided by a PRISMA protocol, eight databases (MEDLINE, CINAHL, PsycINFO, Web of Science, Scopus, Cochrane Library, SPORTDiscus, and AMED) and three grey literature sources (Google Scholar, WorldChat, and Trove) were searched (January 1, 2000, to March 17, 2021) for original quantitative studies of adults ≥ 18 years. Clinical-condition studies were excluded. Studies’ risk of bias was assessed using the QualSyst checklist. For meta-analyses, random effect inverse-variance pooled effect size was estimated; otherwise, best-evidence synthesis was used for narrative review. Results Of 178 potentially-eligible studies, 79 were included [24 general population; 55 occupational (incuding15 experimental/intervention)]; 56 studies were of high quality, with scores > 0.75. Data for 26 were meta-synthesised. For cross-sectional studies of non-occupational SB, meta-analysis showed full-day SB to be associated with low back pain [LBP – OR = 1.19(1.03 – 1.38)]. Narrative synthesis found full-day SB associations with knee pain, arthritis, and general MSP, but the evidence was insufficient on associations with neck/shoulder pain, hip pain, and upper extremities pain. Evidence of prospective associations of full-day SB with MSP conditions was insufficient. Also, there was insufficient evidence on both cross-sectional and prospective associations between leisure-time SB and MSP conditions. For occupational SB, cross-sectional studies meta-analysed indicated associations of self-reported workplace sitting with LBP [OR = 1.47(1.12 – 1.92)] and neck/shoulder pain [OR = 1.73(1.46 – 2.03)], but not with extremities pain [OR = 1.17(0.65 – 2.11)]. Best-evidence synthesis identified inconsistent findings on cross-sectional association and a probable negative prospective association of device-measured workplace sitting with LBP-intensity in tradespeople. There was cross-sectional evidence on the association of computer time with neck/shoulder pain, but insufficient evidence for LBP and general MSP. Experimental/intervention evidence indicated reduced LBP, neck/shoulder pain, and general MSP with reducing workplace sitting. Conclusions We found cross-sectional associations of occupational and non-occupational SB with MSP conditions, with occupational SB associations being occupation dependent, however, reverse causality bias cannot be ruled out. While prospective evidence was inconclusive, reducing workplace sitting was associated with reduced MSP conditions. Future studies should emphasise prospective analyses and examining potential interactions with chronic diseases. Protocol registration PROSPERO ID #CRD42020166412 (Amended to limit the scope)

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“…However, in some studies it has been shown that there is an association of specific screen-based activities with MSDs. It could be demonstrated that watching TV was associated with chronic musculoskeletal pain in Brazilian schoolteachers [ 59 ]. The authors showed that an increase in TV watch time by 30 min per day was associated with a 5.1% higher probability of having chronic musculoskeletal pain in the long-term.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal disorders in video gamers – a systematic review

Tholl

Bickmann

Wechsler

et al. 2022

BMC Musculoskelet Disord

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Background Video gaming is a recreational activity with yearly increasing popularity. It is mostly a sedentary behavior combined with repetitive movements of the upper limbs. If performed excessively, these movements may promote strain injuries and a sedentary lifestyle is one of the contributing factors to musculoskeletal disorders. Therefore, a systematic review was conducted to evaluate if video gaming negatively affects the musculoskeletal system of video gamers. Methods PubMed, Web of Science and The Cochrane Library were systematically searched in order to identify relevant peer reviewed original articles in English published between 2000 and 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was used for the analysis. Studies were included when they contained investigations of changes of the musculoskeletal system due to video gaming in healthy individuals. Studies with participants older than 60 years or solely psychological, social or cardiovascular outcomes were excluded. An adapted version of the Newcastle–Ottawa Scale was used for the risk of bias analysis. Results Sixteen observational studies involving a total of 62,987 participants met the inclusion criteria. A majority (11) of the studies reported statistical negative musculoskeletal changes due to video game playtime. Four studies did not report changes and one study found no effect of video game playtime on the musculoskeletal system. Out of the eleven studies, which demonstrated a negative impact of video game playtime on the musculoskeletal system, the most reported painful body parts were the neck (n = 4), shoulder (n = 4) and back (n = 3). Ten studies reported odds ratios (OR) for the dependence of the appearance of musculoskeletal disorders on video game playtime. In eight studies OR were significantly increased (1.3—5.2). Conclusion Eleven out of twelve studies demonstrated a negative impact of video game playtime on the musculoskeletal system. In particular, excessive video game playtimes (> 3 h/day) seemed to be a predictor for the appearance of musculoskeletal disorders. Due to their great popularity across multiple generations, specific and tailored prevention and health promotion programs for video gamers need to be developed to counteract this important public health issue.

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Longitudinal associations of changes in physical activity and TV viewing with chronic musculoskeletal pain in Brazilian schoolteachers

Cited by 8 publications

References 34 publications

Pain, disability, and lifestyle: Patients with complex regional pain syndrome compared to chronic musculoskeletal pain—A retrospective analysis

Pain, disability, and lifestyle: Patients with complex regional pain syndrome compared to chronic musculoskeletal pain—A retrospective analysis

Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis

Musculoskeletal disorders in video gamers – a systematic review

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