The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

Palmlöf, Lina; Alfredsson, Lars; Magnusson, Cecilia; Vingård, Eva; Skillgate, Eva

doi:10.1186/s12891-016-1080-1

Cited by 22 publications

(24 citation statements)

References 25 publications

(26 reference statements)

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“…In adulthood, overall participation in PA, compared to physical inactivity, has indicated favorable associations with both LBP and NSP (Landmark et al, 2013; Palmlof et al, 2016; Shiri and Falah-Hassani, 2017), whereas participation in vigorous activities has been related to unfavorable outcomes (Heneweer et al, 2011). While the relationship of PA level with LBP and NSP has remained debatable at the population level (Sitthipornvorakul et al, 2011), it has also been suggested that instead of PA level, the improved physical fitness, both aerobic and muscular, could be beneficial in the prevention of LBP (Heneweer et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study

Kaartinen

Aaltonen

Korhonen

et al. 2019

Preventive Medicine Reports

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This study investigates cross-sectional and longitudinal associations between the diversity of leisure-time sport activities and the frequencies of low back pain (LBP) and neck-shoulder region pain (NSP) in twins, including a cross-sectional within-pair design to adjust for potential familial confounding. Finnish twins born in 1975–79 (FinnTwin16 study) reported participation in leisure-time sport activities at the mean ages of 17 (1992–96) ( n = 5096, 54% females) and 34 years (2010−12) ( n = 3731, 57% females). Diversity assessed as the number of sport activities was categorized as 1, 2, 3, 4, and ≥ 5, excluding inactive individuals. The frequencies of LBP ( n = 3201) and NSP ( n = 3207), reported at age 34, were categorized as never/seldom, monthly, or weekly pain. Cross-sectional and longitudinal individual-based associations between the number of sport activities and the frequency of LBP and NSP were investigated with multinomial logistic regression analyses, adjusting for multiple confounders. Cross-sectionally, participation in ≥5 sport activities, compared to 1 sport, was associated with significantly less weekly LBP (OR = 0.63, 95%CI = 0.43–0.90), but not with NSP. Longitudinally, participation in several sport activities in adolescence had no significant association with LBP or NSP in adulthood. Cross-sectional within-pair analyses were conducted among twin pairs discordant for LBP ( n = 507) and NSP ( n = 579). The associations between monozygotic and dizygotic twin pairs were similar in LBP-discordant pairs but differed within NSP-discordant pairs. Participation in ≥5 sport activities in adulthood may be associated with less weekly LBP, but not with monthly LBP or the frequency of NSP. However, within-pair analyses for NSP suggest confounding due to shared familial factors.

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Section: Discussionmentioning

confidence: 99%

Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study

Kaartinen

Aaltonen

Korhonen

et al. 2019

Preventive Medicine Reports

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“…Most studies collected clinical characteristics, physical status, and psychological factors as potential predictive factors. [ 26 , 27 ] However, to our knowledge, few studies have focused on radiological features, especially MCs. The incidence of MCs in the lumbar spine is significantly higher than in the cervical spine, resulting in a focus in most of the literature on MCs on the lumbar spine, with few studies reporting on the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors associated with neck pain in patients with cervical disc degeneration

et al. 2017

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The predictive factors associated with neck pain remain unclear. We conducted a cross-sectional study to assess predictive factors, especially Modic changes (MCs), associated with the intensity and duration of neck pain in patients with cervical disc degenerative disease.We retrospectively reviewed patients in our hospital from January 2013 to December 2016. Severe neck pain (SNP) and persistent neck pain (PNP) were the 2 main outcomes, and were assessed based on the numerical rating scale (NRS). Basic data, and also imaging data, were collected and analyzed as potential predictive factors. Univariate analysis and multiple logistic regression analysis were performed to assess the predictive factors for neck pain.In all, 381 patients (193 males and 188 females) with cervical degenerative disease were included in our study. The number of patients with SNP and PNP were 94 (24.67%) and 109 (28.61%), respectively. The NRS of neck pain in patients with type 1 MCs was significantly higher than type 2 MCs (4.8 ± 0.9 vs 3.9 ± 1.1; P = .004). The multivariate logistic analysis showed that kyphosis curvature (odds ratio [OR] 1.082, 95% confidence interval [CI] 1.044–1.112), spondylolisthesis (OR 1.339, 95% CI 1.226–1.462), and annular tear (OR 1.188, 95% CI 1.021–1.382) were factors associated with SNP, whereas kyphosis curvature (OR 1.568, 95% CI 1.022–2.394), spondylolisthesis (OR 1.486, 95% CI 1.082–2.041), and MCs (OR 1.152, 95% CI 1.074–1.234) were associated with PNP.We concluded that kyphosis curvature, spondylolisthesis, and annular tear are associated with SNP, whereas kyphosis curvature, spondylolisthesis, and MCs are associated with PNP. This study supports the view that MCs can lead to a long duration of neck pain.

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“…Previous studies from our group have explored the role of physical activity in the risk 25 and recovery of NP and back pain, 26 , 27 suggesting it as having a protective effect in women. Similarly, previous studies on the effect of smoking and alcohol consumption on sick leave due to unspecific LBP or NP showed that the former is associated with an increased risk and the latter suggested neither an association nor a protective effect.…”

Section: Introductionmentioning

confidence: 99%

Healthy lifestyle behavior and risk of long duration troublesome neck pain or low back pain among men and women: results from the Stockholm Public Health Cohort

Skillgate¹,

Pico-Espinosa²,

Hallqvist³

et al. 2017

CLEP

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BackgroundThe role of healthy lifestyle behavior (HLB) in terms of physical activity, alcohol intake, smoking, and diet put together has not yet been explored for the risk of low back pain (LBP) and neck pain (NP). Our aim was to study if an HLB is protective against the onset of long duration troublesome LBP and NP in men and women.MethodsTwo cohorts from the Stockholm Public Health Cohort, free from LBP (n=12,483) and NP (n=10,539), respectively, in 2006, were surveyed with questionnaires. Baseline information about physical activity, alcohol intake, diet, and smoking were dichotomized into being healthy/not healthy and combined in a categorical variable according to the number of healthy behaviors present. Binomial regression analyses were used to evaluate the role of HLB for the outcomes 4 years later.ResultsWhen men with three or four healthy lifestyles were compared to men with none or one, the risk ratio (RR) of LBP was 0.63 (95% confidence interval [CI]: 0.39–1.02). The corresponding RR for LBP in women was 0.86 (95% CI: 0.56–1.32). When men with three or four healthy lifestyles were compared to men with none or one, the RR for NP was 1.13 (95% CI: 0.74–1.71). The corresponding RR for NP in women was 0.52 (95% CI: 0.35–0.77).ConclusionAn HLB seems to be protective for long duration troublesome LBP in men, and for long duration troublesome NP in women.

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The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

Cited by 22 publications

References 25 publications

Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study

Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study

Predictive factors associated with neck pain in patients with cervical disc degeneration

Healthy lifestyle behavior and risk of long duration troublesome neck pain or low back pain among men and women: results from the Stockholm Public Health Cohort

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