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BMC Musculoskeletal Disorders

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Open Access 01-12-2009 | Research article

Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohort

Authors: Andrew M Briggs, Leon M Straker, Natasha L Bear, Anne J Smith

Published in: BMC Musculoskeletal Disorders | Issue 1/2009

Abstract

Background

An inconsistent relationship between physical activity and neck/shoulder pain (NSP) in adolescents has been reported in the literature. Earlier studies may be limited by not assessing physical activity in sufficient detail. The aim of this study was to comprehensively examine the association between NSP and the level and nature of physical activity, and type of sedentary activity in adolescents.

Methods

A cross-sectional analysis using data from 924 adolescents in the Western Australian Pregnancy Cohort (RAINE) study was performed. Complete data were available for 643 adolescents (54.6% female) at the 14-year follow-up. Physical activity was measured using a detailed self-report electronic activity diary requiring participants to input details of all physical activities over the day in segments of 5 minutes for a one-week period. Physical activity levels were categorised as: sedentary, light, moderate, or vigorous based on metabolic energy equivalents. Nature of activity was determined by assigning each activity to categories based on the amount of movement (static/dynamic) and the main posture assumed for the activity (standing/sitting/lying). Type of sedentary activity was characterised by exposure time to watching TV, using a computer, and reading. Logistic regression was used to explore the association between NSP and activity.

Results

Females reported a higher prevalence of lifetime, 1-month and chronic NSP than males (50.9 vs 41.7%, 34.1 vs 23.5%, and 9.2 vs 6.2% respectively). No consistent, dose-response relationship was found between NSP and the level, nature, and type of physical activity.

Conclusion

Self-reported one month and lifetime NSP prevalence in adolescents is not related to the level or intensity of physical activity or the type of sedentary activity over a one week period.

Hogg-Johnson S, Velde van der G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Cote P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P: The burden and determinants of neck pain in the general population. Results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine. 2008, 33: S39-S51. 10.1097/BRS.0b013e31816454c8.CrossRefPubMed

Cote P, Kristman V, Vidmar M, Van Eerd D, Hogg-Johnson S, Beaton D, Smith PM: The prevalence and incidence of work absenteeism involving neck pain. A cohort of Ontario lost-time claimants. Spine. 2008, 33: S192-S198. 10.1097/BRS.0b013e3181644616.CrossRefPubMed

Ariens GAM, Bongers PM, Hoogendoorn WE, Houtman ILD, Wal van der G, van Mechelen W: High quantitative job demands and low coworker support as risk factors for neck pain – Results of a prospective cohort study. Spine. 2001, 26: 1896-1901. 10.1097/00007632-200109010-00016.CrossRefPubMed

Ariens GAM, van Mechelen W, Bongers PM, Bouter LM, Wal van der G: Physical risk factors for neck pain. Scand J Work Environ Health. 2000, 26: 7-19.CrossRefPubMed

Jeffries LJ, Milanese SF, Grimmer-Somers KA: Epidemiology of adolescent spinal pain. A systematic overview of the research literature. Spine. 2007, 32: 2630-2637. 10.1097/BRS.0b013e318158d70b.CrossRefPubMed

Hakala P, Rimpela A, Salminen JJ, Virtanen SM, Rimpela M: Back, neck and shoulder pain in Finnish adolescents: National cross sectional surveys. Brit Med J. 2002, 325: 743-745. 10.1136/bmj.325.7367.743.CrossRefPubMedPubMedCentral

Brattberg G: Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain. 2004, 8: 187-199. 10.1016/j.ejpain.2003.08.001.CrossRefPubMed

Hestbaek L, leboeuf-Yde C, Kyvik KO, Manniche C: The course of low back pain from adolescence to adulthood. Eight year follow-up of 9600 twins. Spine. 2006, 31: 468-472. 10.1097/01.brs.0000199958.04073.d9.CrossRefPubMed

Jones GT, Macfarlane GJ: Epidemiology of low back pain in children and adolescents. Arch Dis Childhood. 2005, 90: 312-316. 10.1136/adc.2004.056812.CrossRef

10.

Bostrom M, Dellve L, Thomee S, Hagberg M: Risk factors for generally reduced productivity – A prospective cohort study of young adults with neck or upper-extremity musculoskeletal symptoms. Scand J Work Environ Health. 2008, 34: 120-132.CrossRefPubMed

11.

Mikkelsson M: One year outcome of preadolescents with fibromyalgia. J Rheum. 1999, 26: 674-682.PubMed

12.

Mikkelsson M, Salminen JJ, Kautiainen H: Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence. Pain. 1997, 73: 29-35. 10.1016/S0304-3959(97)00073-0.CrossRefPubMed

13.

Siivola SM, Levoska S, Latvala K, Hoskio E, Vanharanta H, Keinanen-Kiukaanniemi S: Predictive factors for neck and shoulder pain: a longitudinal study in young adults. Spine. 2004, 29: 1662-1669. 10.1097/01.BRS.0000133644.29390.43.CrossRefPubMed

14.

Kujala UM, Taimela S, Viljanen T: Leisure physical activity and various pain symptoms among adolescents. Brit J Sports Med. 1999, 33: 325-328. 10.1136/bjsm.33.5.325.CrossRef

15.

El-Metwally A, Salminen JJ, Auvinen A, Macfarlane G, Mikkelsson M: Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1-year follow-up study. BMC Musculoskel Disord. 2007, 8: 46-10.1186/1471-2474-8-46.CrossRef

16.

Cardon G, De Bourdeaudhuij I, De Clercq D, Philippaerts R, Verstraete S, Geldhof E: Physical fitness, physical activity, and self-reported back and neck pain in elementary schoolchildren. Ped Exercise Sci. 2004, 16: 147-157.

17.

El-Metwally A, Salminen JJ, Auvinen A, Kautiainen H, Mikkelsson M: Prognosis of non-specific musculoskeletal pain in preadolescents: A prospective 4-year follow-up study till adolescence. Pain. 2004, 110: 550-559. 10.1016/j.pain.2004.03.021.CrossRefPubMed

18.

Carroll LJ, Eric LH, Cote P, Hogg-Johnson S, Carragee EJ, Nordin M, Holm LW, Velde van der G, Cassidy JD, Guzman J, Peloso PM, Haldeman S: Research priorities and methodological implications – The bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine. 2008, 33: S214-S220. 10.1097/BRS.0b013e318164462c.CrossRefPubMed

19.

Carroll LJ, Hogg-Johnson S, Velde van der G, Haldeman S, Holm LW, Carragee EJ, Hurwitz EL, Cote P, Nordin M, Peloso PM, Guzman J, Cassidy JD: Course and prognostic factors for neck pain in the general population – Results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine. 2008, 33: S75-S82. 10.1097/BRS.0b013e31816445be.CrossRefPubMed

20.

Briggs AM, Straker LM, Wark JD: Bone health and back pain: What do we know and where should we go?. Osteoporos Int. 2009, 20: 209-219. 10.1007/s00198-008-0719-7.CrossRefPubMed

21.

Dollman J, Norton K, Norton L: Evidence for secular trends in children's physical activity behaviour. Brit J Sports Med. 2005, 39: 892-897. 10.1136/bjsm.2004.016675.CrossRef

22.

Marshall SJ, Biddle SJH, Gorely T, Cameron N, Murdey I: Relationships between media use, body fatness and physical activity in children and youth: A meta-analysis. Int J Obesity. 2004, 28: 1238-1246. 10.1038/sj.ijo.0802706.CrossRef

23.

Magarey AM, Daniels LA, Boulton TJ: Prevalence of overweight and obesity in Australian children and adolescents: Reassessment of the 1985 and 1995 data against new standard international definitions. Med J Aust. 2001, 174: 561-564.PubMed

24.

Matthiessen J, Groth MV, Fagt S, Biltoft-Jensen A, Stockmarr A, Andersen JS, Trolle E: Prevalence and trends in overweight and obesity among children and adolescents in Denmark. Scand J Public Health. 2008, 36: 153-160. 10.1177/1403494807085185.CrossRefPubMed

25.

Kautiainen S, Rimpela A, Vikat A, Virtanen SM: Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obesity. 2002, 26: 544-552. 10.1038/sj.ijo.0801928.CrossRef

26.

Auvinen J, Tammelin T, Taimela S, Zitting P, Karppinen J: Neck and shoulder pains in relation to physical activity and sedentary activities in adolescence. Spine. 2007, 32: 1038-1044. 10.1097/01.brs.0000261349.94823.c1.CrossRefPubMed

27.

Holth HS, Werpen HKB, Zwart JA, Hagen K: Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: Results from the Nord-Trondelag Health Study. BMC Musculoskel Disord. 2008, 9: 159-10.1186/1471-2474-9-159.CrossRef

28.

Alricsson M, Landstad BJ, Romild U, Werner S: Self-related health, physical activity and complaints in Swedish high school students. The Scientific World Journal. 2006, 6: 816-826.CrossRefPubMed

29.

Niemi S, Levoska S, Kemila J, Rekola K, Keinanen-Kiukaanniemi S: Neck and shoulder symptoms and leisure time activities in high school students. J Orthop Sports Phys Ther. 1996, 24: 25-29.CrossRefPubMed

30.

Vikat A, Rimpela M, Salminen JJ, Rimpela A, Savolainen A, Virtanen SM: Neck or shoulder pain and low back pain in Finnish adolescents. Scand Journal Public Health. 2000, 28: 164-173.CrossRef

31.

Diepenmaat ACM, Wal van der MF, de Vet HCW, Hirasing RA: Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents. Pediatrics. 2006, 117: 412-416. 10.1542/peds.2004-2766.CrossRefPubMed

32.

Ehrmann Feldman D, Shrier I, Rossignol M, Abenhaim L: Risk factors for the development of neck and upper limb pain in adolescents. Spine. 2002, 27: 523-528. 10.1097/00007632-200203010-00013.CrossRefPubMed

33.

Mikkelsson LO, Nupponen H, Kaprio J, Kautiainen H, Mikkelsson M, Kujala UM: Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: A 25 year follow up study. Br J Sports Med. 2006, 40: 107-113. 10.1136/bjsm.2004.017350.CrossRefPubMedPubMedCentral

34.

Mogensen AM, Gausel AM, Wedderkopp N, Kjaer P, Leboeuf-Yde C: Is active participation in specific sport activities linked with back pain?. Scand J Med Sci Sports. 2007, 17: 680-686.CrossRefPubMed

35.

Wedderkopp N, Leboeuf-Yde C, Bo Andersen L, Froberg K, Steen Hansen H: Back pain in children: No association with objectively measured level of physical activity. Spine. 2003, 28: 2019-2024. 10.1097/01.BRS.0000083238.78155.31.CrossRefPubMed

36.

Kendall GE: Children in families in communities: A modified conceptual framework and an analytic strategy for identifying patterns of factors associated with developmental health problems in childhood. PhD thesis. 2003, University of Western Australia; Australia

37.

Kuorinka I, Jonsson B, Kilbom A, Vinterverg H, Biering-Sorensen F, Andersson G, Jorgensen K: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRefPubMed

38.

Dickinson CE, Campion K, Foster AF, Newman SJ, O'Rourke AMT, Thomas PG: Questionnaire development: An examination of the Nordic Musculoskeletal Questionnaire. Appl Ergon. 1992, 23: 197-201. 10.1016/0003-6870(92)90225-K.CrossRefPubMed

39.

Ridley K, Olds TS, Hill A: The multimedia activity recall for children and adolescents (MARCA): development and evaluation. Int J Behav Nutr and Phys Act. 2006, 3: 10-10.1186/1479-5868-3-10.CrossRef

40.

Ridley K, Ainsworth BE, Olds TS: Development of a compendium of energy expenditures for youth. Int J Behav Nutr and Phys Act. 2008, 5: 45-10.1186/1479-5868-5-45.CrossRef

41.

Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DRJ, Schmitz KH, Emplaincourt PO, Jacobs DRJ, Leon AS: Compendium of physical activities: An update of activity codes and MET intensities. Med Sci Sports Exerc. 2000, 32: S498-S504. 10.1097/00005768-200009001-00009.CrossRefPubMed

42.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: International survey. Brit Med J. 2000, 320: 1240-1243. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral

43.

Walker-Bone K, Reading I, Coggon D, Cooper C, Palmer KT: The anatomical pattern and determinants of pain in the neck and upper limbs: an epidemiologic study. Pain. 2004, 109: 45-51. 10.1016/j.pain.2004.01.008.CrossRefPubMed

44.

Palmer KT, Syddall H, Cooper C, Coggon D: Smoking and musculoskeletal disorders: findings from a British national survey. Ann Rheum Dis. 2003, 62: 33-36. 10.1136/ard.62.1.33.CrossRefPubMedPubMedCentral

45.

Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A: Prevalence, determinants, and consequences of chronic neck pain in Finland. Amer J Epidemiol. 1991, 134: 1356-1367.

46.

Kjaer P: Low back pain in relation to lumbar spine abnormalities as identified by magnetic resonance imaging. PhD thesis. 2004, University of Southern Denmark, Faculty of Health Sciences; Denmark

47.

Dionne CE, Dunn KM, Croft PR, Nachemson AL, Buchbinder R, Walker BF, Wyatt M, Cassidy JD, Rossignol M, Leboeuf-Yde C, Hartvigsen J, Leino-Arjas P, Latza U, Reis S, del Real MTG, Kovacs FM, Oberg B, Cedraschi C, Bouter LM, Koes BW, Picavet HSJ, van Tulder MW, Burton K, Foster NE, Macfarlane GJ, Thomas E, Underwood M, Waddell G, Shekelle P, Volinn E, Von Korff M: A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine. 2008, 33: 95-103. 10.1097/BRS.0b013e31815e7f94.CrossRefPubMed

48.

Murphy S, Buckle P, Stubbs D: Classroom posture and self-reported back and neck pain in schoolchildren. Appl Ergon. 2004, 35: 113-120. 10.1016/j.apergo.2004.01.001.CrossRefPubMed

49.

Murphy S, Buckle P, Stubbs D: A cross-sectional study of self-reported back and neck pain among English schoolchildren and associated physical and psychological risk factors. Appl Ergon. 2007, 38: 797-804. 10.1016/j.apergo.2006.09.003.CrossRefPubMed

50.

Wijnhoven HA, de Vet HCW, Picavet HSJ: Prevalence of musculoskeletal disorders is systematically higher in women than in men. Clin J Pain. 2006, 22: 717-724. 10.1097/01.ajp.0000210912.95664.53.CrossRefPubMed

51.

Adamson G, Murphy S, Shevlin M, Buckle P, Stubbs D: Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach. Pain. 2007, 129: 295-303. 10.1016/j.pain.2006.10.015.CrossRefPubMed

52.

Kovacs FM, Gestoso M, del Real MTG, Lopez J, Mufraggi N, Mendez JI: Risk factors for non-specific low back pain in schoolchildren and their parents: a population based study. Pain. 2003, 103: 259-268. 10.1016/S0304-3959(02)00454-2.CrossRefPubMed

53.

De Inocencio J: Epidemiology of musculoskeletal pain in primary care. Arch Dis Childhood. 2004, 89: 431-434. 10.1136/adc.2003.028860.CrossRef

54.

LeResche L: Gender considerations in the epidemiology of chronic pain. Epidemiology of Pain. Edited by: Crombie IK, Croft PR, Linton SJ, LeResche L, von Korff M. 1999, Seattle: IASP Press, 43-52.

55.

Koltyn KF, Garvin AW, Gardiner RL, Nelson TF: Perception of pain following aerobic exercise. Med Sci Sports Exercise. 1996, 28: 1418-1421.CrossRef

56.

McMeeken J, Tully E, Stillman B, Nattrass C, Bygott IL, Story I: The experience of back pain in young Australians. Man Ther. 2001, 6: 213-220. 10.1054/math.2001.0410.CrossRefPubMed

57.

Stahl M, Mikkelsson M, Kautiainen H, Hakkinen A, Ylinen J, Salminen JJ: Neck pain in adolescence: A 4-year follow-up of pain-free preadolescents. Pain. 2004, 110: 427-431. 10.1016/j.pain.2004.04.025.CrossRefPubMed

58.

Ridley K, Dollman J, Olds T: Development and validation of a computer delivered physical activity questionnaire (CDPAQ) for children. Ped Exercise Sci. 2001, 13: 35-46.

59.

Bjorksten MG, Boquist B, Talback M, Edling C: The validity of reported musculoskeletal problems. A study of questionnaire answers in relation to diagnosed disorders and perception of pain. Appl Ergon. 1999, 30: 325-330. 10.1016/S0003-6870(98)00033-7.CrossRefPubMed

60.

Stahl M, Kautiainen H, El-Metwally A, Hakkinen A, Ylinen J, Salminen JJ, Mikkelsson M: Non-specific neck pain in schoolchildren: Prognosis and risk factors for occurrence and persistence. A 4-year follow-up study. Pain. 2008, 137: 316-322. 10.1016/j.pain.2007.09.012.CrossRefPubMed

61.

Smith A, O'Sullivan P, Straker L: Classification of sagittal thoraco-lumbo-pelvic alignment of the adolescent spine in standing and its relationship to low back pain. Spine. 2008, 33: 2101-2107. 10.1097/BRS.0b013e31817ec3b0.CrossRefPubMed

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/10/87/prepub

Title: Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohort
Authors: Andrew M Briggs
Leon M Straker
Natasha L Bear
Anne J Smith
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2009
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/1471-2474-10-87

ACC 2024 Congress

Springer Medicine

Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohort

Abstract

Background

Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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