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

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Kaartinen , S , Aaltonen , S , Korhonen , T , Latvala , A , Mikkelsson , M , Kujala , U M & Kaprio , J 2019 , ' Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study : A Finnish twin cohort study ' , Preventive Medicine Reports , vol. 15 , 100933 . https://doi.org/10.1016/j.pmedr.2019.100933

Title: Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? A Finnish twin cohort study : A Finnish twin cohort study
Author: Kaartinen, Sara; Aaltonen, Sari; Korhonen, Tellervo; Latvala, Antti; Mikkelsson, Marja; Kujala, Urho M.; Kaprio, Jaakko
Contributor: University of Helsinki, Department of Public Health
University of Helsinki, Institute for Molecular Medicine Finland
University of Helsinki, Institute for Molecular Medicine Finland
University of Helsinki, Institute of Criminology and Legal Policy
University of Helsinki, HYKS erva
University of Helsinki, Institute for Molecular Medicine Finland
Date: 2019-09
Language: eng
Number of pages: 8
Belongs to series: Preventive Medicine Reports
ISSN: 2211-3355
URI: http://hdl.handle.net/10138/306856
Abstract: 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.
Subject: 3142 Public health care science, environmental and occupational health
Musculoskeletal pain
Back pain
Multisport
Exercise
Cohort study
Twin study
Behavioral epidemiology
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