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 organization: | Department of Public Health University of Helsinki Institute for Molecular Medicine Finland Population Research Unit (PRU) University Management Institute of Criminology and Legal Policy Staff Services HYKS erva Päijät-Häme Welfare Consortium Genetic Epidemiology |
Date: | 2019-09 |
Language: | eng |
Number of pages: | 8 |
Belongs to series: | Preventive Medicine Reports |
ISSN: | 2211-3355 |
DOI: | https://doi.org/10.1016/j.pmedr.2019.100933 |
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 |
Peer reviewed: | Yes |
Rights: | cc_by_nc_nd |
Usage restriction: | openAccess |
Self-archived version: | draft |
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