Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents
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- 20 November 2009
- journal article
- Published by Springer Science and Business Media LLC in European Spine Journal
- Vol. 19 (4), 641-649
- https://doi.org/10.1007/s00586-009-1215-2
Abstract
The quantity and quality of adolescents’ sleep may have changed due to new technologies. At the same time, the prevalence of neck, shoulder and low back pain has increased. However, only a few studies have investigated insufficient quantity and quality of sleep as possible risk factors for musculoskeletal pain among adolescents. The aim of the study was to assess whether insufficient quantity and quality of sleep are risk factors for neck (NP), shoulder (SP) and low back pain (LBP). A 2-year follow-up survey among adolescents aged 15–19 years was (2001–2003) carried out in a subcohort of the Northern Finland Birth Cohort 1986 (n = 1,773). The outcome measures were 6-month period prevalences of NP, SP and LBP. The quantity and quality of sleep were categorized into sufficient, intermediate or insufficient, based on average hours spent sleeping, and whether or not the subject suffered from nightmares, tiredness and sleeping problems. The odds ratios (OR) and 95% confidence intervals (CI) for having musculoskeletal pain were obtained through logistic regression analysis, adjusted for previously suggested risk factors and finally adjusted for specific pain status at 16 years. The 6-month period prevalences of neck, shoulder and low back pain were higher at the age of 18 than at 16 years. Insufficient quantity or quality of sleep at 16 years predicted NP in both girls (OR 4.4; CI 2.2–9.0) and boys (2.2; 1.2–4.1). Similarly, insufficient sleep at 16 years predicted LBP in both girls (2.9; 1.7–5.2) and boys (2.4; 1.3–4.5), but SP only in girls (2.3; 1.2–4.4). After adjustment for pain status, insufficient sleep at 16 years predicted significantly only NP (3.2; 1.5–6.7) and LBP (2.4; 1.3–4.3) in girls. Insufficient sleep quantity or quality was an independent risk factor for NP and LBP among girls. Future studies should test whether interventions aimed at improving sleep characteristics are effective in the prevention and treatment of musculoskeletal pain.Keywords
This publication has 55 references indexed in Scilit:
- Associations of physical activity and inactivity with low back pain in adolescentsScandinavian Journal of Medicine & Science in Sports, 2007
- Neck and Shoulder Pains in Relation to Physical Activity and Sedentary Activities in AdolescenceSpine, 2007
- Smoking as a Risk Factor for Mental Health Disturbances After a DisasterPublished by Physicians Postgraduate Press, Inc ,2007
- Association Between Obesity and Psychiatric Disorders in the US Adult PopulationArchives of General Psychiatry, 2006
- Sleep disorders in children and adolescentsBMJ, 2006
- Childhood and Early Adult Predictors of Risk of Incident Back Pain: Ontario Child Health Study 2001 Follow-upAmerican Journal of Epidemiology, 2005
- A 2-year prospective longitudinal study on low back pain in primary school childrenEuropean Spine Journal, 2002
- Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic studyEuropean Spine Journal, 1999
- Low back pain in a population of school childrenEuropean Spine Journal, 1999
- Non-specific low back pain in children and adolescents: risk factorsEuropean Spine Journal, 1999