Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK)

Jeffrey J Hebert*, Charlotte Leboeuf-Yde, Claudia Franz, Arnaud Lardon, Lise Hestbæk, Neil Manson, Niels Wedderkopp

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

PURPOSE: To examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children.

METHODS: We recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1-5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders.

RESULTS: Data from 1021 children (53% female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95% CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95% CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95% CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95% CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent.

CONCLUSIONS: In young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose-response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients. These slides can be retrieved under Electronic Supplementary Material.

OriginalsprogEngelsk
TidsskriftEuropean Spine Journal
Vol/bind28
Udgave nummer7
Sider (fra-til)1565-1571
ISSN0940-6719
DOI
StatusUdgivet - jul. 2019

Fingeraftryk

Growth and Development
Text Messaging
Health Personnel
Pediatrics

Citer dette

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title = "Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK)",
abstract = "PURPOSE: To examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children.METHODS: We recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1-5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders.RESULTS: Data from 1021 children (53{\%} female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95{\%} CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95{\%} CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95{\%} CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95{\%} CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent.CONCLUSIONS: In young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose-response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients. These slides can be retrieved under Electronic Supplementary Material.",
keywords = "Back pain, Body height, Growth and development, Puberty, Risk factors",
author = "Hebert, {Jeffrey J} and Charlotte Leboeuf-Yde and Claudia Franz and Arnaud Lardon and Lise Hestb{\ae}k and Neil Manson and Niels Wedderkopp",
year = "2019",
month = "7",
doi = "10.1007/s00586-019-05905-6",
language = "English",
volume = "28",
pages = "1565--1571",
journal = "European Spine Journal",
issn = "0940-6719",
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Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK). / Hebert, Jeffrey J; Leboeuf-Yde, Charlotte; Franz, Claudia; Lardon, Arnaud; Hestbæk, Lise; Manson, Neil; Wedderkopp, Niels.

I: European Spine Journal, Bind 28, Nr. 7, 07.2019, s. 1565-1571.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK)

AU - Hebert, Jeffrey J

AU - Leboeuf-Yde, Charlotte

AU - Franz, Claudia

AU - Lardon, Arnaud

AU - Hestbæk, Lise

AU - Manson, Neil

AU - Wedderkopp, Niels

PY - 2019/7

Y1 - 2019/7

N2 - PURPOSE: To examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children.METHODS: We recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1-5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders.RESULTS: Data from 1021 children (53% female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95% CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95% CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95% CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95% CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent.CONCLUSIONS: In young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose-response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients. These slides can be retrieved under Electronic Supplementary Material.

AB - PURPOSE: To examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children.METHODS: We recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1-5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders.RESULTS: Data from 1021 children (53% female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95% CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95% CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95% CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95% CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent.CONCLUSIONS: In young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose-response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients. These slides can be retrieved under Electronic Supplementary Material.

KW - Back pain

KW - Body height

KW - Growth and development

KW - Puberty

KW - Risk factors

U2 - 10.1007/s00586-019-05905-6

DO - 10.1007/s00586-019-05905-6

M3 - Journal article

C2 - 30740638

VL - 28

SP - 1565

EP - 1571

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

IS - 7

ER -