Association between lifestyle and musculoskeletal pain: cross-sectional study among 10,000 adults from the general working population

Jéssica Kirsch Micheletti, Rúni Bláfoss, Emil Sundstrup, Hans Bay, Carlos Marcelo Pastre, Lars Louis Andersen

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Abstract

BACKGROUND: Work-related musculoskeletal pain is a major cause of work disability and sickness absence. While pain is a multifactorial phenomenon being influenced by work as well as lifestyle, less is known about the association between specific lifestyle factors and the type of musculoskeletal pain. The aim of the study was to investigate if a dose-response association existed between lifestyle factors and musculoskeletal pain intensity in the low back and neck-shoulder.

METHODS: Currently employed wage earners (N = 10,427) replied in 2010 to questions about work environment, lifestyle and health. Logistic regression analyses adjusted for various confounders tested the association of alcohol intake, physical activity, fruit and vegetable intake, and smoking (explanatory variables) with low back pain and neck-shoulder pain intensity (outcomes variables, scale 0-9, where ≥4 is high pain).

RESULTS: The minimally adjusted model found that physical activity and fruit and vegetable intake were associated with lower risk of musculoskeletal pain, while smoking was associated with higher risk of musculoskeletal pain. In the fully adjusted model, physical activity ≥5 h per week was associated with lower risk of low back pain and neck-shoulder pain with risk ratios (RR) of 0.95 (95% CI 0.90-1.00) and 0.90 (95% CI 0.82-0.99), respectively. No association was found between alcohol intake and pain.

CONCLUSION: Being physically active associated with lower risk of having musculoskeletal pain, while smoking habits and healthy eating were associated with higher pain when adjusting for age and gender. Considering the continuously increasing retirement age in many societies, initiatives to promote healthy habits should still be a political priority to help the workers to stay healthy and cope to their work.

Original languageEnglish
Article number609
JournalBMC Musculoskeletal Disorders
Volume20
Number of pages8
ISSN1471-2474
DOIs
Publication statusPublished - 17. Dec 2019

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Cross-Sectional Studies
Population
Shoulder Pain
Neck Pain
Smoking
Low Back Pain
Vegetables
Habits
Fruit
Alcohols
Retirement
Salaries and Fringe Benefits
Logistic Models
Odds Ratio
Regression Analysis
Health

Keywords

  • Exercise, health, smoking
  • Low back pain
  • Musculoskeletal diseases, chronic pain
  • Neck pain

Cite this

Kirsch Micheletti, Jéssica ; Bláfoss, Rúni ; Sundstrup, Emil ; Bay, Hans ; Pastre, Carlos Marcelo ; Andersen, Lars Louis. / Association between lifestyle and musculoskeletal pain : cross-sectional study among 10,000 adults from the general working population. In: BMC Musculoskeletal Disorders. 2019 ; Vol. 20.
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title = "Association between lifestyle and musculoskeletal pain: cross-sectional study among 10,000 adults from the general working population",
abstract = "BACKGROUND: Work-related musculoskeletal pain is a major cause of work disability and sickness absence. While pain is a multifactorial phenomenon being influenced by work as well as lifestyle, less is known about the association between specific lifestyle factors and the type of musculoskeletal pain. The aim of the study was to investigate if a dose-response association existed between lifestyle factors and musculoskeletal pain intensity in the low back and neck-shoulder.METHODS: Currently employed wage earners (N = 10,427) replied in 2010 to questions about work environment, lifestyle and health. Logistic regression analyses adjusted for various confounders tested the association of alcohol intake, physical activity, fruit and vegetable intake, and smoking (explanatory variables) with low back pain and neck-shoulder pain intensity (outcomes variables, scale 0-9, where ≥4 is high pain).RESULTS: The minimally adjusted model found that physical activity and fruit and vegetable intake were associated with lower risk of musculoskeletal pain, while smoking was associated with higher risk of musculoskeletal pain. In the fully adjusted model, physical activity ≥5 h per week was associated with lower risk of low back pain and neck-shoulder pain with risk ratios (RR) of 0.95 (95{\%} CI 0.90-1.00) and 0.90 (95{\%} CI 0.82-0.99), respectively. No association was found between alcohol intake and pain.CONCLUSION: Being physically active associated with lower risk of having musculoskeletal pain, while smoking habits and healthy eating were associated with higher pain when adjusting for age and gender. Considering the continuously increasing retirement age in many societies, initiatives to promote healthy habits should still be a political priority to help the workers to stay healthy and cope to their work.",
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Association between lifestyle and musculoskeletal pain : cross-sectional study among 10,000 adults from the general working population. / Kirsch Micheletti, Jéssica; Bláfoss, Rúni; Sundstrup, Emil; Bay, Hans; Pastre, Carlos Marcelo; Andersen, Lars Louis.

In: BMC Musculoskeletal Disorders, Vol. 20, 609, 17.12.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Association between lifestyle and musculoskeletal pain

T2 - cross-sectional study among 10,000 adults from the general working population

AU - Kirsch Micheletti, Jéssica

AU - Bláfoss, Rúni

AU - Sundstrup, Emil

AU - Bay, Hans

AU - Pastre, Carlos Marcelo

AU - Andersen, Lars Louis

PY - 2019/12/17

Y1 - 2019/12/17

N2 - BACKGROUND: Work-related musculoskeletal pain is a major cause of work disability and sickness absence. While pain is a multifactorial phenomenon being influenced by work as well as lifestyle, less is known about the association between specific lifestyle factors and the type of musculoskeletal pain. The aim of the study was to investigate if a dose-response association existed between lifestyle factors and musculoskeletal pain intensity in the low back and neck-shoulder.METHODS: Currently employed wage earners (N = 10,427) replied in 2010 to questions about work environment, lifestyle and health. Logistic regression analyses adjusted for various confounders tested the association of alcohol intake, physical activity, fruit and vegetable intake, and smoking (explanatory variables) with low back pain and neck-shoulder pain intensity (outcomes variables, scale 0-9, where ≥4 is high pain).RESULTS: The minimally adjusted model found that physical activity and fruit and vegetable intake were associated with lower risk of musculoskeletal pain, while smoking was associated with higher risk of musculoskeletal pain. In the fully adjusted model, physical activity ≥5 h per week was associated with lower risk of low back pain and neck-shoulder pain with risk ratios (RR) of 0.95 (95% CI 0.90-1.00) and 0.90 (95% CI 0.82-0.99), respectively. No association was found between alcohol intake and pain.CONCLUSION: Being physically active associated with lower risk of having musculoskeletal pain, while smoking habits and healthy eating were associated with higher pain when adjusting for age and gender. Considering the continuously increasing retirement age in many societies, initiatives to promote healthy habits should still be a political priority to help the workers to stay healthy and cope to their work.

AB - BACKGROUND: Work-related musculoskeletal pain is a major cause of work disability and sickness absence. While pain is a multifactorial phenomenon being influenced by work as well as lifestyle, less is known about the association between specific lifestyle factors and the type of musculoskeletal pain. The aim of the study was to investigate if a dose-response association existed between lifestyle factors and musculoskeletal pain intensity in the low back and neck-shoulder.METHODS: Currently employed wage earners (N = 10,427) replied in 2010 to questions about work environment, lifestyle and health. Logistic regression analyses adjusted for various confounders tested the association of alcohol intake, physical activity, fruit and vegetable intake, and smoking (explanatory variables) with low back pain and neck-shoulder pain intensity (outcomes variables, scale 0-9, where ≥4 is high pain).RESULTS: The minimally adjusted model found that physical activity and fruit and vegetable intake were associated with lower risk of musculoskeletal pain, while smoking was associated with higher risk of musculoskeletal pain. In the fully adjusted model, physical activity ≥5 h per week was associated with lower risk of low back pain and neck-shoulder pain with risk ratios (RR) of 0.95 (95% CI 0.90-1.00) and 0.90 (95% CI 0.82-0.99), respectively. No association was found between alcohol intake and pain.CONCLUSION: Being physically active associated with lower risk of having musculoskeletal pain, while smoking habits and healthy eating were associated with higher pain when adjusting for age and gender. Considering the continuously increasing retirement age in many societies, initiatives to promote healthy habits should still be a political priority to help the workers to stay healthy and cope to their work.

KW - Exercise, health, smoking

KW - Low back pain

KW - Musculoskeletal diseases, chronic pain

KW - Neck pain

U2 - 10.1186/s12891-019-3002-5

DO - 10.1186/s12891-019-3002-5

M3 - Journal article

C2 - 31847824

VL - 20

JO - B M C Musculoskeletal Disorders

JF - B M C Musculoskeletal Disorders

SN - 1471-2474

M1 - 609

ER -