Epidemiology of spinal pain in children

a study within the Danish National Birth Cohort

Anne Cathrine Joergensen*, Lise Hestbaek, Per Kragh Andersen, Anne-Marie Nybo Andersen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

This study aims to describe the prevalence of spinal pain among Danish children, explore the differential nature of spinal pain, and investigate socio-demographic factors predisposing spinal pain. A descriptive study of 46,726 11-14-year-olds participating in the Danish National Birth Cohort was conducted. Self-reported spinal pain (neck, middle back, and low back pain) was registered and classified according to severity. Socioeconomic data on children and their parents were identified in Statistics Denmark registers. Associations between socio-demographic factors and aspects of spinal pain were estimated using multinomial logistic regression models. To account for sample selection, inverse probability weighting (IPW) was applied. Almost 10% boys and 14% girls reported severe spinal pain, whereas around 30% of all children reported moderate pain. Effect estimates indicated the risk to increase with increasing age. Further, children without biological full siblings, not living with both of their parents, or children living in less-educated or lower-income families were more likely to experience spinal pain. The study conclusions were essentially unaffected by IPW.Conclusion: A considerable number of children suffer from spinal pain, and it is more common among children in more disadvantaged families. Etiology of spinal pain needs to be explored further with the aim of informing efficient and targeted prevention. What is Known: • Childhood spinal pain may cause marked discomfort and impairment in children's everyday life, and is suggested as important predictor of later-in-life spinal pain. • Methodological heterogeneity in previous studies and complexity of measuring pain make inferences at a broader level inadequate. What is New: • Prevalence of severe spinal pain in 11-14-year-olds was estimated to almost 10% for boys and 14% for girls, and children in more disadvantaged families were more likely to experience spinal pain. • The results seemed unaffected by sample selection.

Original languageEnglish
JournalEuropean Journal of Pediatrics
Volume178
Issue number5
Pages (from-to)695-706
ISSN0340-6199
DOIs
Publication statusPublished - May 2019

Fingerprint

Epidemiology
Vulnerable Populations
Parents
Logistic Models
Neck Pain
Denmark
Low Back Pain
Siblings

Keywords

  • Adolescent
  • Back Pain/diagnosis
  • Child
  • Cross-Sectional Studies
  • Denmark/epidemiology
  • Female
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Pain Measurement
  • Prevalence
  • Risk Factors
  • Socioeconomic Factors

Cite this

Joergensen, Anne Cathrine ; Hestbaek, Lise ; Andersen, Per Kragh ; Nybo Andersen, Anne-Marie. / Epidemiology of spinal pain in children : a study within the Danish National Birth Cohort. In: European Journal of Pediatrics. 2019 ; Vol. 178, No. 5. pp. 695-706.
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title = "Epidemiology of spinal pain in children: a study within the Danish National Birth Cohort",
abstract = "This study aims to describe the prevalence of spinal pain among Danish children, explore the differential nature of spinal pain, and investigate socio-demographic factors predisposing spinal pain. A descriptive study of 46,726 11-14-year-olds participating in the Danish National Birth Cohort was conducted. Self-reported spinal pain (neck, middle back, and low back pain) was registered and classified according to severity. Socioeconomic data on children and their parents were identified in Statistics Denmark registers. Associations between socio-demographic factors and aspects of spinal pain were estimated using multinomial logistic regression models. To account for sample selection, inverse probability weighting (IPW) was applied. Almost 10{\%} boys and 14{\%} girls reported severe spinal pain, whereas around 30{\%} of all children reported moderate pain. Effect estimates indicated the risk to increase with increasing age. Further, children without biological full siblings, not living with both of their parents, or children living in less-educated or lower-income families were more likely to experience spinal pain. The study conclusions were essentially unaffected by IPW.Conclusion: A considerable number of children suffer from spinal pain, and it is more common among children in more disadvantaged families. Etiology of spinal pain needs to be explored further with the aim of informing efficient and targeted prevention. What is Known: • Childhood spinal pain may cause marked discomfort and impairment in children's everyday life, and is suggested as important predictor of later-in-life spinal pain. • Methodological heterogeneity in previous studies and complexity of measuring pain make inferences at a broader level inadequate. What is New: • Prevalence of severe spinal pain in 11-14-year-olds was estimated to almost 10{\%} for boys and 14{\%} for girls, and children in more disadvantaged families were more likely to experience spinal pain. • The results seemed unaffected by sample selection.",
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author = "Joergensen, {Anne Cathrine} and Lise Hestbaek and Andersen, {Per Kragh} and {Nybo Andersen}, Anne-Marie",
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Epidemiology of spinal pain in children : a study within the Danish National Birth Cohort. / Joergensen, Anne Cathrine; Hestbaek, Lise; Andersen, Per Kragh; Nybo Andersen, Anne-Marie.

In: European Journal of Pediatrics, Vol. 178, No. 5, 05.2019, p. 695-706.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Epidemiology of spinal pain in children

T2 - a study within the Danish National Birth Cohort

AU - Joergensen, Anne Cathrine

AU - Hestbaek, Lise

AU - Andersen, Per Kragh

AU - Nybo Andersen, Anne-Marie

PY - 2019/5

Y1 - 2019/5

N2 - This study aims to describe the prevalence of spinal pain among Danish children, explore the differential nature of spinal pain, and investigate socio-demographic factors predisposing spinal pain. A descriptive study of 46,726 11-14-year-olds participating in the Danish National Birth Cohort was conducted. Self-reported spinal pain (neck, middle back, and low back pain) was registered and classified according to severity. Socioeconomic data on children and their parents were identified in Statistics Denmark registers. Associations between socio-demographic factors and aspects of spinal pain were estimated using multinomial logistic regression models. To account for sample selection, inverse probability weighting (IPW) was applied. Almost 10% boys and 14% girls reported severe spinal pain, whereas around 30% of all children reported moderate pain. Effect estimates indicated the risk to increase with increasing age. Further, children without biological full siblings, not living with both of their parents, or children living in less-educated or lower-income families were more likely to experience spinal pain. The study conclusions were essentially unaffected by IPW.Conclusion: A considerable number of children suffer from spinal pain, and it is more common among children in more disadvantaged families. Etiology of spinal pain needs to be explored further with the aim of informing efficient and targeted prevention. What is Known: • Childhood spinal pain may cause marked discomfort and impairment in children's everyday life, and is suggested as important predictor of later-in-life spinal pain. • Methodological heterogeneity in previous studies and complexity of measuring pain make inferences at a broader level inadequate. What is New: • Prevalence of severe spinal pain in 11-14-year-olds was estimated to almost 10% for boys and 14% for girls, and children in more disadvantaged families were more likely to experience spinal pain. • The results seemed unaffected by sample selection.

AB - This study aims to describe the prevalence of spinal pain among Danish children, explore the differential nature of spinal pain, and investigate socio-demographic factors predisposing spinal pain. A descriptive study of 46,726 11-14-year-olds participating in the Danish National Birth Cohort was conducted. Self-reported spinal pain (neck, middle back, and low back pain) was registered and classified according to severity. Socioeconomic data on children and their parents were identified in Statistics Denmark registers. Associations between socio-demographic factors and aspects of spinal pain were estimated using multinomial logistic regression models. To account for sample selection, inverse probability weighting (IPW) was applied. Almost 10% boys and 14% girls reported severe spinal pain, whereas around 30% of all children reported moderate pain. Effect estimates indicated the risk to increase with increasing age. Further, children without biological full siblings, not living with both of their parents, or children living in less-educated or lower-income families were more likely to experience spinal pain. The study conclusions were essentially unaffected by IPW.Conclusion: A considerable number of children suffer from spinal pain, and it is more common among children in more disadvantaged families. Etiology of spinal pain needs to be explored further with the aim of informing efficient and targeted prevention. What is Known: • Childhood spinal pain may cause marked discomfort and impairment in children's everyday life, and is suggested as important predictor of later-in-life spinal pain. • Methodological heterogeneity in previous studies and complexity of measuring pain make inferences at a broader level inadequate. What is New: • Prevalence of severe spinal pain in 11-14-year-olds was estimated to almost 10% for boys and 14% for girls, and children in more disadvantaged families were more likely to experience spinal pain. • The results seemed unaffected by sample selection.

KW - Adolescent

KW - Back Pain/diagnosis

KW - Child

KW - Cross-Sectional Studies

KW - Denmark/epidemiology

KW - Female

KW - Health Surveys

KW - Humans

KW - Logistic Models

KW - Male

KW - Pain Measurement

KW - Prevalence

KW - Risk Factors

KW - Socioeconomic Factors

U2 - 10.1007/s00431-019-03326-7

DO - 10.1007/s00431-019-03326-7

M3 - Journal article

VL - 178

SP - 695

EP - 706

JO - European Journal of Pediatrics

JF - European Journal of Pediatrics

SN - 0340-6199

IS - 5

ER -