Icons / Logo / Facebook Created with Sketch. Icons / Logo / Google Created with Sketch. Icons / Logo / ORCID Created with Sketch. Branding/Logomark minus Citation Combined Shape Icon/Bookmark-empty Icon/Copy Icon/Collection Icon/Close Copy 7 no author result Created with Sketch. Icon/Back Created with Sketch. Match!

Multisite musculoskeletal pain trajectories from midlife to old age: a 28-year follow-up of municipal employees

Published on Dec 1, 2018in Occupational and Environmental Medicine 3.56
· DOI :10.1136/oemed-2018-105235
Subas Neupane16
Estimated H-index: 16
(UTA: University of Tampere),
Clas-Håkan Nygård28
Estimated H-index: 28
(UTA: University of Tampere)
+ 6 AuthorsPäivi Leino-Arjas41
Estimated H-index: 41
(Finnish Institute of Occupational Health)
Cite
Abstract
Objectives We studied the developmental trajectories of multisite musculoskeletal pain (MSP) to learn whether pain in midlife persists to old age, and whether pain trajectories associate with midlife work or lifestyle exposures or retirement from work. Methods Municipal employees aged 44–58 years were studied in 1981 (n=6257) with follow-ups in 1985, 1992, 1997 and 2009. Pain in the neck, low back, and upper and lower limbs was assessed in each survey. Trajectories of the number (0–4) of pain sites were defined using growth mixture modelling (n=3093). Workload, lifestyle and morbidity were elicited by questionnaire and retirement from registries. Associations of baseline factors with pain trajectories were assessed by multinomial logistic regression. Cumulative hazard curves for retirement by trajectory group were calculated. Results Three trajectories of pain over 28 years emerged: low (25%), moderate (52%) and high-decreasing (23%). In the latter, the number of pain sites first decreased sharply, stabilising to a moderate level after most subjects had retired. The disability pension rate was highest in this trajectory, which associated with high baseline morbidity, particularly musculoskeletal disorder (OR 8.06; 95% CI 5.97 to 10.87). Also high biomechanical exposure (2.86;95% CI 2.16 to 3.78), high job demands (1.79; 95% CI 1.39 to 2.30), high job control (OR 0.70; 95% CI 0.54 to 0.90), body mass index (BMI) ≥25.0 kg/m 2 (1.40; 95% CI 1.09 to 1.80) and low leisure-time physical activity (LTPA) (1.39; 95% CI 1.09 to 1.78) at baseline were associated with this trajectory. However, high LTPA and BMI in repeated surveys also associated with the high-decreasing trajectory. Conclusion MSP in midlife often persists to old age. However, high widespreadness of pain may decrease with retirement from work.
  • References (31)
  • Citations (1)
Cite
References31
Newest
Published on Jan 1, 2018in Pain 6.03
Päivi Leino-Arjas41
Estimated H-index: 41
,
Kristiina Rajaleid9
Estimated H-index: 9
+ 3 AuthorsAnne Hammarström36
Estimated H-index: 36
Depression and musculoskeletal pain are associated, but long-term follow-up studies are rare. We aimed to examine the relationship of early depressive symptoms with developmental patterns of muscul ...
Published on Dec 1, 2017in American Journal of Epidemiology 4.47
K C Prakash2
Estimated H-index: 2
(UTA: University of Tampere),
Subas Neupane16
Estimated H-index: 16
(UTA: University of Tampere)
+ 6 AuthorsClas-Håkan Nygård28
Estimated H-index: 28
(UTA: University of Tampere)
Published on Jul 1, 2017in Occupational and Environmental Medicine 3.56
Subas Neupane16
Estimated H-index: 16
(RMIT: RMIT University),
Päivi Leino-Arjas41
Estimated H-index: 41
(Finnish Institute of Occupational Health)
+ 2 AuthorsPekka Virtanen29
Estimated H-index: 29
(RMIT: RMIT University)
Objective To investigate the developmental pathways of multisite musculoskeletal pain (MSP) and the effect of physical and psychosocial working conditions on the development of MSP trajectories. Methods The study was conducted among food industry workers (N=868) using a longitudinal design. Surveys were conducted every 2 years from 2003 to 2009. The questionnaire covered MSP, physical and psychosocial working conditions (physical strain, environmental factors, repetitive movements, awkward postu...
Published on Feb 1, 2017in The Journal of Pain 5.42
Ellen Generaal5
Estimated H-index: 5
(VUmc: VU University Medical Center),
Nicole Vogelzangs39
Estimated H-index: 39
(VUmc: VU University Medical Center)
+ 5 AuthorsBrenda W.J.H. Penninx5
Estimated H-index: 5
(VUmc: VU University Medical Center)
Dysfunction of biological stress systems and adverse life events, independently and in interaction, have been hypothesized to predict chronic pain persistence. Conversely, these factors may hamper the improvement of chronic pain. Longitudinal evidence is currently lacking. We examined whether: 1) function of biological stress systems, 2) adverse life events, and 3) their combination predict the improvement of chronic multisite musculoskeletal pain. Subjects of the Netherlands Study of Depression...
Published on Feb 1, 2017in Annals of the Rheumatic Diseases 14.30
Gary J. Macfarlane79
Estimated H-index: 79
(Aberd.: University of Aberdeen),
Caroline Kronisch3
Estimated H-index: 3
(Aberd.: University of Aberdeen)
+ 16 AuthorsJaime Branco24
Estimated H-index: 24
(NSU: Nova Southeastern University)
Objective The original European League Against Rheumatism recommendations for managing fibromyalgia assessed evidence up to 2005. The paucity of studies meant that most recommendations were ‘expert opinion’. Methods A multidisciplinary group from 12 countries assessed evidence with a focus on systematic reviews and meta-analyses concerned with pharmacological/non-pharmacological management for fibromyalgia. A review, in May 2015, identified eligible publications and key outcomes assessed were pa...
Sari Stenholm28
Estimated H-index: 28
(National Institute for Health and Welfare),
Anna Pulakka6
Estimated H-index: 6
(UTU: University of Turku)
+ 5 AuthorsJussi Vahtera84
Estimated H-index: 84
(UTU: University of Turku)
Background Retirement is a major life transition which may affect lifestyle. The aim of this study is to examine within-individual changes in physical activity during the transition from full-time work to retirement.
Published on Oct 1, 2016in The Lancet 59.10
Haidong Wang40
Estimated H-index: 40
(UW: University of Washington),
Mohsen Naghavi80
Estimated H-index: 80
(UW: University of Washington)
+ 769 AuthorsMatthew M Coates19
Estimated H-index: 19
(UW: University of Washington)
Summary Background Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns based on sociodemographic measures. Methods We...
K C Prakash2
Estimated H-index: 2
(UTA: University of Tampere),
Subas Neupane16
Estimated H-index: 16
(UTA: University of Tampere)
+ 6 AuthorsClas-Håkan Nygård28
Estimated H-index: 28
(UTA: University of Tampere)
Purpose Occupations during adult life may have long-term effects and subsequently increase the risk of disability in old age. We investigated the associations between job profile groups in midlife and disability in old age for women and men.
Published on Dec 2, 2014in Psychology & Health 2.40
Auli Airila6
Estimated H-index: 6
(Finnish Institute of Occupational Health),
Jari J. Hakanen21
Estimated H-index: 21
(Finnish Institute of Occupational Health)
+ 3 AuthorsPäivi Leino-Arjas41
Estimated H-index: 41
(Finnish Institute of Occupational Health)
Objective: To investigate developmental paths in multisite musculoskeletal pain (MPS) and depressive symptoms (DPS) and the effects of job demands (JD), job resources (JR), optimism and health-related lifestyle on these paths. We expected to find four trajectories – Low Symptoms, High Pain, High Depression and High Symptoms – and hypothesised that high JDs, low JRs, low optimism and adverse lifestyle predict belonging to trajectories with high symptom levels.Design: Data on Finnish firefighters ...
Published on Sep 1, 2013in Pain 6.03
David Coggon62
Estimated H-index: 62
(University of Southampton),
Georgia Ntani18
Estimated H-index: 18
(University of Southampton)
+ 53 AuthorsSergio Vargas-Prada10
Estimated H-index: 10
(UPF: Pompeu Fabra University)
To explore definitions for multisite pain, and compare associations with risk factors for different patterns of musculoskeletal pain, we analysed cross-sectional data from the Cultural and Psychosocial Influences on Disability (CUPID) study. The study sample comprised 12,410 adults aged 20–59 years from 47 occupational groups in 18 countries. A standardised questionnaire was used to collect information about pain in the past month at each of 10 anatomical sites, and about potential risk factors....
Cited By1
Newest
Published on May 1, 2019in Scandinavian Journal of Public Health 1.76
Kristoffer Larsen Norheim3
Estimated H-index: 3
(AAU: Aalborg University),
Afshin Samani16
Estimated H-index: 16
(AAU: Aalborg University)
+ 2 AuthorsPascal Madeleine37
Estimated H-index: 37
(AAU: Aalborg University)
Aims: To investigate the associations between both high- and low-intensity leisure-time physical activity on physical-work ability and chronic musculoskeletal complaints among manual workers aged 50–70 years. Methods: In this cross-sectional study, 1763 manual workers (mean age 57.1, SD ± 4.7 years) replied to questions about leisure-time physical activity, physical-work ability, chronic musculoskeletal complaints as well as health and lifestyle factors. Ordinal and binomial logistic regression ...