The grade in physical education in adolescence as predictor for musculoskeletal pain diagnoses three decades later.
(2010) In Pain 150. p.414-419- Abstract
- We hypothesized that a low grade in physical education (PE) is associated with an increased risk of future musculoskeletal conditions, especially chronic pain. Using a historical cohort study design, we identified all students (mean age 16.0years), who in 1974-1976 graduated from compulsory school in a Swedish municipality and retrieved their PE grades. We ensured that persons were still alive and resident in the county in 2003-2007 and linked data to the Skåne Health Care Register covering all in- and outpatient care in the county. Diagnoses in focus were soft tissue pain, back pain, and osteoarthritis registered as ICD-10 codes. We used a logistic regression model adjusted for education and occupation to investigate the associations... (More)
- We hypothesized that a low grade in physical education (PE) is associated with an increased risk of future musculoskeletal conditions, especially chronic pain. Using a historical cohort study design, we identified all students (mean age 16.0years), who in 1974-1976 graduated from compulsory school in a Swedish municipality and retrieved their PE grades. We ensured that persons were still alive and resident in the county in 2003-2007 and linked data to the Skåne Health Care Register covering all in- and outpatient care in the county. Diagnoses in focus were soft tissue pain, back pain, and osteoarthritis registered as ICD-10 codes. We used a logistic regression model adjusted for education and occupation to investigate the associations between the PE grade and a future musculoskeletal diagnosis. An average grade served as reference group. Of 2298 graduates born 1957-1962, 1712 (74.5%) were resident in the county at follow-up. Women with a low (bad) PE grade had an increased odds ratio (OR) for a musculoskeletal diagnosis OR=1.5 (95% CI=1.0-2.2) as well as for the subgroup "Other soft tissue disorders, not elsewhere classified" (M79) OR=1.9 (95% CI=1.0-3.3), containing mostly chronic soft tissue pain disorders. In men with a high (good) PE grade, we found a decreased risk for "Soft tissue disorders" (M60-M79) OR=0.54 (95% CI=0.33-0.86) as well as for the subgroup "Other enthesopathies" (M77) OR=0.29 (95% CI=0.11-0.78). This study indicates that adolescent girls with a low PE grade could be an important group to target with early interventions to reduce future musculoskeletal illness. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1644638
- author
- Timpka, Simon LU ; Petersson, Ingemar LU and Englund, Martin LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Pain
- volume
- 150
- pages
- 414 - 419
- publisher
- Elsevier
- external identifiers
-
- wos:000281675000011
- pmid:20650564
- scopus:77955566467
- pmid:20650564
- ISSN
- 1872-6623
- DOI
- 10.1016/j.pain.2010.03.035
- language
- English
- LU publication?
- yes
- id
- a75283bd-9748-4884-91e2-94324b9ffd65 (old id 1644638)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20650564?dopt=Abstract
- date added to LUP
- 2016-04-04 07:29:00
- date last changed
- 2022-01-29 02:16:34
@article{a75283bd-9748-4884-91e2-94324b9ffd65, abstract = {{We hypothesized that a low grade in physical education (PE) is associated with an increased risk of future musculoskeletal conditions, especially chronic pain. Using a historical cohort study design, we identified all students (mean age 16.0years), who in 1974-1976 graduated from compulsory school in a Swedish municipality and retrieved their PE grades. We ensured that persons were still alive and resident in the county in 2003-2007 and linked data to the Skåne Health Care Register covering all in- and outpatient care in the county. Diagnoses in focus were soft tissue pain, back pain, and osteoarthritis registered as ICD-10 codes. We used a logistic regression model adjusted for education and occupation to investigate the associations between the PE grade and a future musculoskeletal diagnosis. An average grade served as reference group. Of 2298 graduates born 1957-1962, 1712 (74.5%) were resident in the county at follow-up. Women with a low (bad) PE grade had an increased odds ratio (OR) for a musculoskeletal diagnosis OR=1.5 (95% CI=1.0-2.2) as well as for the subgroup "Other soft tissue disorders, not elsewhere classified" (M79) OR=1.9 (95% CI=1.0-3.3), containing mostly chronic soft tissue pain disorders. In men with a high (good) PE grade, we found a decreased risk for "Soft tissue disorders" (M60-M79) OR=0.54 (95% CI=0.33-0.86) as well as for the subgroup "Other enthesopathies" (M77) OR=0.29 (95% CI=0.11-0.78). This study indicates that adolescent girls with a low PE grade could be an important group to target with early interventions to reduce future musculoskeletal illness.}}, author = {{Timpka, Simon and Petersson, Ingemar and Englund, Martin}}, issn = {{1872-6623}}, language = {{eng}}, pages = {{414--419}}, publisher = {{Elsevier}}, series = {{Pain}}, title = {{The grade in physical education in adolescence as predictor for musculoskeletal pain diagnoses three decades later.}}, url = {{http://dx.doi.org/10.1016/j.pain.2010.03.035}}, doi = {{10.1016/j.pain.2010.03.035}}, volume = {{150}}, year = {{2010}}, }