The impact of chronic widespread pain on health status and long-term health predictors : A general population cohort study
Sylwander, Charlotte ; Larsson, Ingrid LU
; Andersson, Maria
LU
and Bergman, Stefan
LU
(2020)
In BMC Musculoskeletal Disorders
21(1).
- Abstract
Background: Chronic widespread pain (CWP) has a negative impact on health status, but results have varied regarding gender-related differences and reported health status. The aim was to study the impact of CWP on health status in women and men aged 35-54 years in a sample of the general population. The aim was further to investigate lifestyle-related predictors of better health status in those with CWP in a 12- and 21-year perspective. Method: A general population cohort study including 975 participants aged 35-54 years, with a 12- and 21-year follow-up. CWP was measured with a pain mannequin, and the questionnaire included questions on lifestyles factors with SF-36 for measurement of health status. Differences in health status were... (More)
Background: Chronic widespread pain (CWP) has a negative impact on health status, but results have varied regarding gender-related differences and reported health status. The aim was to study the impact of CWP on health status in women and men aged 35-54 years in a sample of the general population. The aim was further to investigate lifestyle-related predictors of better health status in those with CWP in a 12- and 21-year perspective. Method: A general population cohort study including 975 participants aged 35-54 years, with a 12- and 21-year follow-up. CWP was measured with a pain mannequin, and the questionnaire included questions on lifestyles factors with SF-36 for measurement of health status. Differences in health status were analysed with independent samples t-test and health predictors with logistic regression analysis. Results: The prevalence of CWP was higher in women at all time points, but health status was reduced in both women and men with CWP (p < 0.001) with no gender differences of clinical relevance. At the 12-year follow-up, a higher proportion of women than men had developed CWP (OR 2.04; CI 1.27-3.26), and at the 21-year follow-up, a higher proportion of men had recovered from CWP (OR 3.79; CI 1.00-14.33). In those reporting CWP at baseline, a better SF-36 health status (Physical Functioning, Vitality or Mental Health) at the 12-year follow-up was predicted by male gender, having personal support, being a former smoker, and having no sleeping problems. In the 21-year follow-up, predictors of better health were male gender, a weekly intake of alcohol, and having no sleeping problems. Conclusion: Women and men with CWP have the same worsening of health status, but men recover from CWP to a greater extent in the long-term. Being male, having social support, being a former smoker, and having no sleeping problems were associated with better health status in those with CWP.
(Less)
- author
- Sylwander, Charlotte
; Larsson, Ingrid
LU
; Andersson, Maria
LU
and Bergman, Stefan
LU
- organization
- publishing date
- 2020-01-16
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Chronic widespread pain, Gender differences, Health predictors, Health status
- in
- BMC Musculoskeletal Disorders
- volume
- 21
- issue
- 1
- article number
- 36
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85078005945
- pmid:31948483
- ISSN
- 1471-2474
- DOI
- 10.1186/s12891-020-3039-5
- language
- English
- LU publication?
- yes
- id
- e2cdc5a2-3fdd-4b54-8552-7db55dc621e6
- date added to LUP
- 2021-01-13 00:33:24
- date last changed
- 2024-03-20 23:46:13
@article{e2cdc5a2-3fdd-4b54-8552-7db55dc621e6,
abstract = {{<p>Background: Chronic widespread pain (CWP) has a negative impact on health status, but results have varied regarding gender-related differences and reported health status. The aim was to study the impact of CWP on health status in women and men aged 35-54 years in a sample of the general population. The aim was further to investigate lifestyle-related predictors of better health status in those with CWP in a 12- and 21-year perspective. Method: A general population cohort study including 975 participants aged 35-54 years, with a 12- and 21-year follow-up. CWP was measured with a pain mannequin, and the questionnaire included questions on lifestyles factors with SF-36 for measurement of health status. Differences in health status were analysed with independent samples t-test and health predictors with logistic regression analysis. Results: The prevalence of CWP was higher in women at all time points, but health status was reduced in both women and men with CWP (p < 0.001) with no gender differences of clinical relevance. At the 12-year follow-up, a higher proportion of women than men had developed CWP (OR 2.04; CI 1.27-3.26), and at the 21-year follow-up, a higher proportion of men had recovered from CWP (OR 3.79; CI 1.00-14.33). In those reporting CWP at baseline, a better SF-36 health status (Physical Functioning, Vitality or Mental Health) at the 12-year follow-up was predicted by male gender, having personal support, being a former smoker, and having no sleeping problems. In the 21-year follow-up, predictors of better health were male gender, a weekly intake of alcohol, and having no sleeping problems. Conclusion: Women and men with CWP have the same worsening of health status, but men recover from CWP to a greater extent in the long-term. Being male, having social support, being a former smoker, and having no sleeping problems were associated with better health status in those with CWP. </p>}},
author = {{Sylwander, Charlotte and Larsson, Ingrid and Andersson, Maria and Bergman, Stefan}},
issn = {{1471-2474}},
keywords = {{Chronic widespread pain; Gender differences; Health predictors; Health status}},
language = {{eng}},
month = {{01}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Musculoskeletal Disorders}},
title = {{The impact of chronic widespread pain on health status and long-term health predictors : A general population cohort study}},
url = {{http://dx.doi.org/10.1186/s12891-020-3039-5}},
doi = {{10.1186/s12891-020-3039-5}},
volume = {{21}},
year = {{2020}},
}