Patterns of multisite pain and associations with risk factors
نویسندگان
چکیده
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. Associations with pain outcomes were assessed by Poisson regression, and characterised by prevalence rate ratios (PRRs). Extensive pain, affecting 6-10 anatomical sites, was reported much more frequently than would be expected if the occurrence of pain at each site were independent (674 participants vs 41.9 expected). In comparison with pain involving only 1-3 sites, it showed much stronger associations (relative to no pain) with risk factors such as female sex (PRR 1.6 vs 1.1), older age (PRR 2.6 vs 1.1), somatising tendency (PRR 4.6 vs 1.3), and exposure to multiple physically stressing occupational activities (PRR 5.0 vs 1.4). After adjustment for number of sites with pain, these risk factors showed no additional association with a distribution of pain that was widespread according to the frequently used American College of Rheumatology criteria. Our analysis supports the classification of pain at multiple anatomical sites simply by the number of sites affected, and suggests that extensive pain differs importantly in its associations with risk factors from pain that is limited to only a small number of anatomical sites.
منابع مشابه
The concurrence of musculoskeletal pain and associated work-related factors: a cross sectional study
BACKGROUND Several recent studies have described the presence of musculoskeletal complaints, presenting evidence that multisite musculoskeletal pain (MP) is more often present than single-site musculoskeletal pain. However, less is known about determinants of this multimorbidity, particularly, concerning the role of occupational factors and, mainly, what determines single or multisite pain. Thi...
متن کاملMultisite musculoskeletal pain among young technical school students entering working life
BACKGROUND There is a need to investigate the occurrence of multisite pain in young adults and to determine potential factors contributing to the early course of multisite musculoskeletal pain. The aim of this prospective study was to assess the occurrence and change of prevalence in the number of pain sites. We also wanted to identify work-related and individual risk factors associated with th...
متن کاملWestern and Healthy Dietary Patterns and Risk of Rheumatoid Arthritis: A Case-Control Study
Background and Objectives: Rheumatoid arthritis (RA) is an inflammatory autoimmune disease characterized by swelling, stiffness and pain in body joints. Based on the epidemiological studies, RA is less severe in Southern Mediterranean regions, where fish, olive oil, fruits and vegetables are consumed in great quantities. Materials and Methods: This study was carried out in a case-control desig...
متن کاملبررسی ارتباط بین الگوهای غذایی و شیوع سندرم روده تحریک پذیر
Introduction & Objective: Although several dietary factors have been reported to alleviate or ag-gravate the symptoms of irritable bowel syndrome (IBS), no information is available linking dietary patterns to irritable bowel syndrome. Objective: This study was undertaken to assess the association between dietary patterns and the risk of irritable bowel syndrome among Ira-nian adults. Material...
متن کاملAssociation of parental chronic pain with chronic pain in the adolescent and young adult: family linkage data from the HUNT Study.
OBJECTIVES To examine a possible association of parental chronic pain with chronic pain in the adolescent and young adult and to explore whether a relationship could be explained by socioeconomic and psychosocial factors or may be affected by differences in family structure. DESIGN Unselected, population-based, cross-sectional study. SETTING Nord-Trøndelag County, Norway. PARTICIPANTS All...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 154 شماره
صفحات -
تاریخ انتشار 2013