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Multivariable modeling of factors associated with spinal pain in young adolescence

Mieke Dolphens, Stijn Vansteelandt UGent, Barbara Cagnie UGent, Adriaan Vleeming UGent, Jo Nijs, Guy Vanderstraeten UGent and Lieven Danneels UGent (2016) EUROPEAN SPINE JOURNAL. 25(9). p.2809-2821
abstract
Purpose: To investigate the factors related to the 1-month period prevalence of low back pain (LBP), neck pain (NP) and thoracic spine pain (TSP) in young adolescents, thereby considering potential correlates from the physical, sociodemographic, lifestyle, psychosocial and comorbid pain domains. Methods: In this cross-sectional baseline study, 69 factors potentially associated with spinal pain were assessed among 842 healthy adolescents before pubertal peak growth. With consideration for possible sex differences in associations, multivariable analysis was used to simultaneously evaluate contributions of all variables collected in the 5 domains. Results: A significantly higher odds of LBP was shown for having high levels of psychosomatic complaints (odds ratio: 4.4; 95% confidence interval: 1.6-11.9), a high lumbar lordotic apex, retroversed pelvis, introverted personality, and high levels of negative over positive affect. Associations with a higher prevalence and odds of NP were found for psychosomatic complaints (7.8; 2.5-23.9), TSP in the last month (4.9;2.2-10.8), backward trunk lean, high levels of negative over positive affect and depressed mood. Having experienced LBP (2.7; 1.3-5.7) or NP (5.5; 2.6-11.8) in the preceding month was associated with a higher odds of TSP, as were low self-esteem, excessive physical activity, sedentarism and not achieving the Fit-norm. Conclusions: Psychosomatic symptoms and pain comorbidities had the strongest association with 1-month period prevalence of spinal pain in young adolescents, followed by factors from the physical and psychosocial domains. The role that “physical factors” play in non-adult spinal pain may have been underestimated by previous studies.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
adolescent, spinal pain, multivariate analysis, neck pain, back pain, LOW-BACK-PAIN, QUADRANT MUSCULOSKELETAL PAIN, SAGITTAL STANDING ALIGNMENT, PSYCHOLOGICAL RISK-FACTORS, HIGH-SCHOOL-STUDENTS, 4-YEAR FOLLOW-UP, NECK PAIN, PSYCHOSOCIAL FACTORS, PHYSICAL-ACTIVITY, SHOULDER PAIN
journal title
EUROPEAN SPINE JOURNAL
Eur. Spine J.
volume
25
issue
9
pages
2809 - 2821
Web of Science type
Article
Web of Science id
000383465500015
JCR category
ORTHOPEDICS
JCR impact factor
2.563 (2016)
JCR rank
18/76 (2016)
JCR quartile
1 (2016)
ISSN
0940-6719
DOI
10.1007/s00586-016-4629-7
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
7237412
handle
http://hdl.handle.net/1854/LU-7237412
date created
2016-05-30 11:21:59
date last changed
2017-04-21 11:15:22
@article{7237412,
  abstract     = {Purpose: To investigate the factors related to the 1-month period prevalence of low back pain (LBP), neck pain (NP) and thoracic spine pain (TSP) in young adolescents, thereby considering potential correlates from the physical, sociodemographic, lifestyle, psychosocial and comorbid pain domains. 
Methods: In this cross-sectional baseline study, 69 factors potentially associated with spinal pain were assessed among 842 healthy adolescents before pubertal peak growth. With consideration for possible sex differences in associations, multivariable analysis was used to simultaneously evaluate contributions of all variables collected in the 5 domains. 
Results: A significantly higher odds of LBP was shown for having high levels of psychosomatic complaints (odds ratio: 4.4; 95\% confidence interval: 1.6-11.9), a high lumbar lordotic apex, retroversed pelvis, introverted personality, and high levels of negative over positive affect. Associations with a higher prevalence and odds of NP were found for psychosomatic complaints (7.8; 2.5-23.9), TSP in the last month (4.9;2.2-10.8), backward trunk lean, high levels of negative over positive affect and depressed mood. Having experienced LBP (2.7; 1.3-5.7) or NP (5.5; 2.6-11.8) in the preceding month was associated with a higher odds of TSP, as were low self-esteem, excessive physical activity, sedentarism and not achieving the Fit-norm. 
Conclusions: Psychosomatic symptoms and pain comorbidities had the strongest association with 1-month period prevalence of spinal pain in young adolescents, followed by factors from the physical and psychosocial domains. The role that {\textquotedblleft}physical factors{\textquotedblright} play in non-adult spinal pain may have been underestimated by previous studies.},
  author       = {Dolphens, Mieke and Vansteelandt, Stijn and Cagnie, Barbara and Vleeming, Adriaan and Nijs, Jo and Vanderstraeten, Guy and Danneels, Lieven},
  issn         = {0940-6719},
  journal      = {EUROPEAN SPINE JOURNAL},
  keyword      = {adolescent,spinal pain,multivariate analysis,neck pain,back pain,LOW-BACK-PAIN,QUADRANT MUSCULOSKELETAL PAIN,SAGITTAL STANDING ALIGNMENT,PSYCHOLOGICAL RISK-FACTORS,HIGH-SCHOOL-STUDENTS,4-YEAR FOLLOW-UP,NECK PAIN,PSYCHOSOCIAL FACTORS,PHYSICAL-ACTIVITY,SHOULDER PAIN},
  language     = {eng},
  number       = {9},
  pages        = {2809--2821},
  title        = {Multivariable modeling of factors associated with spinal pain in young adolescence},
  url          = {http://dx.doi.org/10.1007/s00586-016-4629-7},
  volume       = {25},
  year         = {2016},
}

Chicago
Dolphens, Mieke, Stijn Vansteelandt, Barbara Cagnie, Adriaan Vleeming, Jo Nijs, Guy Vanderstraeten, and Lieven Danneels. 2016. “Multivariable Modeling of Factors Associated with Spinal Pain in Young Adolescence.” European Spine Journal 25 (9): 2809–2821.
APA
Dolphens, M., Vansteelandt, S., Cagnie, B., Vleeming, A., Nijs, J., Vanderstraeten, G., & Danneels, L. (2016). Multivariable modeling of factors associated with spinal pain in young adolescence. EUROPEAN SPINE JOURNAL, 25(9), 2809–2821.
Vancouver
1.
Dolphens M, Vansteelandt S, Cagnie B, Vleeming A, Nijs J, Vanderstraeten G, et al. Multivariable modeling of factors associated with spinal pain in young adolescence. EUROPEAN SPINE JOURNAL. 2016;25(9):2809–21.
MLA
Dolphens, Mieke, Stijn Vansteelandt, Barbara Cagnie, et al. “Multivariable Modeling of Factors Associated with Spinal Pain in Young Adolescence.” EUROPEAN SPINE JOURNAL 25.9 (2016): 2809–2821. Print.