Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study

被引：12

作者：

Andreucci, Alessandro ^{[1
,2
]}

Campbell, Paul ^{[1
,3
]}

Mundy, Lisa K. ^{[4
,5
]}

Sawyer, Susan M. ^{[4
,5
]}

Kosola, Silja ^{[6
,7
]}

Patton, George C. ^{[4
,5
]}

Dunn, Kate M. ^{[1
]}

机构：

[1] Keele Univ, Sch Primary Community & Social Care, Primary Care Ctr Versus Arthrit, Keele ST5 5BG, Staffs, England

[2] Aalborg Univ, Dept Clin Med, Ctr Gen Practice, DK-9220 Aalborg, Denmark

[3] St George Hosp, Dept Res & Innovat, Midlands Partnership NHS Fdn Trust, Corp St, Stafford ST16 3SR, Staffs, England

[4] Univ Melbourne, Ctr Adolescent Hlth, Royal Childrens Hosp, Murdoch Childrens Res Inst, Flemington Rd Parkville, Melbourne, Vic 3052, Australia

[5] Univ Melbourne, Dept Paediat, Flemington Rd Parkville, Melbourne, Vic 3052, Australia

[6] Helsinki Univ Hosp, Childrens Hosp, Helsinki, Finland

[7] Univ Helsinki, Helsinki, Finland

来源：

EUROPEAN JOURNAL OF PEDIATRICS | 2020年 / 179卷 / 11期

基金：

英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;

关键词：

Sleep problems; Musculoskeletal pain; Risk factor; Children; CATS study; LOW-BACK-PAIN; PHYSICAL-ACTIVITY; PATTERNS; CHILDREN; LIFE; RECOMMENDATIONS; ADOLESCENTS; PREVALENCE; QUALITY; DISEASE;

D O I：

10.1007/s00431-020-03667-8

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Adults with sleep problems are at higher risk for onset of musculoskeletal pain, but the evidence is less clear for children. This prospective cohort study investigated whether children with sleep problems are at higher risk for onset of musculoskeletal pain and explored whether sex is a modifier of this association. In a prospective cohort study of Australian schoolchildren (n = 1239, mean age 9 years), the associations between sleep problems at baseline and new onset of both musculoskeletal pain and persistent musculoskeletal pain (pain lasting > 3 months) 1 year later were investigated using logistic regression. The potential modifying effect of sex was also assessed. One-year incidence proportion for musculoskeletal pain onset is 43% and 7% for persistent musculoskeletal pain. Sleep problems were associated with musculoskeletal pain onset and persistent musculoskeletal pain onset in boys, odds ratio 2.80 (95% CI 1.39, 5.62) and OR 3.70 (1.30, 10.54), respectively, but not girls OR 0.58 (0.28, 1.19) and OR 1.43 (0.41, 4.95), respectively. Conclusions: Rates of musculoskeletal pain are high in children. Boys with sleep problems are at greater risk of onset of musculoskeletal pain, but girls do not appear to have higher risk. Consideration of sleep health may help prevent persistent musculoskeletal pain in children.What is Known:center dot Sleep problems are associated with the onset of musculoskeletal pain in adults.center dot It is not clear if the association between sleep problems and the onset of musculoskeletal pain is present also in children and if sex plays a role in this association.What is New:center dot This is the first large population-based study that has prospectively investigated the relationship between sleep problems and onset of musculoskeletal pain in school-aged children.center dot Children, especially boys with sleep problems, were at increased risk for the development of persistent musculoskeletal pain.

引用

页码：1711 / 1719

页数：9

共 47 条

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