Family history of pain and risk of musculoskeletal pain in children and adolescents: a systematic review and meta-analysis

被引:17
作者
Dario, Amabile B. [1 ,2 ]
Kamper, Steven J. [1 ,2 ,3 ]
O'Keeffe, Mary [1 ,2 ]
Zadro, Joshua [1 ,2 ]
Lee, Hopin [3 ,4 ,5 ]
Wolfenden, Luke [5 ,6 ]
Williams, Christopher M. [3 ,4 ,5 ,6 ]
机构
[1] Univ Sydney, Fac Med & Hlth, Sch Publ Hlth, Sydney, NSW, Australia
[2] Univ Sydney, Inst Musculoskeletal Hlth, Sydney Local Hlth Dist, Sydney, NSW, Australia
[3] Ctr Pain Hlth & Lifestyle, Sydney, NSW, Australia
[4] Univ Oxford, Nuffield Dept Orthopaed Rheumatol & Musculoskelet, Ctr Stat Med & Rehabil Res Oxford, Oxford, England
[5] Univ Newcastle, Sch Med & Publ Hlth, Hunter Med Res Inst, Newcastle, NSW, Australia
[6] Hunter New England Local Hlth Dist, Hunter New England Populat Hlth, Wallsend, Tyne & Wear, Australia
关键词
Musculoskeletal pain; Family history; Child; Adolescent; LOW-BACK-PAIN; GLOBAL BURDEN; SPINAL PAIN; PARENTS; SCHOOLCHILDREN; PREVALENCE; POPULATION; CHILDHOOD; COHORT; EPIDEMIOLOGY;
D O I
10.1097/j.pain.0000000000001639
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Emerging evidence suggests that musculoskeletal (MSK) pain should be viewed from a biopsychosocial perspective and consider the influence of family factors. We conducted a review with meta-analysis to provide summary estimates of effect of family history of pain on childhood MSK pain and explore whether specific family pain factors influence the strength of the association (PROSPERO CRD42018090130). Included studies reported associations between family history of pain and nonspecific MSK pain in children (age <19 years). The outcome of interest was MSK pain in children. We assessed the methodological quality using a modified version of the Quality in Prognosis Studies instalment and quality of evidence for the main analyses using the GRADE criteria. After screening of 7281 titles, 6 longitudinal and 23 cross-sectional studies were included. Moderate quality evidence from 5 longitudinal studies (n = 42,131) showed that children with a family history of MSK pain had 58% increased odds of experiencing MSK pain themselves (odds ratio [OR] 1.58, 95% confidence interval 1.20-2.09). Moderate quality evidence from 18 cross-sectional studies (n = 17,274) supported this finding (OR 2.02, 95% 1.69-2.42). Subgroup analyses showed that the relationship was robust regardless of whether a child's mother, father, or sibling experienced pain. Odds were higher when both parents reported pain compared with one ([mother OR = 1.61; father OR = 1.59]; both parents OR = 2.0). Our findings show moderate quality evidence that children with a family history of pain are at higher risk of experiencing MSK pain. Understanding the mechanism by which this occurs would inform prevention and treatment efforts.
引用
收藏
页码:2430 / 2439
页数:10
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