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dc.contributor.authorKamada, Masamitsuen
dc.contributor.authorAbe, Takafumien
dc.contributor.authorKitayuguchi, Junen
dc.contributor.authorImamura, Fumiakien
dc.contributor.authorLee, I-Minen
dc.contributor.authorKadowaki, Masaruen
dc.contributor.authorSawada, Susumu Sen
dc.contributor.authorMiyachi, Motohikoen
dc.contributor.authorMatsui, Yuzuruen
dc.contributor.authorUchio, Yujien
dc.date.accessioned2016-02-16T10:24:30Z
dc.date.available2016-02-16T10:24:30Z
dc.date.issued2016-06-01en
dc.identifier.citationKamada et al. Pain (2016)en
dc.identifier.issn0304-3959
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/253768
dc.description.abstractPhysical activity has multiple health benefits, but may also increase the risk of developing musculoskeletal pain. However, the relationship between physical activity and musculoskeletal pain has not been well-characterized. This study examined the dose–response relationship between sports activity and musculoskeletal pain among adolescents. Two school-based serial surveys were conducted 1 year apart in adolescents aged 12 to 18 years in Unnan, Japan. Self-administered questionnaires were completed by 2403 students. Associations between time spent in organized sports activity and musculoskeletal pain were analyzed cross-sectionally (n=2403) and longitudinally (n=374, students free of pain and in 7th or 10th grade at baseline) with repeated-measures Poisson regression and restricted cubic splines, with adjustment for potential confounders. The prevalence of overall pain, defined as having pain recently at least several times a week in at least one part of the body, was 27.4%. In the cross-sectional analysis, sports activity was significantly associated with pain prevalence. Each additional 1 hour/week of sports activity was associated with a 3% higher probability of having pain (prevalence ratio=1.03, 95% confidence interval (CI)=1.02-1.04). Similar trends were found across causes (traumatic and non-traumatic pain) and anatomic locations (upper limbs, lower back, and lower limbs). In longitudinal analysis, the risk ratio for developing pain at 1-year follow-up per 1 hour/week increase in baseline sports activity was 1.03 (95% CI=1.02-1.05). Spline models indicated a linear association (P<0.001) but not a non-linear association (P≥0.45). The more the adolescents played sports the more likely they were to have and develop pain.
dc.description.sponsorshipThis study was supported by a Grant-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology (MEXT) of Japan. MK is supported by a JSPS Postdoctoral Fellowship for Research Abroad. FI is supported by the Medical Research Council Epidemiology Unit (MC_UU_12015/1; MC_UU_12015/5).
dc.languageEnglishen
dc.language.isoenen
dc.publisherWolters Kluwer
dc.rightsAttribution-NonCommercial 4.0 International
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectexerciseen
dc.subjectlow back painen
dc.subjectepidemiologyen
dc.subjectcumulative trauma disordersen
dc.subjectinjuriesen
dc.titleDose–response relationship between sports activity and musculoskeletal pain in adolescentsen
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from Wolters Kluwer via http://dx.doi.org/10.1097/j.pain.0000000000000529en
prism.endingPage1345
prism.publicationDate2016en
prism.publicationNamePainen
prism.startingPage1339
prism.volume157en
dc.rioxxterms.funderMRC
dc.rioxxterms.projectidMC_UU_12015/1
dc.rioxxterms.projectidMC_UU_12015/5
dcterms.dateAccepted2016-02-09en
rioxxterms.versionofrecord10.1097/j.pain.0000000000000529en
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/en
rioxxterms.licenseref.startdate2016-06-01en
dc.contributor.orcidImamura, Fumiaki [0000-0002-6841-8396]
dc.identifier.eissn1872-6623
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/5)
pubs.funder-project-idMRC (MC_UU_12015/1)
cam.orpheus.successThu Jan 30 12:55:10 GMT 2020 - The item has an open VoR version.*
rioxxterms.freetoread.startdate2100-01-01


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Attribution-NonCommercial 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial 4.0 International