Multisite musculoskeletal pain trajectories from midlife to old age : a 28-year follow-up of municipal employees
Neupane, S., Nygård, C.-H., Prakash, K. C., von Bonsdorff, M., von Bonsdorff, M., Seitsamo, J., Rantanen, T., Ilmarinen, J., & Leino-Arjas, P. (2018). Multisite musculoskeletal pain trajectories from midlife to old age : a 28-year follow-up of municipal employees. Occupational and Environmental Medicine, 75(12), 863-870. https://doi.org/10.1136/oemed-2018-105235
Published inOccupational and Environmental Medicine
© The Authors, 2018.
Objectives We studied the developmental trajectories of multisite musculoskeletal pain (MSP) to learn whether pain in midlife persists to old age, and whether pain trajectories associate with midlife work or lifestyle exposures or retirement from work. Methods Municipal employees aged 44–58 years were studied in 1981 (n=6257) with follow-ups in 1985, 1992, 1997 and 2009. Pain in the neck, low back, and upper and lower limbs was assessed in each survey. Trajectories of the number (0–4) of pain sites were defined using growth mixture modelling (n=3093). Workload, lifestyle and morbidity were elicited by questionnaire and retirement from registries. Associations of baseline factors with pain trajectories were assessed by multinomial logistic regression. Cumulative hazard curves for retirement by trajectory group were calculated. Results Three trajectories of pain over 28 years emerged: low (25%), moderate (52%) and high-decreasing (23%). In the latter, the number of pain sites first decreased sharply, stabilising to a moderate level after most subjects had retired. The disability pension rate was highest in this trajectory, which associated with high baseline morbidity, particularly musculoskeletal disorder (OR 8.06; 95% CI 5.97 to 10.87). Also high biomechanical exposure (2.86;95% CI 2.16 to 3.78), high job demands (1.79; 95% CI 1.39 to 2.30), high job control (OR 0.70; 95% CI 0.54 to 0.90), body mass index (BMI) ≥25.0 kg/m2 (1.40; 95% CI 1.09 to 1.80) and low leisure-time physical activity (LTPA) (1.39; 95% CI 1.09 to 1.78) at baseline were associated with this trajectory. However, high LTPA and BMI in repeated surveys also associated with the high-decreasing trajectory. Conclusion MSP in midlife often persists to old age. However, high widespreadness of pain may decrease with retirement from work. ...
PublisherBMJ Publishing Group
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland
Funding program(s)Research costs of Academy Research Fellow, AoF; Others, AoF; Research post as Academy Research Fellow, AoF
Additional information about fundingSN was partly funded by the Finnish Cultural Foundation (SKR) with a personal grant (grant number 00150637). MEvB was funded by the Academy of Finland (grant numbers: 294530, 307114 and 303920).
Showing items with similar title or keywords.
Trajectories of mobility limitations over 24 years and their characterization by shift work and leisure-time physical activity in midlife Prakash, K. C.; Neupane, Subas; Leino-Arjas, Päivi; Härmä, Mikko; von Bonsdorff, Mikaela; Rantanen, Taina; von Bonsdorff, Monika; Hinrichs, Timo; Seitsamo, Jorma; Ilmarinen, Juhani; Nygård, Clas-Håkan (Oxford University Press, 2019)Background We aimed to investigate trajectories of mobility limitations (MLs) over a period of 24 years. In addition, we aimed to study how shift work and leisure-time physical activity (LTPA) in midlife predict assignment ...
Associations of Leisure-Time Physical Activity Trajectories with Fruit and Vegetable Consumption from Childhood to Adulthood : The Cardiovascular Risk in Young Finns Study Lounassalo, Irinja; Hirvensalo, Mirja; Kankaanpää, Anna; Tolvanen, Asko; Palomäki, Sanna; Salin, Kasper; Fogelholm, Mikael; Yang, Xiaolin; Pahkala, Katja; Rovio, Suvi; Hutri-Kähönen, Nina; Raitakari, Olli; Tammelin, H. Tuija (MDPI, 2019)A physically active lifestyle and a diet rich in vegetables and fruits have a central role in promoting health. This study examined the associations between leisure-time physical activity (LTPA) trajectories and fruit and ...
Waller, Katja (University of Jyväskylä, 2011)
Kaprio, Jaakko; Bollepalli, Sailalitha; Buchwald, Jadwiga; Iso-Markku, Paula; Korhonen, Tellervo; Kovanen, Vuokko; Kujala, Urho; Laakkonen, Eija K.; Latvala, Antti; Leskinen, Tuija; Lindgren, Noora; Ollikainen, Miina; Piirtola, Maarit; Rantanen, Taina; Rinne, Juha; Rose, Richard J.; Sillanpää, Elina; Silventoinen, Karri; Sipilä, Sarianna; Viljanen, Anne; Vuoksimaa, Eero; Waller, Katja (Cambridge University Press, 2019)The older Finnish Twin Cohort (FTC) was established in 1974. The baseline survey was in 1975, with two follow-up health surveys in 1981 and 1990. The fourth wave of assessments was done in three parts, with a questionnaire ...
Salin, Kasper; Kankaanpää, Anna; Hirvensalo, Mirja; Lounassalo, Irinja; Yang, Xiaolin; Magnussen, Costan G.; Hutri-Kähönen, Nina; Rovio, Suvi; Viikari, Jorma; Raitakari, Olli T.; Tammelin, Tuija H. (MDPI, 2019)Introduction: Despite substantial interest in the development of health behaviors, there is limited research that has examined the longitudinal relationship between physical activity (PA) and smoking trajectories from ...