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dc.contributor.authorKaartinen, Sara
dc.contributor.authorAaltonen, Sari
dc.contributor.authorKorhonen, Tellervo
dc.contributor.authorLatvala, Antti
dc.contributor.authorMikkelsson, Marja
dc.contributor.authorKujala, Urho M.
dc.contributor.authorKaprio, Jaakko
dc.date.accessioned2019-07-24T09:56:06Z
dc.date.available2019-07-24T09:56:06Z
dc.date.issued2019
dc.identifier.citationKaartinen, S., Aaltonen, S., Korhonen, T., Latvala, A., Mikkelsson, M., Kujala, U. M., & Kaprio, J. (2019). Is diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? : A Finnish twin cohort study. <i>Preventive Medicine Reports</i>, <i>15</i>, Article 100933. <a href="https://doi.org/10.1016/j.pmedr.2019.100933" target="_blank">https://doi.org/10.1016/j.pmedr.2019.100933</a>
dc.identifier.otherCONVID_32097905
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/65102
dc.description.abstractThis study investigates cross-sectional and longitudinal associations between the diversity of leisure-time sport activities and the frequencies of low back pain (LBP) and neck-shoulder region pain (NSP) in twins, including a cross-sectional within-pair design to adjust for potential familial confounding. Finnish twins born in 1975–79 (FinnTwin16 study) reported participation in leisure-time sport activities at the mean ages of 17 (1992–96) (n = 5096, 54% females) and 34 years (2010−12) (n = 3731, 57% females). Diversity assessed as the number of sport activities was categorized as 1, 2, 3, 4, and ≥ 5, excluding inactive individuals. The frequencies of LBP (n = 3201) and NSP (n = 3207), reported at age 34, were categorized as never/seldom, monthly, or weekly pain. Cross-sectional and longitudinal individual-based associations between the number of sport activities and the frequency of LBP and NSP were investigated with multinomial logistic regression analyses, adjusting for multiple confounders. Cross-sectionally, participation in ≥5 sport activities, compared to 1 sport, was associated with significantly less weekly LBP (OR = 0.63, 95%CI = 0.43–0.90), but not with NSP. Longitudinally, participation in several sport activities in adolescence had no significant association with LBP or NSP in adulthood. Cross-sectional within-pair analyses were conducted among twin pairs discordant for LBP (n = 507) and NSP (n = 579). The associations between monozygotic and dizygotic twin pairs were similar in LBP-discordant pairs but differed within NSP-discordant pairs. Participation in ≥5 sport activities in adulthood may be associated with less weekly LBP, but not with monthly LBP or the frequency of NSP. However, within-pair analyses for NSP suggest confounding due to shared familial factors.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesPreventive Medicine Reports
dc.rightsCC BY-NC-ND 4.0
dc.subject.othertuki- ja liikuntaelimet
dc.subject.otherselkä
dc.subject.otherkipu
dc.subject.otherliikunta
dc.subject.otherkohorttitutkimus
dc.subject.otherkaksostutkimus
dc.subject.otherepidemiologia
dc.subject.othermusculoskeletal pain
dc.subject.otherback pain
dc.subject.othermultisport
dc.subject.otherexercise
dc.subject.othercohort study
dc.subject.othertwin study
dc.subject.otherbehavioral epidemiology
dc.titleIs diversity of leisure-time sport activities associated with low back and neck–shoulder region pain? : A Finnish twin cohort study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201907243665
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn2211-3355
dc.relation.volume15
dc.type.versionpublishedVersion
dc.rights.copyright© 2019 The Authors.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumberOKM/39/626/2015
dc.format.contentfulltext
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.pmedr.2019.100933
dc.relation.funderOpetus- ja kulttuuriministeriöfi
dc.relation.funderMinistry of Education and Cultureen
jyx.fundingprogramMuutfi
jyx.fundingprogramOthersen
jyx.fundinginformationS.K. has received funding from the University of Helsinki Faculty of Medicine MD/PhD program and the Sports Institute Foundation. S.A. has been supported by the Finnish Ministry of Education and Culture, the Finnish Cultural Foundation and the Juho Vainio Foundation. Data collection of the FinnTwin16 project has been supported by the U.S. National Institute of Alcohol Abuse and Alcoholism (Grant Nos. AA-12502, AA-00145 and AA-09203 to R. J. Rose), the Academy of Finland (Grant Nos. 100499, 205585 and 141054 to J. Kaprio), the Juho Vainio Foundation, and the Finnish Ministry of Education and Culture (grants to U.M.K.). J.K. has been supported by the Academy of Finland (grants 265240, 263278, 308248, 312073).
dc.type.okmA1


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