Näytä suppeat kuvailutiedot

dc.contributor.authorNeupane, Subas
dc.contributor.authorNygård, Clas-Håkan
dc.contributor.authorPrakash, K. C.
dc.contributor.authorvon Bonsdorff, Mikaela
dc.contributor.authorvon Bonsdorff, Monika
dc.contributor.authorSeitsamo, Jorma
dc.contributor.authorRantanen, Taina
dc.contributor.authorIlmarinen, Juhani
dc.contributor.authorLeino-Arjas, Päivi
dc.date.accessioned2019-06-17T08:20:15Z
dc.date.available2019-06-17T08:20:15Z
dc.date.issued2018
dc.identifier.citationNeupane, 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. <i>Occupational and Environmental Medicine</i>, <i>75</i>(12), 863-870. <a href="https://doi.org/10.1136/oemed-2018-105235" target="_blank">https://doi.org/10.1136/oemed-2018-105235</a>
dc.identifier.otherCONVID_28678147
dc.identifier.otherTUTKAID_79249
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/64661
dc.description.abstractObjectives 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.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherBMJ Publishing Group
dc.relation.ispartofseriesOccupational and Environmental Medicine
dc.rightsCC BY-NC 4.0
dc.subject.otherleisure-time physical activity
dc.subject.othermultisite pain
dc.subject.othertrajectory analysis
dc.titleMultisite musculoskeletal pain trajectories from midlife to old age : a 28-year follow-up of municipal employees
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201906143235
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-06-14T12:15:20Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange863-870
dc.relation.issn1351-0711
dc.relation.numberinseries12
dc.relation.volume75
dc.type.versionacceptedVersion
dc.rights.copyright© The Authors, 2018.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber307114
dc.relation.grantnumber303920
dc.relation.grantnumber294530
dc.subject.ysokipu
dc.subject.ysotyöolot
dc.subject.ysotyön kuormittavuus
dc.subject.ysoikääntyminen
dc.subject.ysokohorttitutkimus
dc.subject.ysoeläkkeelle siirtyminen
dc.subject.ysofyysinen aktiivisuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p14193
jyx.subject.urihttp://www.yso.fi/onto/yso/p10899
jyx.subject.urihttp://www.yso.fi/onto/yso/p129
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p25606
jyx.subject.urihttp://www.yso.fi/onto/yso/p4810
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
dc.rights.urlhttps://creativecommons.org/licenses/by-nc/4.0/
dc.relation.doi10.1136/oemed-2018-105235
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
jyx.fundingprogramAkatemiatutkijan tutkimuskulut, SAfi
jyx.fundingprogramMuut, SAfi
jyx.fundingprogramAkatemiatutkija, SAfi
jyx.fundingprogramResearch costs of Academy Research Fellow, AoFen
jyx.fundingprogramOthers, AoFen
jyx.fundingprogramAcademy Research Fellow, AoFen
jyx.fundinginformationSN 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).
dc.type.okmA1


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