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Musculoskeletal pain in adults born preterm : evidence from two birth cohort studies
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Evensen, Kari Anne I., Tikanmäki, Marjaana, Heinonen, Kati, Matinolli, Hanna-Maria, Sipola-Leppänen, Marika, Lano, Aulikki, Wolke, Dieter, Vääräsmäki, Marja, Eriksson, Johan G., Andersson, Sture, Järvelin, Marjo-Riitta, Hovi, Petteri, Räikkönen, Katri and Kajantie, Eero (2018) Musculoskeletal pain in adults born preterm : evidence from two birth cohort studies. European Journal of Pain . doi:10.1002/ejp.1320 (In Press)
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Official URL: http://dx.doi.org/10.1002/ejp.1320
Abstract
Background:
Individuals born preterm are at risk of later developmental problems and long‐term morbidities. There is conflicting evidence regarding musculoskeletal pain in young adulthood. We investigated the prevalence of self‐reported musculoskeletal pain in young adults born across the range of preterm birth compared with a term‐born reference group.
Methods:
From two Finnish birth cohorts, 184 individuals born early preterm (<34 weeks), 350 late preterm (34 to <37 weeks) and 641 at term completed a self‐report questionnaire of musculoskeletal pain at mean age 24.1 (SD: 1.4) years. Group differences were examined by logistic regression models adjusting for sex, age and cohort (Model 1), potential early life confounders (Model 2) and lifestyle factors related to physical (Model 3) and mental health (Model 4).
Results:
The late preterm group had lower odds for reporting neck pain (0.73; 95% confidence interval (CI): 0.56–0.96), which was further reduced when adjusting for early life confounders and lifestyle factors (Model 4). Odds for reporting peripheral pain were 0.69 (95% CI: 0.48–0.99, Model 4) in the early preterm group. The odds for reporting any pain, shoulder, low back or widespread pain did not differ significantly between groups, although odds for reporting widespread pain were 0.77 (95% CI: 0.58–1.03, Model 4) in the late preterm group.
Conclusions:
We did not find evidence of increased prevalence of musculoskeletal pain in adults born early or late preterm. In contrast, our results suggest that adults born preterm have a slightly lower risk of reporting musculoskeletal pain, also when we adjusted for lifestyle factors.
Significance:
Young adults born preterm do not have increased rates of musculoskeletal pain. Our findings rather suggest that these rates may be slightly lower than among those born at term.
| Item Type: | Journal Article | |||||||||||||||||||||||||||||||||||||||
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| Subjects: | R Medicine > RJ Pediatrics | |||||||||||||||||||||||||||||||||||||||
| Divisions: | Faculty of Science > Psychology | |||||||||||||||||||||||||||||||||||||||
| Library of Congress Subject Headings (LCSH): | Premature infants -- Diseases, Musculoskeletal system -- Diseases -- Etiology, Health surveys -- Finland | |||||||||||||||||||||||||||||||||||||||
| Journal or Publication Title: | European Journal of Pain | |||||||||||||||||||||||||||||||||||||||
| Publisher: | Wiley | |||||||||||||||||||||||||||||||||||||||
| ISSN: | 1090-3801 | |||||||||||||||||||||||||||||||||||||||
| Official Date: | 31 October 2018 | |||||||||||||||||||||||||||||||||||||||
| Dates: |
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| Date of first compliant deposit: | 4 December 2018 | |||||||||||||||||||||||||||||||||||||||
| DOI: | 10.1002/ejp.1320 | |||||||||||||||||||||||||||||||||||||||
| Status: | Peer Reviewed | |||||||||||||||||||||||||||||||||||||||
| Publication Status: | In Press | |||||||||||||||||||||||||||||||||||||||
| Publisher Statement: | This is the peer reviewed version of the following article: Evensen KAI, Tikanmäki M, Heinonen K, et al. Musculoskeletal pain in adults born preterm: Evidence from two birth cohort studies. Eur J Pain. 2018;00:1–11. https://doi.org/10.1002/ejp.1320, which has been published in final form at https://doi.org/10.1002/ejp.1320. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | |||||||||||||||||||||||||||||||||||||||
| Access rights to Published version: | Restricted or Subscription Access | |||||||||||||||||||||||||||||||||||||||
| RIOXX Funder/Project Grant: |
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