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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 (2019) Musculoskeletal pain in adults born preterm : evidence from two birth cohort studies. European Journal of Pain, 23 (3). pp. 461-471. doi:10.1002/ejp.1320

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Official URL: http://dx.doi.org/10.1002/ejp.1320

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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
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: March 2019
Dates:
DateEvent
March 2019Published
31 October 2018Updated
5 October 2018Available
2 October 2018Accepted
Volume: 23
Number: 3
Page Range: pp. 461-471
DOI: 10.1002/ejp.1320
Status: Peer Reviewed
Publication Status: Published
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:
Project/Grant IDRIOXX Funder NameFunder ID
PKE 4Bundesministerium für Forschung und Technologiehttp://dx.doi.org/10.13039/501100004937
JUG 14Bundesministerium für Forschung und Technologiehttp://dx.doi.org/10.13039/501100004937
UNSPECIFIEDAcademy of Finlandhttp://dx.doi.org/10.13039/501100002341
UNSPECIFIEDSamfundet Folkhälsanhttp://dx.doi.org/10.13039/501100004810
UNSPECIFIEDPäivikki ja Sakari Sohlbergin Säätiöhttp://dx.doi.org/10.13039/501100004212
UNSPECIFIEDFinska Läkaresällskapethttp://dx.doi.org/10.13039/100010135
UNSPECIFIEDLastentautien Tutkimussäätiöhttp://dx.doi.org/10.13039/501100005744
UNSPECIFIEDJuho Vainion Säätiöhttp://dx.doi.org/10.13039/501100004037
UNSPECIFIEDNovo Nordisk Fondenhttp://dx.doi.org/10.13039/501100009708
UNSPECIFIEDSigne ja Ane Gyllenbergin Säätiöhttp://dx.doi.org/10.13039/501100004325
UNSPECIFIEDSigrid Juséliuksen Säätiöhttp://dx.doi.org/10.13039/501100006306
SC1-2016-RTD733280 RECAP[ERC] Horizon 2020 Framework Programmehttp://dx.doi.org/10.13039/100010661

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