Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey: Pain Medicine

M.S. Swain, N Henschke, S. J. Kamper, I. Gobina, V. Ottova-Jordan, C. G. Maher

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective. To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. Design. Multicenter cross-sectional survey. Setting. Twenty-eight countries across Europe and North America. Subjects. Adolescents (N = 242,103). Methods. An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. Results. In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. Conclusion. Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.
Original languageEnglish
Pages (from-to)813-819
Number of pages7
JournalPain Medicine
Volume17
DOIs
Publication statusPublished - 2016

Cite this

Swain, M. S., Henschke, N., Kamper, S. J., Gobina, I., Ottova-Jordan, V., & Maher, C. G. (2016). Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey: Pain Medicine. Pain Medicine, 17, 813-819. https://doi.org/10.1111/pme.12923
Swain, M.S. ; Henschke, N ; Kamper, S. J. ; Gobina, I. ; Ottova-Jordan, V. ; Maher, C. G. / Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey : Pain Medicine. In: Pain Medicine. 2016 ; Vol. 17. pp. 813-819.
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abstract = "Objective. To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. Design. Multicenter cross-sectional survey. Setting. Twenty-eight countries across Europe and North America. Subjects. Adolescents (N = 242,103). Methods. An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. Results. In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. Conclusion. Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.",
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note = "M1 - 5 ISI Document Delivery No.: DM8ZW Times Cited: 2 Cited Reference Count: 37 Swain, Michael Steven Henschke, Nicholas Kamper, Steven James Gobina, Inese Ottova-Jordan, Veronika Maher, Christopher Gerard Maher, Chris/0000-0002-1628-7857 National Health Service of Scotland; Directorate of the Scottish Government The HBSC research network is an international alliance of researchers. Data collection in each country or region was funded at the national level. The National Health Service of Scotland and the Chief Medical Officer Directorate of the Scottish Government funded the HBSC International Coordinating Centre at the Child and Adolescent Health Research Unit, University of Edinburgh. 2 3 OXFORD UNIV PRESS OXFORD PAIN MED",
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Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey : Pain Medicine. / Swain, M.S.; Henschke, N; Kamper, S. J.; Gobina, I.; Ottova-Jordan, V.; Maher, C. G.

In: Pain Medicine, Vol. 17, 2016, p. 813-819.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey

T2 - Pain Medicine

AU - Swain, M.S.

AU - Henschke, N

AU - Kamper, S. J.

AU - Gobina, I.

AU - Ottova-Jordan, V.

AU - Maher, C. G.

N1 - M1 - 5 ISI Document Delivery No.: DM8ZW Times Cited: 2 Cited Reference Count: 37 Swain, Michael Steven Henschke, Nicholas Kamper, Steven James Gobina, Inese Ottova-Jordan, Veronika Maher, Christopher Gerard Maher, Chris/0000-0002-1628-7857 National Health Service of Scotland; Directorate of the Scottish Government The HBSC research network is an international alliance of researchers. Data collection in each country or region was funded at the national level. The National Health Service of Scotland and the Chief Medical Officer Directorate of the Scottish Government funded the HBSC International Coordinating Centre at the Child and Adolescent Health Research Unit, University of Edinburgh. 2 3 OXFORD UNIV PRESS OXFORD PAIN MED

PY - 2016

Y1 - 2016

N2 - Objective. To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. Design. Multicenter cross-sectional survey. Setting. Twenty-eight countries across Europe and North America. Subjects. Adolescents (N = 242,103). Methods. An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. Results. In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. Conclusion. Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.

AB - Objective. To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. Design. Multicenter cross-sectional survey. Setting. Twenty-eight countries across Europe and North America. Subjects. Adolescents (N = 242,103). Methods. An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. Results. In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. Conclusion. Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.

U2 - 10.1111/pme.12923

DO - 10.1111/pme.12923

M3 - Article

VL - 17

SP - 813

EP - 819

JO - Pain Medicine

JF - Pain Medicine

SN - 1526-2375

ER -