Influence of family history on prognosis of spinal pain and the role of leisure time physical activity and body mass index: a prospective study using family-linkage data from the Norwegian HUNT study
ObjectivesTo investigate the influence of parental chronic spinal pain on prognosis of chronic spinal pain in adult offspring, and whether offspring physical activity level and body mass index (BMI) modified this association.DesignProspective cohort study.SettingWe used family-linked longitudinal da...
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| Veröffentlicht in: | BMJ open 2018-10, Vol.8 (10), p.e022785-e022785 |
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| creator | Amorim, Anita B Ferreira, Paulo H Ferreira, Manuela L Lier, Ragnhild Simic, Milena Pappas, Evangelos Zadro, Joshua R Mork, Paul Jarle Nilsen, Tom IL |
| description | ObjectivesTo investigate the influence of parental chronic spinal pain on prognosis of chronic spinal pain in adult offspring, and whether offspring physical activity level and body mass index (BMI) modified this association.DesignProspective cohort study.SettingWe used family-linked longitudinal data from the Norwegian HUNT study collected in HUNT2 (1995–1997) and HUNT3 (2006–2008).ParticipantsA total of 1529 offspring who reported spinal pain in HUNT2 were linked with parental data and followed up in HUNT3.OutcomesWe estimated relative risk (RR) with 95% CI for recovery from chronic spinal pain, and also from activity limiting spinal pain, in offspring related to chronic spinal pain in parents. We also investigated whether offspring leisure time physical activity and BMI modified these intergenerational associations in spinal pain.ResultsA total of 540 (35%) offspring were defined as recovered after approximately 11 years of follow-up. Offspring with both parents reporting chronic spinal pain were less likely to recover from chronic spinal pain (RR 0.83, 95% CI 0.69 to 0.99) and activity limiting spinal pain (RR 0.71, 95% CI 0.54 to 0.94), compared with offspring of parents without chronic spinal pain. Analyses stratified by BMI and physical activity showed no strong evidence of effect modification on these associations. However, offspring who were overweight/obese and with both parents reporting chronic spinal pain had particularly low probability of recovery from activity limiting spinal pain, compared with those who were normal weight and had parents without chronic spinal pain (RR 0.57, 95% CI 0.39 to 0.84).ConclusionOffspring with chronic spinal pain are less likely to recover if they have parents with chronic spinal pain, particularly if offspring are overweight/obese. |
| doi_str_mv | 10.1136/bmjopen-2018-022785 |
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We also investigated whether offspring leisure time physical activity and BMI modified these intergenerational associations in spinal pain.ResultsA total of 540 (35%) offspring were defined as recovered after approximately 11 years of follow-up. Offspring with both parents reporting chronic spinal pain were less likely to recover from chronic spinal pain (RR 0.83, 95% CI 0.69 to 0.99) and activity limiting spinal pain (RR 0.71, 95% CI 0.54 to 0.94), compared with offspring of parents without chronic spinal pain. Analyses stratified by BMI and physical activity showed no strong evidence of effect modification on these associations. However, offspring who were overweight/obese and with both parents reporting chronic spinal pain had particularly low probability of recovery from activity limiting spinal pain, compared with those who were normal weight and had parents without chronic spinal pain (RR 0.57, 95% CI 0.39 to 0.84).ConclusionOffspring with chronic spinal pain are less likely to recover if they have parents with chronic spinal pain, particularly if offspring are overweight/obese.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2018-022785</identifier><identifier>PMID: 30341129</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adults ; Arthritis ; Back pain ; Body mass index ; Chronic pain ; Epidemiology ; Exercise ; Fibromyalgia ; Genetics ; Health risk assessment ; Influence ; Leisure ; Lifestyles ; Medical prognosis ; Obesity ; Older people ; Parents & parenting ; Physical fitness ; Population ; Public health ; Questionnaires</subject><ispartof>BMJ open, 2018-10, Vol.8 (10), p.e022785-e022785</ispartof><rights>Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2018 Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-244869c7251f4c43244d137f03ce7f5f9be1312391cb4e8fd11f235ed3a34d1b3</citedby><cites>FETCH-LOGICAL-b472t-244869c7251f4c43244d137f03ce7f5f9be1312391cb4e8fd11f235ed3a34d1b3</cites><orcidid>0000-0002-5387-3986</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjopen.bmj.com/content/8/10/e022785.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://bmjopen.bmj.com/content/8/10/e022785.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27528,27529,27903,27904,53769,53771,77347,77378</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30341129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amorim, Anita B</creatorcontrib><creatorcontrib>Ferreira, Paulo H</creatorcontrib><creatorcontrib>Ferreira, Manuela L</creatorcontrib><creatorcontrib>Lier, Ragnhild</creatorcontrib><creatorcontrib>Simic, Milena</creatorcontrib><creatorcontrib>Pappas, Evangelos</creatorcontrib><creatorcontrib>Zadro, Joshua R</creatorcontrib><creatorcontrib>Mork, Paul Jarle</creatorcontrib><creatorcontrib>Nilsen, Tom IL</creatorcontrib><title>Influence of family history on prognosis of spinal pain and the role of leisure time physical activity and body mass index: a prospective study using family-linkage data from the Norwegian HUNT study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesTo investigate the influence of parental chronic spinal pain on prognosis of chronic spinal pain in adult offspring, and whether offspring physical activity level and body mass index (BMI) modified this association.DesignProspective cohort study.SettingWe used family-linked longitudinal data from the Norwegian HUNT study collected in HUNT2 (1995–1997) and HUNT3 (2006–2008).ParticipantsA total of 1529 offspring who reported spinal pain in HUNT2 were linked with parental data and followed up in HUNT3.OutcomesWe estimated relative risk (RR) with 95% CI for recovery from chronic spinal pain, and also from activity limiting spinal pain, in offspring related to chronic spinal pain in parents. We also investigated whether offspring leisure time physical activity and BMI modified these intergenerational associations in spinal pain.ResultsA total of 540 (35%) offspring were defined as recovered after approximately 11 years of follow-up. Offspring with both parents reporting chronic spinal pain were less likely to recover from chronic spinal pain (RR 0.83, 95% CI 0.69 to 0.99) and activity limiting spinal pain (RR 0.71, 95% CI 0.54 to 0.94), compared with offspring of parents without chronic spinal pain. Analyses stratified by BMI and physical activity showed no strong evidence of effect modification on these associations. However, offspring who were overweight/obese and with both parents reporting chronic spinal pain had particularly low probability of recovery from activity limiting spinal pain, compared with those who were normal weight and had parents without chronic spinal pain (RR 0.57, 95% CI 0.39 to 0.84).ConclusionOffspring with chronic spinal pain are less likely to recover if they have parents with chronic spinal pain, particularly if offspring are overweight/obese.</description><subject>Adults</subject><subject>Arthritis</subject><subject>Back pain</subject><subject>Body mass index</subject><subject>Chronic pain</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Fibromyalgia</subject><subject>Genetics</subject><subject>Health risk assessment</subject><subject>Influence</subject><subject>Leisure</subject><subject>Lifestyles</subject><subject>Medical prognosis</subject><subject>Obesity</subject><subject>Older people</subject><subject>Parents & parenting</subject><subject>Physical fitness</subject><subject>Population</subject><subject>Public health</subject><subject>Questionnaires</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNks1u1DAUhSMEolXpEyAhS2zYpMQ_SSYskFAFbaWqbNq15TjXGQ-OHWynJU_Ia9WZDFVhhTe2db9zrn9Olr3FxRnGtPrYDjs3gs1JgTd5QUi9KV9kx6RgLK-Ksnz5bH2UnYawK9JgZVOW5HV2RAvKMCbNcfb7yiozgZWAnEJKDNrMaKtDdH5GzqLRu966oMNSDqO2wqBRaIuE7VDcAvLO7KUGdJg8oKgHQON2DlomVMio73Wc93jruhkNIgSkbQe_PiGx2IcRFghQiFOqT0Hb_nCQ3Gj7Q_SAOhEFUt4N-5Y3zj9Ar4VFl3c3t6vuTfZKCRPg9DCfZHffvt6eX-bX3y-uzr9c5y2rScwJY5uqkTUpsWKS0bTvMK1VQSXUqlRNC5hiQhssWwYb1WGsCC2ho4ImsqUn2efVd5zaAToJNnph-Oj1IPzMndD874rVW967e17hptpUOBl8OBh493OCEPmggwRjhAU3BU5S9xpXRUUS-v4fdOcmn35gT7GqTlepE0VXSqa3DB7U02FwwZes8ENW-JIVvmYlqd49v8eT5k8yEnC2Akn9X46PYFXPQA</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Amorim, Anita B</creator><creator>Ferreira, Paulo H</creator><creator>Ferreira, Manuela L</creator><creator>Lier, Ragnhild</creator><creator>Simic, Milena</creator><creator>Pappas, Evangelos</creator><creator>Zadro, Joshua R</creator><creator>Mork, Paul Jarle</creator><creator>Nilsen, Tom IL</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5387-3986</orcidid></search><sort><creationdate>20181001</creationdate><title>Influence of family history on prognosis of spinal pain and the role of leisure time physical activity and body mass index: a prospective study using family-linkage data from the Norwegian HUNT study</title><author>Amorim, Anita B ; Ferreira, Paulo H ; Ferreira, Manuela L ; Lier, Ragnhild ; Simic, Milena ; Pappas, Evangelos ; Zadro, Joshua R ; Mork, Paul Jarle ; Nilsen, Tom IL</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-244869c7251f4c43244d137f03ce7f5f9be1312391cb4e8fd11f235ed3a34d1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Arthritis</topic><topic>Back pain</topic><topic>Body mass index</topic><topic>Chronic pain</topic><topic>Epidemiology</topic><topic>Exercise</topic><topic>Fibromyalgia</topic><topic>Genetics</topic><topic>Health risk assessment</topic><topic>Influence</topic><topic>Leisure</topic><topic>Lifestyles</topic><topic>Medical prognosis</topic><topic>Obesity</topic><topic>Older people</topic><topic>Parents & parenting</topic><topic>Physical fitness</topic><topic>Population</topic><topic>Public health</topic><topic>Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amorim, Anita B</creatorcontrib><creatorcontrib>Ferreira, Paulo H</creatorcontrib><creatorcontrib>Ferreira, Manuela L</creatorcontrib><creatorcontrib>Lier, Ragnhild</creatorcontrib><creatorcontrib>Simic, Milena</creatorcontrib><creatorcontrib>Pappas, Evangelos</creatorcontrib><creatorcontrib>Zadro, Joshua R</creatorcontrib><creatorcontrib>Mork, Paul Jarle</creatorcontrib><creatorcontrib>Nilsen, Tom IL</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amorim, Anita B</au><au>Ferreira, Paulo H</au><au>Ferreira, Manuela L</au><au>Lier, Ragnhild</au><au>Simic, Milena</au><au>Pappas, Evangelos</au><au>Zadro, Joshua R</au><au>Mork, Paul Jarle</au><au>Nilsen, Tom IL</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of family history on prognosis of spinal pain and the role of leisure time physical activity and body mass index: a prospective study using family-linkage data from the Norwegian HUNT study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>8</volume><issue>10</issue><spage>e022785</spage><epage>e022785</epage><pages>e022785-e022785</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesTo investigate the influence of parental chronic spinal pain on prognosis of chronic spinal pain in adult offspring, and whether offspring physical activity level and body mass index (BMI) modified this association.DesignProspective cohort study.SettingWe used family-linked longitudinal data from the Norwegian HUNT study collected in HUNT2 (1995–1997) and HUNT3 (2006–2008).ParticipantsA total of 1529 offspring who reported spinal pain in HUNT2 were linked with parental data and followed up in HUNT3.OutcomesWe estimated relative risk (RR) with 95% CI for recovery from chronic spinal pain, and also from activity limiting spinal pain, in offspring related to chronic spinal pain in parents. We also investigated whether offspring leisure time physical activity and BMI modified these intergenerational associations in spinal pain.ResultsA total of 540 (35%) offspring were defined as recovered after approximately 11 years of follow-up. Offspring with both parents reporting chronic spinal pain were less likely to recover from chronic spinal pain (RR 0.83, 95% CI 0.69 to 0.99) and activity limiting spinal pain (RR 0.71, 95% CI 0.54 to 0.94), compared with offspring of parents without chronic spinal pain. Analyses stratified by BMI and physical activity showed no strong evidence of effect modification on these associations. However, offspring who were overweight/obese and with both parents reporting chronic spinal pain had particularly low probability of recovery from activity limiting spinal pain, compared with those who were normal weight and had parents without chronic spinal pain (RR 0.57, 95% CI 0.39 to 0.84).ConclusionOffspring with chronic spinal pain are less likely to recover if they have parents with chronic spinal pain, particularly if offspring are overweight/obese.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30341129</pmid><doi>10.1136/bmjopen-2018-022785</doi><orcidid>https://orcid.org/0000-0002-5387-3986</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adults Arthritis Back pain Body mass index Chronic pain Epidemiology Exercise Fibromyalgia Genetics Health risk assessment Influence Leisure Lifestyles Medical prognosis Obesity Older people Parents & parenting Physical fitness Population Public health Questionnaires |
| title | Influence of family history on prognosis of spinal pain and the role of leisure time physical activity and body mass index: a prospective study using family-linkage data from the Norwegian HUNT study |
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