Pain and moderate to vigorous physical activity in adolescence: An international population-based survey

Michael Steven Swain, Nicholas Henschke, Steven James Kamper, Inese Gobina, Veronika Ottová-Jordan, Christopher Gerard Maher

Research output: Contribution to journalArticleResearchpeer-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 5 242,103). 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.

LanguageEnglish
Pages813-819
Number of pages7
JournalPain Medicine (United States)
Volume17
Issue number5
DOIs
Publication statusPublished - 1 May 2016

Fingerprint

Exercise
Pain
Population
Health Behavior
Back Pain
Headache
Stomach
Odds Ratio
Surveys and Questionnaires
North America
Checklist
Cluster Analysis
Age Groups
Cross-Sectional Studies
Logistic Models

Keywords

  • Adolescent
  • Epidemiology
  • Health behavior in school-aged children
  • Pain
  • Physical activity

Cite this

Swain, Michael Steven ; Henschke, Nicholas ; Kamper, Steven James ; Gobina, Inese ; Ottová-Jordan, Veronika ; Maher, Christopher Gerard. / Pain and moderate to vigorous physical activity in adolescence : An international population-based survey. In: Pain Medicine (United States). 2016 ; Vol. 17, No. 5. pp. 813-819.
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Pain and moderate to vigorous physical activity in adolescence : An international population-based survey. / Swain, Michael Steven; Henschke, Nicholas; Kamper, Steven James; Gobina, Inese; Ottová-Jordan, Veronika; Maher, Christopher Gerard.

In: Pain Medicine (United States), Vol. 17, No. 5, 01.05.2016, p. 813-819.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Pain and moderate to vigorous physical activity in adolescence

T2 - Pain Medicine (United States)

AU - Swain, Michael Steven

AU - Henschke, Nicholas

AU - Kamper, Steven James

AU - Gobina, Inese

AU - Ottová-Jordan, Veronika

AU - Maher, Christopher Gerard

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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 5 242,103). 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 5 242,103). 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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