The grade in physical education in adolescence as predictor for musculoskeletal pain diagnoses three decades later

Pain
Simon TimpkaMartin Englund

Abstract

We hypothesized that a low grade in physical education (PE) is associated with an increased risk of future musculoskeletal conditions, especially chronic pain. Using a historical cohort study design, we identified all students (mean age 16.0 years), who in 1974-1976 graduated from compulsory school in a Swedish municipality and retrieved their PE grades. We ensured that persons were still alive and resident in the county in 2003-2007 and linked data to the Skåne Health Care Register covering all in- and outpatient care in the county. Diagnoses in focus were soft tissue pain, back pain, and osteoarthritis registered as ICD-10 codes. We used a logistic regression model adjusted for education and occupation to investigate the associations between the PE grade and a future musculoskeletal diagnosis. An average grade served as reference group. Of 2298 graduates born 1957-1962, 1712 (74.5%) were resident in the county at follow-up. Women with a low (bad) PE grade had an increased odds ratio (OR) for a musculoskeletal diagnosis OR=1.5 (95% CI=1.0-2.2) as well as for the subgroup "Other soft tissue disorders, not elsewhere classified" (M79) OR=1.9 (95% CI=1.0-3.3), containing mostly chronic soft tissue pain disorders. In men with a hig...Continue Reading

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Citations

Nov 19, 2011·Best Practice & Research. Clinical Rheumatology·Marco A CimminoMaurizio Cutolo
Dec 10, 2019·Scandinavian Journal of Public Health·Sofia LöfvendahlAnna Jöud
Jun 24, 2017·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Vegard ØstensjøAnnika Rosén

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