ArticleBMC public health2019
Worse health status, sleeping problems, and anxiety in 16-year-old students are associated with chronic musculoskeletal pain at three-year follow-up.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Musculoskeletal pain in adolescents: a systematic review of predictive and associated factors.BMC pediatrics · 2026Pooled it
- Relationships between Musculoskeletal Disorders, Sleep Impairment, and Cardiorespiratory Fitness among Adolescents Aged 15-19 Years in Douala, Cameroon: A Cross-sectional Study.International journal of school health · 2026Article
- Spinal pain as a public health concern: associations with health anxiety, life satisfaction, sleep quality, and well-being in young adults.BMC public health · 2025Article
- Adverse childhood experiences and multisite pain among adolescents in the United States.Pain reports · 2025Article
- Can improving sleeping hours enhance the depression and anxiety of young males with chronic musculoskeletal pain?BMC public health · 2025Article
- How Does Physical Activity During Youth Affect the Development of Multisite Musculoskeletal Pain or Discomfort in Young Adults?Pain research & management · 2025Article
- Approach to Adult Patients with Musculoskeletal Complaints and Normal Findings: A Guide for Clinical Practice.Orthopedic research and reviews · 2025Review
- Associations between pain, health, and lifestyle factors in 10-year-old boys and girls from a Swedish birth cohort.BMC pediatrics · 2023Article
- Musculoskeletal Pain in Undergraduate Students Is Significantly Associated with Psychological Distress and Poor Sleep Quality.International journal of environmental research and public health · 2022Article
- Lifestyle behaviour in adolescence and musculoskeletal pain 11 years later: The Trøndelag Health Study.European journal of pain (London, England) · 2022Article
- Musculoskeletal pain and its association with health status, maturity, and sports performance in adolescent sport school students: a 2-year follow-up.BMC sports science, medicine & rehabilitation · 2022Article
- Predictors of pain persistence and disability in high-school students with chronic neck pain at 6-month follow-up.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Low social acceptance among peers increases the risk of persistent musculoskeletal pain in adolescents. Prospective data from the Fit Futures Study.BMC musculoskeletal disorders · 2022Article
- Who Is Suffering from the "Corona Blues"? An Analysis of the Impacts of the COVID-19 Pandemic on Depression and Its Implications for Health Policy.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundChronic musculoskeletal pain is common in adolescents, and it has been shown that adolescents with pain may become young adults with pain. Pain often coincides with psychosomatic symptoms in adults, but little is known about longitudinal associations and predictors of pain in adolescents. The aim was to investigate chronic musculoskeletal pain and its associations with health status, sleeping problems, stress, anxiety, depression, and physical activity in 16-year-old students at baseline, and to identify risk factors using a three-year follow-up.
methodsThis was a longitudinal study of 256 students attending a Swedish upper secondary school. Questionnaires regarding chronic musculoskeletal pain and distribution of pain (mannequin), health status (EQ-5D-3 L), sleeping problems (Uppsala Sleep Inventory), stress symptoms (single-item question), anxiety and depression (Hospital Anxiety and Depression Scale), and physical activity (International Physical Activity Questionnaire) were issued at baseline and follow-up. Student's t-test and chi
resultsFifty-two out of 221 students at baseline (23.5%) and 39 out of 154 students at follow-up (25.3%) were categorized as having chronic musculoskeletal pain. Chronic musculoskeletal pain at follow-up was separately associated with reporting of an EQ-5D value below median (OR 4.06, 95% CI 1.83-9.01), severe sleeping problems (OR 3.63, 95% CI 1.69-7.82), and possible anxiety (OR 4.19, 95% CI 1.74-10.11) or probable anxiety (OR 3.82, 95% CI 1.17-12.48) at baseline. Similar results were found for associations between chronic musculoskeletal pain and independent variables at baseline. In multiple logistic regression analysis, chronic musculoskeletal pain at baseline was a predictor of chronic musculoskeletal pain at follow-up (OR 2.99, 95% CI 1.09-8.24, R
conclusionChronic musculoskeletal pain at baseline was the most important predictor for reporting chronic musculoskeletal pain at the three-year follow-up, but a worse health status, severe sleeping problems, and anxiety also predicted persistence or development of chronic musculoskeletal pain over time. Interventions should be introduced early on by the school health services to promote student health.
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