ArticleBMJ open2022
Association between physical activity and musculoskeletal pain: an analysis of international data from the ASAP survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Assessing the Link Between Physical Activity and Musculoskeletal Disorders in Taxi Drivers: A Comparison of Accelerometry and Self-Report Measures.Musculoskeletal care · 2026Observational
- The public health impact of private fitness expansion.PNAS nexus · 2026Article
- Breastfeeding-related musculoskeletal pain among lactating mothers in Arabic-speaking countries: prevalences, associations, and functional impact.BMC women's health · 2026Article
- The leisure time and occupational physical activity paradox in persistent musculoskeletal pain.Scientific reports · 2025Article
- Association of 24-h movement behaviors during Covid-19 pandemic with spinal musculoskeletal disorders in undergraduate students: a cross-sectional study.Health science reports · 2024Article
- Influence of self-reported physical exercise on musculoskeletal pain among Chinese medical students.Scientific reports · 2024Article
- Physical activity levels and musculoskeletal disease risk in adults aged 45 and above: a cross-sectional study.BMC public health · 2024Article
- Association of sedentary behavior and physical activity with occurrence of signs and symptoms in participants of a cardiac rehabilitation program.Scientific reports · 2024Article
- Is device-measured physical activity associated with musculoskeletal disorders among young adult Finnish men?Frontiers in sports and active living · 2024Article
- Physiology of Stretch-Mediated Hypertrophy and Strength Increases: A Narrative Review.Sports medicine (Auckland, N.Z.) · 2023Review
- Article
- Sociocultural predictors of obligatory exercise in young men: A Polish-Chinese comparison.Frontiers in psychiatry · 2023Article
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Authors and funding
7 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the association of physical activity (PA) with musculoskeletal pain (MSK pain).
designCross-sectional study
setting14 countries (Argentina, Australia, Austria, Brazil, Chile, France, Germany, Italy, the Netherlands, Singapore, South Africa, Spain, Switzerland and the USA).
participantsIndividuals aged 18 or older. PRIMARY AND SECONDARY OUTCOME MEASURES: PA volumes were assessed with an adapted version of the Nordic Physical Activity Questionnaire-short. Prevalence of MSK pain was captured by means of a 20-item checklist of body locations. Based on the WHO recommendation on PA, participants were classified as non-compliers (0-150 min/week), compliers (150-300 min/week), double compliers (300-450 min/week), triple compliers (450-600 min/week), quadruple compliers (600-750 min/week), quintuple compliers (750-900 min/week) and top compliers (more than 900 min/week). Multivariate logistic regression was used to obtain adjusted ORs of the association between PA and MSK pain for each body location, correcting for age, sex, employment status and depression risk.
resultsA total of 13 741 participants completed the survey. Compared with non-compliers, compliers had smaller odds of MSK pain in one location (thoracic pain, OR 0.77, 95% CI 0.64 to 0.93). Double compliance was associated with reduced pain occurrence in six locations (elbow, OR 0.70, 95% CI 0.50 to 0.98; forearm, OR 0.63, 95% CI 0.40 to 0.99; wrist, OR 0.74, 95% CI 0.57 to 0.98; hand, OR 0.57, 95% CI 0.40 to 0.79; fingers, OR 0.72, 95% CI 0.52 to 0.99; abdomen, OR 0.61, 95% CI 0.41 to 0.91). Triple to top compliance was also linked with lower odds of MSK pain (five locations in triple compliance, three in quadruple compliance, two in quintuple compliance, three in top compliance), but, at the same time, presented increased odds of MSK pain in some of the other locations.
conclusionA dose of 300-450 min WHO-equivalent PA/week was associated with lower odds of MSK pain in six body locations. On the other hand, excessive doses of PA were associated with higher odds of pain in certain body locations.
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