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, 15 (4), 254-62

Sleeping Problems as a Risk Factor for Subsequent Musculoskeletal Pain and the Role of Job Strain: Results From a One-Year Follow-Up of the Malmö Shoulder Neck Study Cohort

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Sleeping Problems as a Risk Factor for Subsequent Musculoskeletal Pain and the Role of Job Strain: Results From a One-Year Follow-Up of the Malmö Shoulder Neck Study Cohort

Catarina Canivet et al. Int J Behav Med.

Abstract

Background: The role of sleeping problems in the causal pathway between job strain and musculoskeletal pain is not clear.

Purpose: To investigate the impact of sleeping problems and job strain on the one-year risk for neck, shoulder, and lumbar pain.

Method: A prospective study, using self-administered questionnaires, of a healthy cohort of 4,140 vocationally active persons ages 45-64, residing in the city of Malmo.

Results: At follow-up, 11.8% of the men and 14.8% of the women had developed pain. The odds ratios (OR) for pain at follow-up and sleeping problems at baseline were 1.72 (95% CI: 1.13-2.61) in men and 1.91 (1.35-2.70) in women. Regarding exposure to job strain, ORs were 1.39 (0.94-2.05) for men and 1.63 (1.18-2.23) for women. These statistically significant risks remained so when controlled for possible confounding. A modest synergistic effect was noted in women with concurrent sleeping problems and job strain, but not in men.

Conclusion: One in 15-20 of all new cases of chronic pain in the population could be attributed to sleeping problems. No evidence was found for a causal chain with job strain leading to musculoskeletal pain by the pathway of sleeping problems.

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