The physical activity paradox; exploring the relationship with pain outcomes. The Tromsø Study 2015-2016.

Autor:	Fjeld MK; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Årnes AP; Department of Pain, University Hospital of North Norway, Tromsø, Norway., Engdahl B; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway., Morseth B; School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway., Hopstock LA; Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway., Horsch A; Department of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway., Stubhaug A; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.; Department of Pain Management and Research, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway., Strand BH; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; Norwegian National Advisory Unit on Ageing and Health, Tønsberg, Norway.; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway., Ranhoff AH; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway., Matre D; National Institute of Occupational Health, Oslo, Norway., Nielsen CS; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; Department of Pain Management and Research, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway., Steingrímsdóttir ÓA; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; Department of Research, Oral Health Centre of Expertise in Eastern Norway, Oslo, Norway.
Jazyk:	angličtina
Zdroj:	Pain [Pain] 2024 Aug 26. Date of Electronic Publication: 2024 Aug 26.
DOI:	10.1097/j.pain.0000000000003344
Abstrakt:	Abstract: Paradoxical associations have been observed for leisure-time physical activity (LTPA) and occupational physical activity (OPA) and several health-related outcomes. Typically, higher LTPA is associated with health benefits and high OPA with health hazards. Using data from the Tromsø Study (2015-2016), we assessed how questionnaire-based LTPA and OPA (n = 21,083) and accelerometer-measured physical activity (PA) (n = 6778) relate to pain outcomes. Leisure-time physical activity and OPA were categorized as inactive PA, low PA, and moderate-to-vigorous PA and then aggregated into 9 levels, eg, inactive LTPA/inactive OPA. Accelerometer-measured PA included counts/minute, steps/day, and WHO PA recommendations from 2010 to 2020. Three binary pain outcomes (any pain, any chronic pain, and moderate-to-severe chronic pain) were constructed based on pain location, intensity, duration, and impact on daily activities. By using Poisson regression to estimate absolute and relative associations, we found that high LTPA was associated with lower pain prevalence and vice versa for OPA. Compared to inactive LTPA, prevalence ratio (PR) with 95% confidence intervals was lowest for moderate-to-vigorous LTPA, 0.93 (0.89-0.96) for any pain, 0.88 (0.84-0.93) for any chronic pain, and 0.66 (0.59-0.75) for moderate-to-severe chronic pain. Compared to sedentary OPA, the ratio was highest for moderate-to-vigorous OPA, 1.04 (1.01-1.07) for any pain, 1.06 (1.02-1.10) for any chronic pain, and 1.33 (1.21-1.46) for moderate-to-severe chronic pain. Aggregated LTPA and OPA showed lower outcomes for moderate-to-vigorous LTPA combined with lower levels of OPA. Higher levels of accelerometer-measured PA were associated with less pain. To summarize, we found inverse associations for LTPA and OPA. Benefits from LTPA seem to depend on low levels of OPA. (Copyright © 2024 International Association for the Study of Pain.)
Databáze:	MEDLINE
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