Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children
Objectives To assess the association between age, sex, socioeconomic group, weight status and back pain risk in a large general population cohort of children.Design and setting A dynamic cohort of children aged 4 years in the Information System for Research in Primary Care (SIDIAP) electronic primar...
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| Format: | Article |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e036023.full |
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| author | Daniel Prieto-Alhambra Andrew J Carr Antony J Palmer Talita Duarte-Salles Jose Luis Poveda Daniel Martinez-Laguna Carlen Reyes Jeroen de Bont Alan Silman |
| author_facet | Daniel Prieto-Alhambra Andrew J Carr Antony J Palmer Talita Duarte-Salles Jose Luis Poveda Daniel Martinez-Laguna Carlen Reyes Jeroen de Bont Alan Silman |
| author_sort | Daniel Prieto-Alhambra |
| collection | DOAJ |
| description | Objectives To assess the association between age, sex, socioeconomic group, weight status and back pain risk in a large general population cohort of children.Design and setting A dynamic cohort of children aged 4 years in the Information System for Research in Primary Care (SIDIAP) electronic primary care records data in Catalonia. Multivariable Cox models were fitted to explore the association between back pain and weight status categories according to the WHO 2007 growth reference groups (body mass index for age z-score). Models were adjusted for age, sex, socioeconomic status and nationality.Participants Children seen at age 4 years at paediatric primary care clinics between 1 January 2006 and 31 December 2013 and followed up until 31 December 2016 or age 15 years.Outcome measures Incident back pain registered by paediatricians at primary care using the International Statistical Classification of Diseases and Health Related Problems, 10th Edition code M54.Results 466 997 children were followed for a median 5.0 years (IQR 5.1). In multivariable models, overweight and obesity increased back pain risk, with adjusted HRs of 1.18 (95% CI 1.09 to 1.27) and 1.34 (95%CI 1.19 to 1.51) for overweight and obesity, respectively. Females were at greater risk of back pain than males with adjusted HR 1.40 (95%CI 1.35 to 1.46). Adjusted HR was 1.43 (95%CI 1.33 to 1.55) for back pain in children from the most deprived socioeconomic groups compared with the least deprived socioeconomic groups.Conclusions Maintaining a healthy weight from an early age may reduce the prevalence of back pain in both children and adults. Overweight female children from deprived socioeconomic groups are at greatest risk of back pain and represent a target population for intervention. |
| format | Article |
| id | doaj-art-50541508f13b49e4b254cb1afd266751 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-50541508f13b49e4b254cb1afd2667512025-01-08T22:15:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-036023Childhood overweight and obesity and back pain risk: a cohort study of 466 997 childrenDaniel Prieto-Alhambra0Andrew J Carr1Antony J Palmer2Talita Duarte-Salles3Jose Luis Poveda4Daniel Martinez-Laguna5Carlen Reyes6Jeroen de Bont7Alan Silman8Department of Medical Informatics, Erasmus University Medical Center, Erasmus University Rotterdam, Rotterdam, Zuid-Holland, Netherlands1 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UKNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UKFundació Institut Universitari per a la recerca a l`Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), IDIAP Jordi Gol, Barcelona, Catalunya, SpainInstituto de Salud Carlos III, Barcelona, SpainIdiap Jordi Gol, Universitat Autonoma de Barcelona, BARCELONA, SpainFundació Institut Universitari per a la recerca a l`Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), IDIAP Jordi Gol, Barcelona, Catalunya, SpainFundació Institut Universitari per a la recerca a l`Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain1NDORMS, University of Oxford, Oxford, United KingdomObjectives To assess the association between age, sex, socioeconomic group, weight status and back pain risk in a large general population cohort of children.Design and setting A dynamic cohort of children aged 4 years in the Information System for Research in Primary Care (SIDIAP) electronic primary care records data in Catalonia. Multivariable Cox models were fitted to explore the association between back pain and weight status categories according to the WHO 2007 growth reference groups (body mass index for age z-score). Models were adjusted for age, sex, socioeconomic status and nationality.Participants Children seen at age 4 years at paediatric primary care clinics between 1 January 2006 and 31 December 2013 and followed up until 31 December 2016 or age 15 years.Outcome measures Incident back pain registered by paediatricians at primary care using the International Statistical Classification of Diseases and Health Related Problems, 10th Edition code M54.Results 466 997 children were followed for a median 5.0 years (IQR 5.1). In multivariable models, overweight and obesity increased back pain risk, with adjusted HRs of 1.18 (95% CI 1.09 to 1.27) and 1.34 (95%CI 1.19 to 1.51) for overweight and obesity, respectively. Females were at greater risk of back pain than males with adjusted HR 1.40 (95%CI 1.35 to 1.46). Adjusted HR was 1.43 (95%CI 1.33 to 1.55) for back pain in children from the most deprived socioeconomic groups compared with the least deprived socioeconomic groups.Conclusions Maintaining a healthy weight from an early age may reduce the prevalence of back pain in both children and adults. Overweight female children from deprived socioeconomic groups are at greatest risk of back pain and represent a target population for intervention.https://bmjopen.bmj.com/content/10/9/e036023.full |
| spellingShingle | Daniel Prieto-Alhambra Andrew J Carr Antony J Palmer Talita Duarte-Salles Jose Luis Poveda Daniel Martinez-Laguna Carlen Reyes Jeroen de Bont Alan Silman Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children BMJ Open |
| title | Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children |
| title_full | Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children |
| title_fullStr | Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children |
| title_full_unstemmed | Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children |
| title_short | Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children |
| title_sort | childhood overweight and obesity and back pain risk a cohort study of 466 997 children |
| url | https://bmjopen.bmj.com/content/10/9/e036023.full |
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