Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study

Objectives The COVID-19 pandemic has forced many people to stay at home and to maintain social distancing. This study aimed to assess the association of reduced physical activity during the COVID-19 pandemic with new onset of neck pain (katakori) among a rural Japanese population living in areas dam...

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Main Authors: Takuya Sekiguchi, Yoshihiro Hagiwara, Yumi Sugawara, Yutaka Yabe, Eiji Itoi, Ichiro Tsuji
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e051751.full
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author Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
author_facet Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
author_sort Takuya Sekiguchi
collection DOAJ
description Objectives The COVID-19 pandemic has forced many people to stay at home and to maintain social distancing. This study aimed to assess the association of reduced physical activity during the COVID-19 pandemic with new onset of neck pain (katakori) among a rural Japanese population living in areas damaged by the Great East Japan Earthquake (GEJE).Design, setting and participants This prospective cohort study has been conducted continuously since 2011 after the GEJE. This study used longitudinal data from 1608 adults who responded to the self-reported questionnaire before and during the COVID-19 pandemic. Changes in physical activity due to the COVID-19 pandemic were categorised into four groups: ‘no change’, ‘decreased by 20%–30%’, ‘decreased by half’ and ‘almost never go out’. Multiple logistic regression analysis was used to estimate the OR and 95% CI of the association between COVID-19 pandemic-related physical inactivity and new-onset neck pain.Results In total, ‘no change’, ‘decreased by 20%–30%’, ‘decreased by half’, and ‘almost never go out’ were reported by 9.2%, 27.7%, 31.2% and 21.9% of respondents, respectively. Among them, 9.8% reported new-onset neck pain. A significantly higher rate of new-onset neck pain was observed in participants who reported ‘decreased by half’ (adjusted OR 1.85, 95% CI 1.04 to 3.30) and who ‘almost never go out’ (adjusted OR 2.13, 95% CI 1.16 to 3.91), compared with those who reported ‘no change.’Conclusions Decreased physical activity has increased due to the COVID-19 pandemic and was significantly associated with new-onset neck pain among GEJE survivors.
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spelling doaj-art-5268f4c236b5478c8093bec509e0afa02024-12-08T08:00:09ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-051751Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort studyTakuya Sekiguchi0Yoshihiro Hagiwara1Yumi Sugawara2Yutaka Yabe3Eiji Itoi4Ichiro Tsuji51 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDepartment of Orthopaedic Science, Tohoku Rosai Hospital, Sendai, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, JapanObjectives The COVID-19 pandemic has forced many people to stay at home and to maintain social distancing. This study aimed to assess the association of reduced physical activity during the COVID-19 pandemic with new onset of neck pain (katakori) among a rural Japanese population living in areas damaged by the Great East Japan Earthquake (GEJE).Design, setting and participants This prospective cohort study has been conducted continuously since 2011 after the GEJE. This study used longitudinal data from 1608 adults who responded to the self-reported questionnaire before and during the COVID-19 pandemic. Changes in physical activity due to the COVID-19 pandemic were categorised into four groups: ‘no change’, ‘decreased by 20%–30%’, ‘decreased by half’ and ‘almost never go out’. Multiple logistic regression analysis was used to estimate the OR and 95% CI of the association between COVID-19 pandemic-related physical inactivity and new-onset neck pain.Results In total, ‘no change’, ‘decreased by 20%–30%’, ‘decreased by half’, and ‘almost never go out’ were reported by 9.2%, 27.7%, 31.2% and 21.9% of respondents, respectively. Among them, 9.8% reported new-onset neck pain. A significantly higher rate of new-onset neck pain was observed in participants who reported ‘decreased by half’ (adjusted OR 1.85, 95% CI 1.04 to 3.30) and who ‘almost never go out’ (adjusted OR 2.13, 95% CI 1.16 to 3.91), compared with those who reported ‘no change.’Conclusions Decreased physical activity has increased due to the COVID-19 pandemic and was significantly associated with new-onset neck pain among GEJE survivors.https://bmjopen.bmj.com/content/11/8/e051751.full
spellingShingle Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
BMJ Open
title Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
title_full Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
title_fullStr Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
title_full_unstemmed Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
title_short Association of decreased physical activity due to the COVID-19 pandemic with new-onset neck pain in survivors of the Great East Japan Earthquake: a prospective cohort study
title_sort association of decreased physical activity due to the covid 19 pandemic with new onset neck pain in survivors of the great east japan earthquake a prospective cohort study
url https://bmjopen.bmj.com/content/11/8/e051751.full
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