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The association between multisite musculoskeletal pain and cardiac autonomic modulation during work, leisure and sleep - a cross-sectional study
Physical Therapy Department, Federal University of São Carlos (UFSCar), Brazil.ORCID iD: 0000-0001-8797-8981
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-2741-1868
National Research Centre for the Working Environment, Copenhagen, Denmark.
National Research Centre for the Working Environment, Copenhagen, Denmark.
2018 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 19, no 1, article id 405Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

The prevention and rehabilitation of multisite musculoskeletal pain would benefit from studies aiming to understand its underlying mechanism. Autonomic imbalance is a suggested mechanism for multisite pain, but hardly been studied during normal daily living. Therefore, the aim of the study is to investigate the association between multisite musculoskeletal pain and cardiac autonomic modulation during work, leisure and sleep.

METHODS:

This study is based on data from the "Danish Physical activity cohort with objective measurements" among 568 blue-collar workers. Pain intensity scales were dichotomized according to the median of each scale, and the number of pain sites was calculated. No site was regarded as the pain-free, one site was considered as single-site musculoskeletal pain and pain in two or more sites was regarded as multisite musculoskeletal pain. Heart rate variability (HRV) was measured by an electrocardiogram system (ActiHeart) and physical activity using accelerometers (Actigraph). Crude and adjusted linear mixed models were applied to investigate the association between groups and cardiac autonomic regulation during work, leisure and sleep.

RESULTS:

There was no significant difference between groups and no significant interaction between groups and domains in the crude or adjusted models for any HRV index. Significant differences between domains were found in the crude and adjusted model for all indices, except SDNN; sleep time showed higher values than leisure and work time, except for LF and LF/HF, which were higher during work.

CONCLUSION:

This cross-sectional study showed that multisite musculoskeletal pain is not associated with imbalanced cardiac autonomic regulation during work, leisure and sleep time.

Place, publisher, year, edition, pages
2018. Vol. 19, no 1, article id 405
Keywords [en]
Autonomic nervous system; Chronic pain; Heart rate variability; Physical activity
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-25567DOI: 10.1186/s12891-018-2312-3ISI: 000450789400003PubMedID: 30458750Scopus ID: 2-s2.0-85056803538OAI: oai:DiVA.org:hig-25567DiVA, id: diva2:1159263
Note

Funding agencies:

- Danish Work Environment Research Fund  

- Sao Paulo Research Foundation (FAPESP), Sao Paulo, Brazil Grant no: 2015/18310-1 

Available from: 2017-11-22 Created: 2017-11-22 Last updated: 2019-12-10Bibliographically approved

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Hallman, David

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