Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study
Objectives: To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods: The study population comprised 29 496 vocationally active women and men in the Norw...
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| Format: | Article |
| Language: | English |
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Nofer Institute of Occupational Medicine
2016-08-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | http://ijomeh.eu/Psychosocial-work-stress-leisure-time-physical-exercise-and-the-risk-of-chronic-pain-in-the-neck-shoulders-Longitudinal-data-from-the-Norwegian-HUNT-Study,59125,0,2.html |
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| author | Rannveig Fanavoll Tom Ivar Lund Nilsen Andreas Holtermann Paul Jarle Mork |
| author_facet | Rannveig Fanavoll Tom Ivar Lund Nilsen Andreas Holtermann Paul Jarle Mork |
| author_sort | Rannveig Fanavoll |
| collection | DOAJ |
| description | Objectives: To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods: The study population comprised 29 496 vocationally active women and men in the Norwegian Nord-Trøndelag Health Study (HUNT Study) without chronic pain at baseline in 1984–1986. Chronic neck/shoulder pain was assessed during a follow-up in 1995–1997. A generalized linear model (Poisson regression) was used to calculate adjusted relative risks (RRs). Results: Work stress was dosedependently associated with the risk of neck/shoulder pain (ptrend < 0.001 in both sexes). The women and men who perceived their work as stressful “almost all the time” had multi-adjusted RRs = 1.27 (95% confidence interval (CI): 1.1–1.47) and 1.71 (95% CI: 1.46–2), respectively, referencing those with no stressful work. Work stress interacted with sex (p < 0.001). Poor job control was not associated with the risk of neck/shoulder pain among the women (RR = 1.04, 95% CI: 0.92–1.19) nor the men (RR = 1.09, 95% CI: 0.95–1.26). Combined analyses showed an inverse dose-dependent association between hours of physical exercise/week and the risk of neck/shoulder pain in the men with no stressful work (ptrend = 0.05) and among the men who perceived their work as “rarely stressful” (ptrend < 0.02). This effect was not statistically significant among the women or among men with more frequent exposure to work stress. Conclusions: Work stress is an independent predictor of chronic neck/shoulder pain and the effect is stronger in men than in women. Physical exercise does not substantially reduce the risk among the persons with frequent exposure to work stress. |
| first_indexed | 2024-12-12T08:44:06Z |
| format | Article |
| id | doaj.art-583f6a43b4f4466b865cf04f18a8953f |
| institution | Directory Open Access Journal |
| issn | 1232-1087 1896-494X |
| language | English |
| last_indexed | 2024-12-12T08:44:06Z |
| publishDate | 2016-08-01 |
| publisher | Nofer Institute of Occupational Medicine |
| record_format | Article |
| series | International Journal of Occupational Medicine and Environmental Health |
| spelling | doaj.art-583f6a43b4f4466b865cf04f18a8953f2022-12-22T00:30:38ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2016-08-0129458559510.13075/ijomeh.1896.00606Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT StudyRannveig FanavollTom Ivar Lund NilsenAndreas HoltermannPaul Jarle MorkObjectives: To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods: The study population comprised 29 496 vocationally active women and men in the Norwegian Nord-Trøndelag Health Study (HUNT Study) without chronic pain at baseline in 1984–1986. Chronic neck/shoulder pain was assessed during a follow-up in 1995–1997. A generalized linear model (Poisson regression) was used to calculate adjusted relative risks (RRs). Results: Work stress was dosedependently associated with the risk of neck/shoulder pain (ptrend < 0.001 in both sexes). The women and men who perceived their work as stressful “almost all the time” had multi-adjusted RRs = 1.27 (95% confidence interval (CI): 1.1–1.47) and 1.71 (95% CI: 1.46–2), respectively, referencing those with no stressful work. Work stress interacted with sex (p < 0.001). Poor job control was not associated with the risk of neck/shoulder pain among the women (RR = 1.04, 95% CI: 0.92–1.19) nor the men (RR = 1.09, 95% CI: 0.95–1.26). Combined analyses showed an inverse dose-dependent association between hours of physical exercise/week and the risk of neck/shoulder pain in the men with no stressful work (ptrend = 0.05) and among the men who perceived their work as “rarely stressful” (ptrend < 0.02). This effect was not statistically significant among the women or among men with more frequent exposure to work stress. Conclusions: Work stress is an independent predictor of chronic neck/shoulder pain and the effect is stronger in men than in women. Physical exercise does not substantially reduce the risk among the persons with frequent exposure to work stress.http://ijomeh.eu/Psychosocial-work-stress-leisure-time-physical-exercise-and-the-risk-of-chronic-pain-in-the-neck-shoulders-Longitudinal-data-from-the-Norwegian-HUNT-Study,59125,0,2.htmlneck painphysical exercisework stressshoulder painjob controlepidemiology |
| spellingShingle | Rannveig Fanavoll Tom Ivar Lund Nilsen Andreas Holtermann Paul Jarle Mork Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study International Journal of Occupational Medicine and Environmental Health neck pain physical exercise work stress shoulder pain job control epidemiology |
| title | Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study |
| title_full | Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study |
| title_fullStr | Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study |
| title_full_unstemmed | Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study |
| title_short | Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study |
| title_sort | psychosocial work stress leisure time physical exercise and the risk of chronic pain in the neck shoulders longitudinal data from the norwegian hunt study |
| topic | neck pain physical exercise work stress shoulder pain job control epidemiology |
| url | http://ijomeh.eu/Psychosocial-work-stress-leisure-time-physical-exercise-and-the-risk-of-chronic-pain-in-the-neck-shoulders-Longitudinal-data-from-the-Norwegian-HUNT-Study,59125,0,2.html |
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