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Title of Journal: Eur Spine J

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Abbravation: European Spine Journal

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Springer Berlin Heidelberg

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DOI

10.1006/jcis.1996.0637

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ISSN

1432-0932

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Accumulation of psychosocial and lifestyle factors

Authors: Paula Mikkonen Eveliina Heikkala Markus Paananen Jouko Remes Simo Taimela Juha Auvinen Jaro Karppinen
Publish Date: 2015/06/13
Volume: 25, Issue: 2, Pages: 635-642
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Abstract

Low back pain LBP is common already in adolescence and many risk indicators including both psychosocial and lifestyle factors have been recognized Our purpose was to assess whether the cooccurrence of psychosocial externalizing and internalizing problems and lifestyle factors leisure time physical activity sedentary behaviour sleep smoking and overweight/obesity associate with LBP at 16 years crosssectionally or with new LBP at 18year followupThe study population drawn from the Northern Finland Birth Cohort 1986 consisted of 1625 participants 712 boys and 913 girls who completed a questionnaire on potential explanatory factors at 16 years and on LBP at 16 and 18 years The outcome measure was ‘reporting LBP’ or ‘consultation for LBP’ during the past 6 months Latent Class Analysis LCA was utilized to study the cooccurrence of the explanatory factorsAmong both genders four clusters were found Externalizing behaviour problems were associated with ‘reporting LBP’ RR 15 boys 14 girls and ‘consultation for LBP’ RR 16 for both genders at baseline among both genders In addition the cluster of multiple risk behaviours was associated with both ‘reporting LBP’ RR 13 and ‘consultation for LBP’ RR 25 and the obese cluster with ‘consultation for LBP’ RR 17 among girls Externalizing behaviour problems at 16 years predicted ‘consultation for LBP’ at 18 years among girls RR 36

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