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Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults
BACKGROUND: Back pain is among the most prevalent pain disorders causing chronic disability among adults, and insomnia is a common co-morbidity. However, whether insomnia precedes back pain or vice versa remains unclear. The current study tested the temporal association between insomnia and back pai...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118902/ https://www.ncbi.nlm.nih.gov/pubmed/25084165 http://dx.doi.org/10.1371/journal.pone.0103591 |
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author | Agmon, Maayan Armon, Galit |
author_facet | Agmon, Maayan Armon, Galit |
author_sort | Agmon, Maayan |
collection | PubMed |
description | BACKGROUND: Back pain is among the most prevalent pain disorders causing chronic disability among adults, and insomnia is a common co-morbidity. However, whether insomnia precedes back pain or vice versa remains unclear. The current study tested the temporal association between insomnia and back pain. METHODS: A longitudinal design was used to investigate whether changes in insomnia over time predict the onset of back pain and vice versa. The study was conducted on a cohort of active healthy working adults (N = 2,131, 34% women) at three time points (T1, T2, and T3) over a period of 3.7 years (range = 2.2–5.12) years. Logistic regression analysis was used to test whether increased insomnia symptoms from T1 to T2 predicted the onset of new back pain. Ordinary least squares regression was used to test whether the existence of back pain at T2 predicted an increase in insomnia from T2 to T3. RESULTS: The results indicated that after controlling for socioeconomic variables, self-reported health, lifestyle behaviors, and anthropometrics, a T1–T2 increase in insomnia symptoms was associated with a 1.40-fold increased risk of back pain at T3 (OR = 1.40; 95% CI = 1.10–1.71). No support was found for reverse causation; i.e., that back pain predicts subsequent increase in insomnia. CONCLUSIONS: Insomnia appears to be a risk factor in the development of back pain in healthy individuals. However, no evidence of reverse causation was found. |
format | Online Article Text |
id | pubmed-4118902 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-41189022014-08-04 Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults Agmon, Maayan Armon, Galit PLoS One Research Article BACKGROUND: Back pain is among the most prevalent pain disorders causing chronic disability among adults, and insomnia is a common co-morbidity. However, whether insomnia precedes back pain or vice versa remains unclear. The current study tested the temporal association between insomnia and back pain. METHODS: A longitudinal design was used to investigate whether changes in insomnia over time predict the onset of back pain and vice versa. The study was conducted on a cohort of active healthy working adults (N = 2,131, 34% women) at three time points (T1, T2, and T3) over a period of 3.7 years (range = 2.2–5.12) years. Logistic regression analysis was used to test whether increased insomnia symptoms from T1 to T2 predicted the onset of new back pain. Ordinary least squares regression was used to test whether the existence of back pain at T2 predicted an increase in insomnia from T2 to T3. RESULTS: The results indicated that after controlling for socioeconomic variables, self-reported health, lifestyle behaviors, and anthropometrics, a T1–T2 increase in insomnia symptoms was associated with a 1.40-fold increased risk of back pain at T3 (OR = 1.40; 95% CI = 1.10–1.71). No support was found for reverse causation; i.e., that back pain predicts subsequent increase in insomnia. CONCLUSIONS: Insomnia appears to be a risk factor in the development of back pain in healthy individuals. However, no evidence of reverse causation was found. Public Library of Science 2014-08-01 /pmc/articles/PMC4118902/ /pubmed/25084165 http://dx.doi.org/10.1371/journal.pone.0103591 Text en © 2014 Agmon, Armon http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Agmon, Maayan Armon, Galit Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title | Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title_full | Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title_fullStr | Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title_full_unstemmed | Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title_short | Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults |
title_sort | increased insomnia symptoms predict the onset of back pain among employed adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118902/ https://www.ncbi.nlm.nih.gov/pubmed/25084165 http://dx.doi.org/10.1371/journal.pone.0103591 |
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