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Author Fimland, M.S.; Vie, G.; Holtermann, A.; Krokstad, S.; Nilsen, T.I.L. url  doi
  Title Occupational and leisure-time physical activity and risk of disability pension: prospective data from the HUNT Study, Norway Type Journal Article
  Year 2018 Publication Occupational and Environmental Medicine Abbreviated Journal Occup Environ Med  
  Volume 75 Issue 1 Pages 23-28  
  Keywords Adult; Disability Evaluation; *Disabled Persons; *Exercise; Female; Humans; *Leisure Activities; Lifting; Male; Mental Disorders; Middle Aged; *Musculoskeletal Diseases/etiology/prevention & control; Norway; *Occupational Exposure; *Pensions; Proportional Hazards Models; Prospective Studies; Risk Factors; Surveys and Questionnaires; Walking; *Work; Public health  
  Abstract OBJECTIVES: To prospectively investigate the association between occupational physical activity (OPA) and disability pension due to musculoskeletal cause, mental cause or any cause. We also examined the combined association of OPA and leisure-time physical activity (LTPA) with disability pension. METHODS: A population-based cohort study in Norway on 32 362 persons aged 20-65 years with questionnaire data on OPA and LTPA that were followed up for incident disability pension through the National Insurance Database. We used Cox regression to estimate adjusted HRs with 95% CIs. RESULTS: During a follow-up of 9.3 years, 3837 (12%) received disability pension. Compared with people with mostly sedentary work, those who performed much walking, much walking and lifting, and heavy physical work had HRs of 1.26 (95% CI 1.16 to 1.38), 1.44 (95% CI 1.32 to 1.58) and 1.48 (95% CI 1.33 to 1.70), respectively. These associations were stronger for disability pension due to musculoskeletal disorders, whereas there was no clear association between OPA and risk of disability pension due to mental disorders. People with high OPA and low LTPA had a HR of 1.77 (95% CI 1.58 to 1.98) for overall disability pension and HR of 2.56 (95% CI 2.10 to 3.11) for disability pension due to musculoskeletal disorders, versus low OPA and high LTPA. CONCLUSIONS: We observed a positive association between OPA and risk of disability pension due to all causes and musculoskeletal disorders, but not for mental disorders. Physical activity during leisure time reduced some, but not all of the unfavourable effect of physically demanding work on risk of disability pension.  
  Address Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1351-0711 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28698178 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1898  
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Author Hoftun, G.B.; Romundstad, P.R.; Rygg, M. url  doi
  Title Factors associated with adolescent chronic non-specific pain, chronic multisite pain, and chronic pain with high disability: the Young-HUNT Study 2008 Type Journal Article
  Year 2012 Publication The Journal of Pain : Official Journal of the American Pain Society Abbreviated Journal J Pain  
  Volume 13 Issue 9 Pages 874-883  
  Keywords Adolescent; Anxiety/epidemiology; Chronic Pain/*epidemiology/*physiopathology/psychology; Depression/epidemiology; *Disabled Persons; Female; Humans; *Life Style; Male; Norway; Outcome Assessment (Health Care); Prevalence; Psychology; Retrospective Studies; Risk Factors; Sex Factors  
  Abstract The aim of this study was to assess the association of chronic pain with different lifestyle factors and psychological symptoms in a large, unselected adolescent population. Pain was evaluated as chronic non-specific pain, chronic multisite pain, and in additional analyses, chronic pain with high disability. The study was performed during 2006 to 2008 in Nord-Trondelag County, Norway. Adolescents aged 13 to 18 years were invited to participate. The response rate was 78%. The final study population consisted of 7,373. Sedentary behavior and pain were associated only in girls. In both sexes, overweight and obesity were associated with increased odds of pain. Whereas both smoking and alcohol intoxication showed strong associations with pain, the associations were attenuated after adjustments for psychosocial factors. Symptoms of anxiety and depression showed the strongest associations with pain (odds ratio 4.1 in girls and 3.7 in boys). The odds of pain increased gradually by number of unfavorable lifestyle factors reported. This study revealed consistent associations between lifestyle factors, anxiety and depression, and chronic pain, including multisite pain and pain with high disability. The consistency across the different pain categories suggests common underlying explanatory mechanisms, and despite the cross-sectional design, the study indicates several modifiable targets in the management of adolescent chronic pain. PERSPECTIVE: This study showed a clear and consistent relation between different lifestyle factors, anxiety and depression, and the pain categories chronic non-specific pain, multisite pain, and also pain with high disability. Independent of causality, it underlines the importance of a broad perspective when studying, preventing, and treating chronic pain in adolescents.  
  Address Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. gry.b.hoftun@ntnu.no  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1526-5900 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:22832694 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1531  
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