Association of depressive symptoms and risk of knee pain: the moderating effect of sex

Hu, Haiyan; Liu, Wenjun; Liu, Yang; Pan, Jay; Zheng, Xiaozuo

doi:10.1186/s12891-021-04511-2

Cited by 5 publications

(4 citation statements)

References 49 publications

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“…Previous studies ( 28 ) have concluded that people with pain are more likely to fill in hearing impairment,; the two may be in an interactive relationship that needs to be further studied. Additionally, this study found that middle-aged and older adults suffering from depression were more likely to experience pain, which further supports the idea that the management and prevention of depression have great potential to improve physical pain in middle-aged and older adults ( 29 ).…”

Section: Discussionsupporting

confidence: 82%

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Tang

Peng

et al. 2023

Front. Public Health

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BackgroundWith China's rapidly aging population, chronic pain has become a major public health issue. This article aims at determining associations between chronic pain and multiple factors, including demographic characteristics, health status, and health service utilization of middle-aged and older adults in China.MethodsWe selected all the 19,829 respondents who were over 45 years old from the China Health and Aging Tracking Survey 2018 (CHARLS) as our study population. The key information in terms of the body pain, demographic characteristics, health status, behaviors and health services use was extracted and analyzed. Logistic regression model was used to determine the influencing factors of chronic pain.ResultsAnalysis revealed that 60.02% (9,257) of the data from this survey reported physical pain, with pain sites concentrated at the head (40.9%), lower back (62.2%) and knees (47.2%). Pain was positively associated with influencing factors for pain: being a female (OR = 2.10, 95% CI 1.90–2.33, p < 0.001), living in a western region (OR = 1.28, 95% CI 1.16–1.41, p < 0.001), living in a rural area (OR = 1.14, 95% CI 1.06–1.23, p < 0.001), smoked (OR = 1.26, 95% CI 1.14–1.38, p < 0.001), drank alcohol (OR = 1.16, 95% CI 1.06–1.26, p = 0.001), and had poor self-rated health (OR = 6.84, 95% CI 5.41–8.65, p < 0.001), had hearing problems (OR = 1.23, 95% CI 1.11–3.37, p < 0.001), were depressed (OR = 1.56, 95% CI 1.03–1.29, p < 0.001), had arthritis (OR = 2.21, 95% CI 2.02–2.41, p < 0.001), stomach disorders (OR = 1.69, 95% CI 1.55–1.85, p < 0.001), visited a Western medicine hospital (OR = 1.28, 95% CI 1.10–1.50, p = 0.002), and visits to other medical institutions (OR = 1.42, 95%CI 1.22–1.64, p < 0.001). On the other side, as a protective factor for pain, having nighttime sleep ≥7 h (OR = 0.74, 95%CI 0.68–0.80, p < 0.001) was negatively associated with pain.ConclusionPhysical pain affects many older adults. Women, regional, rural residents, smokers, alcohol drinkers, people with poor self-rated health, those having <7 h of sleep at night, those with hearing problems, depression, arthritis, stomach disorders, and people who visits Western hospitals or other medical institutions are at greater risk for pain and deserve the attention of health care providers and policy makers to focus on pain prevention and management in middle-aged and older adults. Future research studies should also focus on the impact of health literacy on pain prevention and management outcomes.

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Section: Discussionsupporting

confidence: 82%

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Tang

Peng

et al. 2023

Front. Public Health

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“…The relationship between sex, mental health, and its correlation with MSK pain showed con icting evidence in the literature. Some studies have suggested that women are more likely to report depression and higher pain severity of chronic pain than men [14]; however, Hu et al (2021) found that males had a stronger correlation between knee pain and depression as compared to females [21]. Considering the low response rate from male students, further studies with more representation are warranted to understand the role of mental health in MSKDs and how this relationship differ between sexes.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of musculoskeletal disorders and associated risk factors in Canadian university students

Parto

Wong

Macedo

2023

Preprint

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Background: Musculoskeletal disorders (MSKDs) present a significant burden to health care systems worldwide. Evidence suggests that university students may have unique risk factors for developing MSKDs; however, research on the corresponding prevalence and risk factors of MSKDs in Canadian students is limited. Methods: Using a multi-year cross-sectional survey, we aimed to understand the prevalence and risk factors of MSKDs in students at McMaster University. A survey on the prevalence of MSKD as well as potential risk factors was conducted online in the years 2018-2022. Our outcomes were the prevalence of MSKDs over the last 7 days and the last 12 months, as well as presence of lower body, upper body, and spine MSKDs. We investigated risk factors using negative binomial regression analysis, including a sex-stratified analysis. Results: There were a total of 289 respondents in 2018 with a decrease in the number of participants in the subsequent survey years (n2019 = 173, n2020 = 131, n2021 = 76). Participants reported a median of 2-3 pain sites in the last year and 1-2 pain sites in the last week in all four years. The most prevalent sources of self-reported pain were the lower back and neck. Depending on the year and outcome studied, 59-67% of participants reported neck/lower back pain in the last year, and 43-49% of respondents reported it in the last week. Although risk factors were different depending on the year and the sex, overall, poorer mental health, being in health care studies, regular sports participation (males only), older age, and less hours of sleep were significantly associated with higher prevalence of MSKDs. Conclusions: This identified that MSKDs is a prevalent source of pain in university students. While some risk factors, such as mental health, are known to play a role in developing MSKDs, sports activity and academic pressure are risk factors that are unique to students. Our study also suggests that there may also be differences in risk factors between sexes.

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“…The relationship between sex, mental health, and its correlation with MSK pain has shown conflicting evidence in the literature. Some studies have suggested that women are more likely to report depression and higher pain severity of chronic pain than men [ 15 ]; however, Hu et al (2021) found that males had a stronger correlation between knee pain and depression as compared to females [ 24 ]. Considering the low response rate from male students, further studies with more representation are warranted to understand the role of mental health in MSKDs and how this relationship differ between sexes.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of musculoskeletal disorders and associated risk factors in canadian university students

Parto

Wong

Macedo

2023

BMC Musculoskelet Disord

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Background Musculoskeletal disorders (MSKDs) present a significant burden to health care systems worldwide. Evidence suggests that university students may have unique risk factors for developing MSKDs; however, research on the corresponding prevalence and risk factors of MSKDs in Canadian students is limited. Methods Using a multi-year cross-sectional survey, we aimed to understand the prevalence and risk factors of MSKDs in students at McMaster University. A survey on the prevalence of MSKD as well as potential risk factors was conducted online in the years 2018–2022. Our outcomes were the prevalence of MSKDs over the last 7 days and the last 12 months, as well as presence of lower body, upper body, and spine MSKDs. We investigated risk factors using negative binomial regression analysis, including a sex-stratified analysis. Results There were a total of 289 respondents in 2018 with a decrease in the number of participants in the subsequent years (n2019 = 173, n2020 = 131, n2021 = 76). Participants reported a median of 2–3 pain sites in the last year and 1–2 pain sites in the last week in all four years. The most prevalent sources of self-reported pain were the lower back and neck. Depending on the year and outcome studied, 59–67% of participants reported neck/lower back pain in the last year, and 43–49% reported it in the last week. Although risk factors were different depending on the year and sex, overall, poorer mental health, being in health care studies, regular sports participation (males only), older age, and less hours of sleep were significantly associated with higher prevalence of MSKDs. Conclusions This study identified that MSKDs are a prevalent source of pain in university students. While some risk factors, such as mental health, are known to play a role in developing MSKDs, sports activity and academic pressure are risk factors that are unique to students. Our study also suggests that there may be differences in risk factors between sexes.

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Association of depressive symptoms and risk of knee pain: the moderating effect of sex

Cited by 5 publications

References 49 publications

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Prevalence of musculoskeletal disorders and associated risk factors in Canadian university students

Prevalence of musculoskeletal disorders and associated risk factors in canadian university students

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