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Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK)
Journal article   Peer reviewed

Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK)

J.J. Hebert, C. Leboeuf-Yde, C. Franz, A. Lardon, L. Hestbæk, N. Manson and N. Wedderkopp
European Spine Journal, Vol.28(7), pp.1565-1571
2019
DOI: https://doi.org/10.1007/s00586-019-05905-6
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Abstract

Purpose To examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children. Methods We recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1–5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders. Results Data from 1021 children (53% female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95% CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95% CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95% CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95% CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent. Conclusions In young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose–response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.129 Back pain
1.129.98 Low Back Pain
Web Of Science research areas
Clinical Neurology
Orthopedics
ESI research areas
Clinical Medicine
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