The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark

Eivind Schjelderup Skarpsno; Paul Jarle Mork; Tom Ivar Lund Nilsen; Marie Birk Jørgensen; Andreas Holtermann

doi:10.1007/s00420-018-1382-8

The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark

Eivind Schjelderup Skarpsno^*, Paul Jarle Mork, Tom Ivar Lund Nilsen, Marie Birk Jørgensen, Andreas Holtermann

^*Corresponding author for this work

2 Citations (Scopus)

Abstract

Purpose: To investigate if occupational physical activity (OPA) and leisure-time physical activity (LTPA) influence the association between musculoskeletal pain and sleep problems. Methods: Cross-sectional study includes 678 workers in the Danish PHysical ACTivity cohort with Objective measurements (DPhacto). Musculoskeletal pain was assessed by questionnaires, while OPA and LTPA were measured with accelerometers for up to 6 consecutive days. We used logistic regression to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for self-reported insomnia symptoms and non-restorative sleep. Results: Analyses of the joint association of musculoskeletal pain and OPA showed that workers with high pain and high OPA had ORs of 5.80 (95% CI 2.64–12.67) for insomnia symptoms and 2.50 (95% CI 1.37–4.57) for non-restorative sleep, compared to those with low pain and low OPA, whereas workers with high pain and low OPA had ORs of 4.67 (95% CI 2.17–10.07) for insomnia symptoms, and 2.67 (95% CI 1.46–4.89) for non-restorative sleep, respectively. Furthermore, workers with high pain and high LTPA had ORs of 4.23 (95% CI 2.16–8.32) for insomnia symptoms and 1.95 (95% CI 1.09–3.48) for non-restorative sleep, compared to those with low pain and low LTPA, whereas workers with high pain and low LTPA had ORs of 3.34 (95% CI 1.66–6.70) for insomnia symptoms and 2.14 (95% CI 1.21–3.80) for non-restorative sleep, respectively. Conclusions: Workers with high musculoskeletal pain who also conducted high levels of OPA or LTPA reported higher prevalence of insomnia symptoms.

Original language	English
Journal	International Archives of Occupational and Environmental Health
Volume	92
Issue number	4
Pages (from-to)	491–499
ISSN	0340-0131
DOIs	https://doi.org/10.1007/s00420-018-1382-8
Publication status	Published - 1 May 2019

Keywords

Accelerometer
Insomnia
Physical work exposure
Technical measurement
Work demands

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10.1007/s00420-018-1382-8

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Skarpsno, E. S., Mork, P. J., Nilsen, T. I. L., Jørgensen, M. B., & Holtermann, A. (2019). The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark. International Archives of Occupational and Environmental Health, 92(4), 491–499. https://doi.org/10.1007/s00420-018-1382-8

The joint association of musculoskeletal pain and domains of physical activity with sleep problems : cross-sectional data from the DPhacto study, Denmark. / Skarpsno, Eivind Schjelderup; Mork, Paul Jarle; Nilsen, Tom Ivar Lund et al.

In: International Archives of Occupational and Environmental Health, Vol. 92, No. 4, 01.05.2019, p. 491–499.

Research output: Contribution to journal › Journal article › Research › peer-review

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title = "The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark",

abstract = "Purpose: To investigate if occupational physical activity (OPA) and leisure-time physical activity (LTPA) influence the association between musculoskeletal pain and sleep problems. Methods: Cross-sectional study includes 678 workers in the Danish PHysical ACTivity cohort with Objective measurements (DPhacto). Musculoskeletal pain was assessed by questionnaires, while OPA and LTPA were measured with accelerometers for up to 6 consecutive days. We used logistic regression to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for self-reported insomnia symptoms and non-restorative sleep. Results: Analyses of the joint association of musculoskeletal pain and OPA showed that workers with high pain and high OPA had ORs of 5.80 (95% CI 2.64–12.67) for insomnia symptoms and 2.50 (95% CI 1.37–4.57) for non-restorative sleep, compared to those with low pain and low OPA, whereas workers with high pain and low OPA had ORs of 4.67 (95% CI 2.17–10.07) for insomnia symptoms, and 2.67 (95% CI 1.46–4.89) for non-restorative sleep, respectively. Furthermore, workers with high pain and high LTPA had ORs of 4.23 (95% CI 2.16–8.32) for insomnia symptoms and 1.95 (95% CI 1.09–3.48) for non-restorative sleep, compared to those with low pain and low LTPA, whereas workers with high pain and low LTPA had ORs of 3.34 (95% CI 1.66–6.70) for insomnia symptoms and 2.14 (95% CI 1.21–3.80) for non-restorative sleep, respectively. Conclusions: Workers with high musculoskeletal pain who also conducted high levels of OPA or LTPA reported higher prevalence of insomnia symptoms.",

keywords = "Accelerometer, Insomnia, Physical work exposure, Technical measurement, Work demands",

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AU - Skarpsno, Eivind Schjelderup

AU - Mork, Paul Jarle

AU - Nilsen, Tom Ivar Lund

AU - Jørgensen, Marie Birk

AU - Holtermann, Andreas

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N2 - Purpose: To investigate if occupational physical activity (OPA) and leisure-time physical activity (LTPA) influence the association between musculoskeletal pain and sleep problems. Methods: Cross-sectional study includes 678 workers in the Danish PHysical ACTivity cohort with Objective measurements (DPhacto). Musculoskeletal pain was assessed by questionnaires, while OPA and LTPA were measured with accelerometers for up to 6 consecutive days. We used logistic regression to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for self-reported insomnia symptoms and non-restorative sleep. Results: Analyses of the joint association of musculoskeletal pain and OPA showed that workers with high pain and high OPA had ORs of 5.80 (95% CI 2.64–12.67) for insomnia symptoms and 2.50 (95% CI 1.37–4.57) for non-restorative sleep, compared to those with low pain and low OPA, whereas workers with high pain and low OPA had ORs of 4.67 (95% CI 2.17–10.07) for insomnia symptoms, and 2.67 (95% CI 1.46–4.89) for non-restorative sleep, respectively. Furthermore, workers with high pain and high LTPA had ORs of 4.23 (95% CI 2.16–8.32) for insomnia symptoms and 1.95 (95% CI 1.09–3.48) for non-restorative sleep, compared to those with low pain and low LTPA, whereas workers with high pain and low LTPA had ORs of 3.34 (95% CI 1.66–6.70) for insomnia symptoms and 2.14 (95% CI 1.21–3.80) for non-restorative sleep, respectively. Conclusions: Workers with high musculoskeletal pain who also conducted high levels of OPA or LTPA reported higher prevalence of insomnia symptoms.

AB - Purpose: To investigate if occupational physical activity (OPA) and leisure-time physical activity (LTPA) influence the association between musculoskeletal pain and sleep problems. Methods: Cross-sectional study includes 678 workers in the Danish PHysical ACTivity cohort with Objective measurements (DPhacto). Musculoskeletal pain was assessed by questionnaires, while OPA and LTPA were measured with accelerometers for up to 6 consecutive days. We used logistic regression to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for self-reported insomnia symptoms and non-restorative sleep. Results: Analyses of the joint association of musculoskeletal pain and OPA showed that workers with high pain and high OPA had ORs of 5.80 (95% CI 2.64–12.67) for insomnia symptoms and 2.50 (95% CI 1.37–4.57) for non-restorative sleep, compared to those with low pain and low OPA, whereas workers with high pain and low OPA had ORs of 4.67 (95% CI 2.17–10.07) for insomnia symptoms, and 2.67 (95% CI 1.46–4.89) for non-restorative sleep, respectively. Furthermore, workers with high pain and high LTPA had ORs of 4.23 (95% CI 2.16–8.32) for insomnia symptoms and 1.95 (95% CI 1.09–3.48) for non-restorative sleep, compared to those with low pain and low LTPA, whereas workers with high pain and low LTPA had ORs of 3.34 (95% CI 1.66–6.70) for insomnia symptoms and 2.14 (95% CI 1.21–3.80) for non-restorative sleep, respectively. Conclusions: Workers with high musculoskeletal pain who also conducted high levels of OPA or LTPA reported higher prevalence of insomnia symptoms.

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KW - Physical work exposure

KW - Technical measurement

KW - Work demands

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The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark

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