7 This would not only help to identify and characterise groups of individuals with differing experience of back pain over time but also aid in the development of appropriate interventions that could prevent or alleviate burdens that may arise from back pain in later adulthood. 7,25 Therefore, it has been recommended that the course of back pain across life should be considered. 3,4,55īack pain is often a recurrent intermittent problem with prior history predictive of future episodes. 10,24 However, it has been suggested that older people may have been underrepresented in these studies, and other studies report that back pain remains one of the most commonly reported symptoms in later life 14,39,48 and that the prevalence of severe or disabling back pain increases at older ages. Previous systematic reviews on the prevalence of back pain have documented increases across earlier adulthood with some evidence of decline after middle age. 26 It is a major cause of activity limitation and work absences 38,46 and imposes a major socioeconomic burden to both the individual and society 2,21 with recent estimates suggesting that low back and neck pain account for a significant proportion of health care spending globally. This highlights the potential importance of early life interventions for the prevention and management of back pain.īack pain is one of the most commonly reported health problems worldwide and a leading cause of years lived with disability. These findings suggest that there are different long-term profiles of back pain, each of which is associated with different early life risk factors. Abdominal pain and poorest housing quality were also associated with an increased likelihood of mid-adulthood onset pain. Factors associated with an increased risk of persistent pain in both sexes were abdominal pain, poorest care in childhood, and poorer maternal health. After adjustment, taller height at age 7 years was associated with a higher likelihood of early-adulthood only (relative risk ratio per 1 SD increase in height = 1.31 ) and persistent pain (relative risk ratio = 1.33 ) in women ( P for sex interaction = 0.01). The “no or occasional” profile was treated as the referent category in subsequent analyses. Four profiles of back pain were identified: no or occasional pain (57.7%), early-adulthood only (16.1%), mid-adulthood onset (16.9%), and persistent (9.4%). Multinomial logistic regression models were used to examine associations between selected childhood risk factors and class membership adjusted for sex, adult body size, health status and behaviours, socioeconomic position, and family history of back pain. A longitudinal latent class analysis was conducted on binary outcomes of back pain at ages 31, 36, 43, 53, 60 to 64, and 68 years. This study aimed to (1) characterise long-term profiles of back pain across adulthood and (2) examine whether childhood risk factors were associated with these profiles, using data from 3271 participants in the Medical Research Council National Survey of Health and Development. IASP Presidential Task Force on Cannabis and Cannabinoid Analgesia.PAIN 2014: Global Year Against Orofacial Pain. PAIN 2015: Global Year Against Neuropathic Pain.PAIN 2016: Global Year Against Pain in the Joints.PAIN 2017: Global Year Against Pain After Surgery.PAIN 2018: Global Year for Excellence in Pain Education.PAIN 2019: Global Year Against Pain in the Most Vulnerable.PAIN 2020: Global Year for the Prevention of Pain.PAIN 2022: Global Year for Translating Pain Knowledge to Practice.PAIN 2023: Global Year for Integrative Pain Care.
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