The association between displacement of sedentary time and chronic musculoskeletal pain: An isotemporal substitution analysis

Cormac G. Ryan, Shaun Wellburn, S M McDonough, Denis J. Martin, Alan M. Batterham

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives - Physical activity is an effective intervention for the prevention and management of chronic musculoskeletal pain (CMP). However, there is a lack of research to inform the intensity of physical activity that should be recommended. The aim of this study was to investigate the association between substituting 10 minutes of sedentary time with either 10 minutes of light physical activity (LPA) or moderate-to-vigorousphysical activity (MVPA) and the CMP prevalence ratio. Design - Secondary Analysis (November 2015) of data from the Health Survey for England (2008). Participants - 2313 adults (≥16 years). Main outcome measures - Sedentary time, LPA and MVPA were measured using accelerometry. We used isotemporal models to quantify the prevalence ratio for CMP of replacing 10 minutes of sedentary time with 10 minutes of LPA or MVPA.Results - The prevalence of CMP in this sample was 17%. The unadjusted prevalence ratio was 0.99 (95% CI: 0.97 to 1.01) for LPA and 0.76 (0.70 to 0.84) for MVPA. The fully adjusted prevalence ratio was 1.01 (95% CI: 0.99 to 1.02) for LPA and 0.89 (0.82 to 0.96) for MVPA.Conclusions - Substituting 10 minutes of sedentary time with an equivalent period of LPA was not associated with a reduction in the prevalence ratio for CMP, whereas the equivalent replacement with MVPA showed a small protective relationship. Regarding CMP prevalence, physical activity intensity appears to be important, with MVPA rather than LPA showing a protective relationship. Prospective studies are needed to investigate causality
LanguageEnglish
Pages1-7
JournalPhysiotherapy
Volumen/a
Early online date3 Feb 2017
DOIs
Publication statusE-pub ahead of print - 3 Feb 2017

Fingerprint

Musculoskeletal Pain
Chronic Pain
Light
Accelerometry
Health Surveys
Causality
England
Outcome Assessment (Health Care)
Prospective Studies
Research

Keywords

  • Isotemporal substitution
  • chronic pain
  • prevalence ratio

Cite this

Ryan, Cormac G. ; Wellburn, Shaun ; McDonough, S M ; Martin, Denis J. ; Batterham, Alan M. / The association between displacement of sedentary time and chronic musculoskeletal pain: An isotemporal substitution analysis. In: Physiotherapy. 2017 ; Vol. n/a. pp. 1-7.
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abstract = "Objectives - Physical activity is an effective intervention for the prevention and management of chronic musculoskeletal pain (CMP). However, there is a lack of research to inform the intensity of physical activity that should be recommended. The aim of this study was to investigate the association between substituting 10 minutes of sedentary time with either 10 minutes of light physical activity (LPA) or moderate-to-vigorousphysical activity (MVPA) and the CMP prevalence ratio. Design - Secondary Analysis (November 2015) of data from the Health Survey for England (2008). Participants - 2313 adults (≥16 years). Main outcome measures - Sedentary time, LPA and MVPA were measured using accelerometry. We used isotemporal models to quantify the prevalence ratio for CMP of replacing 10 minutes of sedentary time with 10 minutes of LPA or MVPA.Results - The prevalence of CMP in this sample was 17{\%}. The unadjusted prevalence ratio was 0.99 (95{\%} CI: 0.97 to 1.01) for LPA and 0.76 (0.70 to 0.84) for MVPA. The fully adjusted prevalence ratio was 1.01 (95{\%} CI: 0.99 to 1.02) for LPA and 0.89 (0.82 to 0.96) for MVPA.Conclusions - Substituting 10 minutes of sedentary time with an equivalent period of LPA was not associated with a reduction in the prevalence ratio for CMP, whereas the equivalent replacement with MVPA showed a small protective relationship. Regarding CMP prevalence, physical activity intensity appears to be important, with MVPA rather than LPA showing a protective relationship. Prospective studies are needed to investigate causality",
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The association between displacement of sedentary time and chronic musculoskeletal pain: An isotemporal substitution analysis. / Ryan, Cormac G.; Wellburn, Shaun; McDonough, S M; Martin, Denis J.; Batterham, Alan M.

In: Physiotherapy, Vol. n/a, 03.02.2017, p. 1-7.

Research output: Contribution to journalArticle

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T1 - The association between displacement of sedentary time and chronic musculoskeletal pain: An isotemporal substitution analysis

AU - Ryan, Cormac G.

AU - Wellburn, Shaun

AU - McDonough, S M

AU - Martin, Denis J.

AU - Batterham, Alan M.

PY - 2017/2/3

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N2 - Objectives - Physical activity is an effective intervention for the prevention and management of chronic musculoskeletal pain (CMP). However, there is a lack of research to inform the intensity of physical activity that should be recommended. The aim of this study was to investigate the association between substituting 10 minutes of sedentary time with either 10 minutes of light physical activity (LPA) or moderate-to-vigorousphysical activity (MVPA) and the CMP prevalence ratio. Design - Secondary Analysis (November 2015) of data from the Health Survey for England (2008). Participants - 2313 adults (≥16 years). Main outcome measures - Sedentary time, LPA and MVPA were measured using accelerometry. We used isotemporal models to quantify the prevalence ratio for CMP of replacing 10 minutes of sedentary time with 10 minutes of LPA or MVPA.Results - The prevalence of CMP in this sample was 17%. The unadjusted prevalence ratio was 0.99 (95% CI: 0.97 to 1.01) for LPA and 0.76 (0.70 to 0.84) for MVPA. The fully adjusted prevalence ratio was 1.01 (95% CI: 0.99 to 1.02) for LPA and 0.89 (0.82 to 0.96) for MVPA.Conclusions - Substituting 10 minutes of sedentary time with an equivalent period of LPA was not associated with a reduction in the prevalence ratio for CMP, whereas the equivalent replacement with MVPA showed a small protective relationship. Regarding CMP prevalence, physical activity intensity appears to be important, with MVPA rather than LPA showing a protective relationship. Prospective studies are needed to investigate causality

AB - Objectives - Physical activity is an effective intervention for the prevention and management of chronic musculoskeletal pain (CMP). However, there is a lack of research to inform the intensity of physical activity that should be recommended. The aim of this study was to investigate the association between substituting 10 minutes of sedentary time with either 10 minutes of light physical activity (LPA) or moderate-to-vigorousphysical activity (MVPA) and the CMP prevalence ratio. Design - Secondary Analysis (November 2015) of data from the Health Survey for England (2008). Participants - 2313 adults (≥16 years). Main outcome measures - Sedentary time, LPA and MVPA were measured using accelerometry. We used isotemporal models to quantify the prevalence ratio for CMP of replacing 10 minutes of sedentary time with 10 minutes of LPA or MVPA.Results - The prevalence of CMP in this sample was 17%. The unadjusted prevalence ratio was 0.99 (95% CI: 0.97 to 1.01) for LPA and 0.76 (0.70 to 0.84) for MVPA. The fully adjusted prevalence ratio was 1.01 (95% CI: 0.99 to 1.02) for LPA and 0.89 (0.82 to 0.96) for MVPA.Conclusions - Substituting 10 minutes of sedentary time with an equivalent period of LPA was not associated with a reduction in the prevalence ratio for CMP, whereas the equivalent replacement with MVPA showed a small protective relationship. Regarding CMP prevalence, physical activity intensity appears to be important, with MVPA rather than LPA showing a protective relationship. Prospective studies are needed to investigate causality

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T2 - Physiotherapy

JF - Physiotherapy

SN - 0031-9406

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