Andreucci, A, Campbell, P and Dunn, KM (2017) Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review. Sleep, 40 (7). ISSN 1550-9109

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Abstract

Study Objectives:
Musculoskeletal pain is a major burden on the society. Adults with sleep problems are at higher risk of musculoskeletal pain onset, but there is no evidence for this relationship in children and adolescents. This study aimed to systematically review prospective studies on the risk of musculoskeletal pain onset in children and adolescents with sleep problems.

Methods:
Five databases (MEDLINE, PsycINFO, AMED, EMBASE, and HMIC) were systematically searched to identify prospective studies that investigated if children and adolescents (aged 6–19 years) with sleep problems are at higher risk of musculoskeletal pain onset. Included studies were assessed for study quality and a best evidence synthesis was carried out on extracted data.

Results:
Thirteen prospective studies were identified. Overall, evidence indicates that sleep problems (quality, quantity, and day time tiredness) are not risk factors for musculoskeletal pain onset. Further analysis on specific body regions shows strong evidence that sleep problems are a risk factor for neck pain onset (only in girls) and that sleep problems are not a risk factor for the onset of widespread pain.

Conclusions:
Overall, sleep problems are not a risk factor for musculoskeletal pain onset in children and adolescents. Increased risk was found for some specific body regions and subgroups, but the evidence base was less strong and generally inconsistent. This review found a lack of quality in research methodology compared to research in adults, and further research with improved methodology is required.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via OUP at https://doi.org/10.1093/sleep/zsx093 Please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: Pain, Paediatrics - Adolescents, Paediatrics - Sleep and Arousal, Public Health, Sleep Hygiene, Sleep, Systematic Review
Subjects: ?? Paediatrics - Adolescents ??
?? Paediatrics - Sleep and Arousal ??
?? Pain ??
?? Public Health ??
R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics
?? Sleep ??
?? Sleep Hygiene ??
?? Systematic Review ??
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Depositing User: Symplectic
Date Deposited: 11 May 2017 13:47
Last Modified: 06 Jun 2018 14:05
URI: http://eprints.keele.ac.uk/id/eprint/3423

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