Document Detail


Genetic and environmental influences on non-specific neck pain in early adolescence: a classical twin study.
MedLine Citation:
PMID:  23139100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Prevalence of neck pain has increased among adolescents. The origins of adult chronic neck pain may lie in late childhood, but for early prevention, more information is needed about its aetiology. We investigated the relative roles of genetic and environmental factors in early adolescent neck pain with a classic twin study.
METHODS: Frequency of neck pain was assessed with a validated pain questionnaire in a population-based sample of nearly 1800 pairs of 11-12-year-old Finnish twins. Twin pair similarity for neck pain was quantified by polychoric correlations, and variance components were estimated with biometric structural equation modelling.
RESULTS: Prevalence of neck pain reported at least once monthly was 38% and at least once weekly 16%, with no significant differences between gender and zygosity. A greater polychoric correlation in liability to neck pain was found in monozygotic (0.67) than for dizygotic pairs (0.38), suggesting strong genetic influences. Model fitting indicated that 68% (95% confidence interval 62-74) of the variation in liability to neck pain could be attributed to genetic effects, with the remainder attributed to unshared environmental effects. No evidence for sex-specific genetic effects or for sex differences in the magnitude of genetic effects was found.
CONCLUSIONS: Genetic and unique environmental factors seem to play the most important roles in liability to neck pain in early adolescence. Future research should be directed to identifying pathways for genetic influences on neck pain and in exploring effectiveness of interventions that target already identified environmental risk factors.
Authors:
M K Ståhl; A A El-Metwally; M K Mikkelsson; J J Salminen; L R Pulkkinen; R J Rose; J A Kaprio
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Twin Study     Date:  2012-11-09
Journal Detail:
Title:  European journal of pain (London, England)     Volume:  17     ISSN:  1532-2149     ISO Abbreviation:  Eur J Pain     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-05-09     Completed Date:  2014-02-10     Revised Date:  2014-07-02    
Medline Journal Info:
Nlm Unique ID:  9801774     Medline TA:  Eur J Pain     Country:  England    
Other Details:
Languages:  eng     Pagination:  791-8     Citation Subset:  IM    
Copyright Information:
© 2012 European Federation of International Association for the Study of Pain Chapters.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Diseases in Twins / epidemiology,  genetics*
Female
Humans
Male
Neck Pain / diagnosis,  genetics*
Questionnaires
Twins, Dizygotic / genetics
Twins, Monozygotic / genetics
Grant Support
ID/Acronym/Agency:
AA-00145/AA/NIAAA NIH HHS; AA-09203/AA/NIAAA NIH HHS; AA-12502/AA/NIAAA NIH HHS; R01 AA012502/AA/NIAAA NIH HHS; R37 AA012502/AA/NIAAA NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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