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POSTER PRESENTATION Open Access Prevalence of chronic idiopathic musculoskeletal pain and headache in adolescence: a population based Norwegian study Gry B Hoftun 3* , Pål R Romundstad 1 , John-Anker Zwart 2 , Marite Rygg 3 From 2011 Pediatric Rheumatology Symposium sponsored by the American College of Rheumatology Miami, FL, USA. 2-5 June 2011 Purpose The aim of this study was to determine the prevalence of chronic idiopathic musculoskeletal pain and headache among adolescents in relation to age and gender. Methods A population-based, cross-sectional study was carried out in Nord-Trøndelag county, Norway, during the years 2006-2008. All adolescents aged 12-19 years were invited to participate in the youth part of the Nord-Trøndelag Health Study [ Helseundersøkelsen i Nord-Trøndelag (HUNT)]. Response rate was 78% (8200 responders out of 10.485 invited). The adolescents completed a compre- hensive questionnaire including questions about whether they had experienced any headaches and/or any musculos- keletal pain during the last three months, not related to any known disease or injury. They were asked to indicate the location of pain (neck/shoulders, upper back, lower back/buttocks, chest, upper and/or lower extremities). The participants were also asked to indicate how often they had experienced pain in these areas (seldom or never, once a month, once a week, more than once a week, almost every day). The final study population, with com- plete pain questionnaires, consisted of 7373 adolescents aged 13-18 years. Results Pain at least once a week during the last three months was reported by 44% (95% CI 43-45%), including 54% (95% CI 53-56%) of the girls and 34% (95% CI 33-36%) of the boys. The prevalence of headache at least once a week during the last three months was 22% (95% CI 21-23%), including 30% (95% CI 29-31%) of the girls and 14% (95% CI 13- 15%) of the boys, and for musculoskeletal pain 33% (95% CI 32-34%), girls 40% (95% CI 38-42%) and boys 27% (95% CI 25-28%). Pain in the neck/shoulder region was the most commonly affected musculoskeletal region, reported by 17% (22% of the girls and 12% of the boys). Pain prevalence was higher in girls than in boys in all age groups and for all pain categories. The prevalence of pain increased with age in most pain categories and locations, except for pain in upper and lower extremities. Conclusion Chronic pain, defined as pain at least once a week present for at least three months, is common among Norwegian adolescents, with higher prevalence in girls than boys. Musculoskeletal pain shows the highest prevalence, and is reported by one third of the study population. Disclosure Gry B Hoftun: None; Pål R Romundstad: None; John- Anker Zwart: None; Marite Rygg: None. Author details 1 Norwegian University of Science and Technology, Faculty of Medicine, Trondheim, Norway. 2 Norwegian University of Science and Technology, Faculty of Medicine/Oslo University Hospital, Ullevål, and University of Oslo, Trondheim/Oslo, Norway. 3 Norwegian University of Science and Technology, Faculty of Medicine/St.Olavs Hospital, Trondheim, Norway. Published: 13 July 2012 doi:10.1186/1546-0096-10-S1-A77 Cite this article as: Hoftun et al.: Prevalence of chronic idiopathic musculoskeletal pain and headache in adolescence: a population based Norwegian study. Pediatric Rheumatology 2012 10(Suppl 1):A77. 3 Norwegian University of Science and Technology, Faculty of Medicine/St. Olavs Hospital, Trondheim, Norway Full list of author information is available at the end of the article Hoftun et al. Pediatric Rheumatology 2012, 10(Suppl 1):A77 http://www.ped-rheum.com/content/10/S1/A77 © 2012 Hoftun et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Prevalence of chronic idiopathic musculoskeletal pain and headache in adolescence: a population based Norwegian study

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POSTER PRESENTATION Open Access

Prevalence of chronic idiopathic musculoskeletalpain and headache in adolescence: a populationbased Norwegian studyGry B Hoftun3*, Pål R Romundstad1, John-Anker Zwart2, Marite Rygg3

From 2011 Pediatric Rheumatology Symposium sponsored by the American College of RheumatologyMiami, FL, USA. 2-5 June 2011

PurposeThe aim of this study was to determine the prevalenceof chronic idiopathic musculoskeletal pain and headacheamong adolescents in relation to age and gender.

MethodsA population-based, cross-sectional study was carried outin Nord-Trøndelag county, Norway, during the years2006-2008. All adolescents aged 12-19 years were invitedto participate in the youth part of the Nord-TrøndelagHealth Study [“Helseundersøkelsen i Nord-Trøndelag(HUNT)”]. Response rate was 78% (8200 responders outof 10.485 invited). The adolescents completed a compre-hensive questionnaire including questions about whetherthey had experienced any headaches and/or any musculos-keletal pain during the last three months, not related toany known disease or injury. They were asked to indicatethe location of pain (neck/shoulders, upper back, lowerback/buttocks, chest, upper and/or lower extremities). Theparticipants were also asked to indicate how often theyhad experienced pain in these areas (seldom or never,once a month, once a week, more than once a week,almost every day). The final study population, with com-plete pain questionnaires, consisted of 7373 adolescentsaged 13-18 years.

ResultsPain at least once a week during the last three months wasreported by 44% (95% CI 43-45%), including 54% (95% CI53-56%) of the girls and 34% (95% CI 33-36%) of the boys.The prevalence of headache at least once a week duringthe last three months was 22% (95% CI 21-23%), including

30% (95% CI 29-31%) of the girls and 14% (95% CI 13-15%) of the boys, and for musculoskeletal pain 33% (95%CI 32-34%), girls 40% (95% CI 38-42%) and boys 27%(95% CI 25-28%). Pain in the neck/shoulder region wasthe most commonly affected musculoskeletal region,reported by 17% (22% of the girls and 12% of the boys).Pain prevalence was higher in girls than in boys in all agegroups and for all pain categories. The prevalence of painincreased with age in most pain categories and locations,except for pain in upper and lower extremities.

ConclusionChronic pain, defined as pain at least once a week presentfor at least three months, is common among Norwegianadolescents, with higher prevalence in girls than boys.Musculoskeletal pain shows the highest prevalence, and isreported by one third of the study population.

DisclosureGry B Hoftun: None; Pål R Romundstad: None; John-Anker Zwart: None; Marite Rygg: None.

Author details1Norwegian University of Science and Technology, Faculty of Medicine,Trondheim, Norway. 2Norwegian University of Science and Technology,Faculty of Medicine/Oslo University Hospital, Ullevål, and University of Oslo,Trondheim/Oslo, Norway. 3Norwegian University of Science and Technology,Faculty of Medicine/St.Olav’s Hospital, Trondheim, Norway.

Published: 13 July 2012

doi:10.1186/1546-0096-10-S1-A77Cite this article as: Hoftun et al.: Prevalence of chronic idiopathicmusculoskeletal pain and headache in adolescence: a population basedNorwegian study. Pediatric Rheumatology 2012 10(Suppl 1):A77.3Norwegian University of Science and Technology, Faculty of Medicine/St.

Olav’s Hospital, Trondheim, NorwayFull list of author information is available at the end of the article

Hoftun et al. Pediatric Rheumatology 2012, 10(Suppl 1):A77http://www.ped-rheum.com/content/10/S1/A77

© 2012 Hoftun et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.