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ORIGINAL RESEARCH article

Front. Med.
Sec. Family Medicine and Primary Care
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1461785
This article is part of the Research Topic Mind-body medicine and its impacts on psychological networks, quality of life, and health - Volume II View all 26 articles

Association between sleep duration and chronic musculoskeletal pain in US adults: A crosssectional study

Provisionally accepted
Li Zhang Li Zhang *Chong Li Chong Li Huaping Huang Huaping Huang Qingjie Xia Qingjie Xia
  • First People's Hospital of Kunshan, Kunshan, China

The final, formatted version of the article will be published soon.

    Background: This study aims to explore the association between sleep duration and the prevalencerisk of developing chronic musculoskeletal pain (CMP).Methods: A cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) 2009-2010, which involved multiple centers across the United States. The study included 3,904 adults selected based on age and complete data availability. Demographic variables such as gender, age, race, and socioeconomic status (represented by the poverty-to-income ratio) were considered.Results: Of the participants, 1,595 reported less than 7 hours of sleep, 2,046 reported 7-8 hours, and 263 reported more than 9 hours of sleep. Short sleep duration was associated with a higher risk Odds of CMP (OR=1.611, 95% CI: 1.224-2.020, P=0.005). Long sleep duration also showed an higher prevalence (OR, 1.751; 95% CI, 0.923 to 3.321; P=0.059), although this result was not statistically significant.Long sleep duration also showed a trend towards increased risk (OR=1.751, 95% CI: 0.923-3.321, P=0.059), though less significant. A U-shaped relationship emerged (Effective degree of freedom (EDF) = 3.32, p < 0.001), indicating that 7 hours of sleep was associated with the lowest odds of CMP. In individuals with sleep durations less than 7 hours, each hour increment correlated with 22.8% reduced odds of CMP (OR, 0.772; 95% CI, 0.717-0.833; P=0.002). Beyond 7 hours, each hour increment was associated with 38.9% increased odds of CMP (OR, 1.389; 95% CI, 1.103-1.749; P=0.049).A U-shaped relationship emerged, indicating a lower risk of CMP with sleep duration ≤7 hours (OR=0.772, 95% CI: 0.717-0.833, P=0.002) and an elevated risk with sleep duration >7 hours (OR=1.389, 95% CI: 1.103-1.749, P=0.049).The findings suggest that both insufficient and excessive sleep durations are linked to an increased riskhigher prevalence of developing CMP, highlighting the importance of optimal sleep duration for musculoskeletal health.

    Keywords: sleep duration, Chronic musculoskeletal pain, Low Back Pain, NHANES, Cross-sectional study

    Received: 09 Jul 2024; Accepted: 13 Sep 2024.

    Copyright: © 2024 Zhang, Li, Huang and Xia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Li Zhang, First People's Hospital of Kunshan, Kunshan, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.