Impact of sports participation on the occurrence of musculoskeletal pain in adolescents during 28 weeks of follow-up: ABCD Growth Study

• Autor(a) principal: Maillane Vanegas, Santiago [UNESP]
• Data de Publicação: 2024
• Tipo de documento: Tese
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: https://hdl.handle.net/11449/257348
• topic: Multisite pain; Adolescents health; Sports for youths; Maturity offset; Musculoskeletal disorder; Dor multissítio; Saúde do adolescente; Esportes para jovens; Deslocamento de maturidade; Distúrbio musculoesquelético

This thesis aimed to explore the association between sports participation and incidence of pain among adolescents in a 28-week follow-up period, as well as to identify the role of sex, biological maturation and training volume into this phenomenon. This longitudinal design of 28 weeks followed 95 adolescents, subdivided according to the presence or absence of participation in sports and the modality practiced, consequently, the groups were: adolescents from non-impact sports, impact sports, and non-sports groups, following the inclusion criteria. They reported the occurrence of pain and were tracked weekly by the research team, “the presence of any pain in the previous 7 days” was self-reported weekly. Anthropometric data such as height and sitting height were collected to estimate as a marker of somatic maturation in a mathematical model, and body composition data was also collected through DXA. The data distribution was analysed using Kolmogorov-Smirnov, and variables were expressed as mean values, standard deviation (SD), and 95% confidence intervals. The significance level was set as 5%. The findings indicate that the association between the sport type and pain occurrence remained significant even after adjusting the models by sex and maturity offset, swimmers had an increased risk of reporting pain neck, shoulders, and trunk pain, compared to the impact sport group, mainly caused by the high volume of practice in the modality. Also, the weekly time spent on sports at vigorous intensity is related to a higher occurrence of pain, adjusted by lean soft tissue, sport modality, and sedentary behaviour. Thus, this thesis presents innovative aspects in the development and implementation of a pain surveillance system related to the adolescent growth and development process, finding that the relationship between pain continues to have a close relationship with sports participation, even considering the somatic growth factor adjustment variable. The volume of training seems to be the most relevant variable in this phenomenon and there exists a limit to how much they should engage in sports to preserve their health. In addition, the vigorous intensity at which said activity is carried out further accentuates the occurrence of pain.