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dc.contributor.authorÅrnes, Anders
dc.contributor.authorNielsen, Christopher Sivert
dc.contributor.authorStubhaug, Audun
dc.contributor.authorFjeld, Mats Kirkeby
dc.contributor.authorHopstock, Laila Arnesdatter
dc.contributor.authorHorsch, Alexander
dc.contributor.authorJohansen, Aslak
dc.contributor.authorMorseth, Bente
dc.contributor.authorWilsgaard, Tom
dc.contributor.authorSteingrímsdóttir, Ólöf Anna
dc.date.accessioned2021-04-09T09:57:56Z
dc.date.available2021-04-09T09:57:56Z
dc.date.issued2020-11-09
dc.description.abstract<p>Background - The relationship between habitual physical activity (PA) and experimental pain tolerance has been investigated in small samples of young, healthy and/or single‐sex volunteers. We used a large, population‐based sample to assess this relationship in men and women with and without chronic pain. <p>Methods - We used data from the sixth and seventh Tromsø Study surveys (2007–2008; 2015–2016), with assessed pain tolerance of participants with the cold pressor test (CPT: dominant hand in circulating cold water at 3°C, maximum test time 106 s), and self‐reported total amount of habitual PA in leisure time (n = 19,087), exercise frequency (n = 19,388), exercise intensity (n = 18,393) and exercise duration (n = 18,343). A sub‐sample had PA measured by accelerometers (n = 4,922). We used Cox regression to compare CPT tolerance times between self‐reported PA levels. For accelerometer‐measured PA, we estimated hazard ratios for average daily activity counts, and for average daily minutes of moderate‐to‐vigorous PA done in bouts lasting 10 min or more. Models were tested for PA‐sex, and PA‐chronic pain and PA‐moderate‐to‐severe chronic pain interactions. <p>Results - Leisure‐time PA, exercise intensity and exercise duration were positively associated with CPT tolerance (p < .001; p = .011; p < .001). More PA was associated with higher CPT tolerance. At high levels of leisure‐time PA and exercise intensity, men had a significantly higher CPT tolerance than women. Accelerometer‐measured PA was not associated with CPT tolerance. <p>Conclusions - This study is one of the first to show that higher self‐reported habitual PA was connected to higher experimental pain tolerance in a population‐based sample, especially for men. This was not found for accelerometer‐measured PA. <p>Significance - This study finds that higher level of self‐reported leisure‐time physical activity is associated with increased cold pressor pain tolerance in a large population‐based sample. Though present in both sexes, the association is strongest among men. Despite the robust dose–response relationship between pain tolerance and self‐reported activity level, no such relationship was found for accelerometer‐measured activity, reflecting a possible discrepancy in the aspect of physical activity measured. Though the study design does not permit causal conclusions, the findings suggest that increasing physical activity may increase pain tolerance in the general population.en_US
dc.descriptionThis is the peer reviewed version of the following article: Årnes, A.P., Nielsen, C.S., Stubhaug, A., Fjeld, M.K., Hopstock, L.A., Horsch, A., ... Steingrímsdóttir, O.A. (2020). Physical activity and cold pain tolerance in the general population. <i>European Journal of Pain, 25</i>, 637– 650, which has been published in final form at <a href=https://doi.org/10.1002/ejp.1699>https://doi.org/10.1002/ejp.1699</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationÅrnes, A.P., Nielsen, C.S., Stubhaug, A., Fjeld, M.K., Hopstock, L.A., Horsch, A., ... Steingrímsdóttir, O.A. (2020). Physical activity and cold pain tolerance in the general population. <i>European Journal of Pain, 25</i>, 637– 650.en_US
dc.identifier.cristinIDFRIDAID 1849042
dc.identifier.doi10.1002/ejp.1699
dc.identifier.issn1090-3801
dc.identifier.issn1532-2149
dc.identifier.urihttps://hdl.handle.net/10037/20832
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.ispartofÅrnes, A.P. (2024). Relationships between physical activity and chronic pain: The role of endogenous pain sensitivity - A population-based perspective: The Tromsø Study. (Doctoral thesis). <a href=https://hdl.handle.net/10037/33279>https://hdl.handle.net/10037/33279</a>.
dc.relation.journalEuropean Journal of Pain
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803en_US
dc.titlePhysical activity and cold pain tolerance in the general populationen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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