SP0207 PHYSICAL ACTIVITY, CHRONIC MUSCULOSKELETAL PAIN AND INSOMNIA
Authors: Eivind Skarpsno
Journal: Annals of the Rheumatic Diseases (2019)

<h3></h3> The interplay between physical activity, chronic musculoskeletal pain and insomnia The unfavourable consequences of insomnia and musculoskeletal pain for both individuals and society underscore the importance of identifying modifiable factors for prevention and treatment. Prospective studies have shown that there exists a bidirectional relation between insomnia and musculoskeletal pain, i.e., insomnia is associated with risk of chronic musculoskeletal pain and vice versa. This suggests that management of insomnia symptoms may be an efficient treatment objective for people with musculoskeletal pain and that management of musculoskeletal pain has the potential to improve sleep quality. Furthermore, some evidence shows that physical activity may represent an efficient initiative that can improve both sleep quality and chronic pain, potentially leading to effects as beneficial as pharmacological treatment. However, many unresolved questions need to be resolved before physical activity can be prescribed as an optimal treatment option for these conditions. For instance, in contrast to leisure-time physical activity, recent evidence has shown that occupational physical activity seems to be associated with more insomnia symptoms, and that this association is particularly evident among people who also report musculoskeletal pain. These latter findings therefore call attention to the domain-dependent association between physical activity and health related outcomes, including musculoskeletal pain and insomnia. As methods to deal with physical activity have improved the recent years, the intention of this presentation is to provide an updated review of the interplay between domains of physical activity, insomnia and chronic musculoskeletal pain <h3>Learning objectives:</h3> To understand the bidirectional relationship between insomnia and musculoskeletal pain To understand the interplay between domains of physical activity, chronic musculoskeletal pain and insomnia <h3>References:</h3> [1] Uhlig BL, Sand T, Nilsen TI, Mork PJ, Hagen K. Insomnia and risk of chronic musculoskeletal complaints: longitudinal data from the HUNT study, Norway. BMC Musculoskeletal Disorders. 2018;19 (1):128. [2] Skarpsno ES, Nilsen TIL, Sand T, Hagen K, Mork PJ. Do physical activity and body mass index modify the association between chronic musculoskeletal pain and insomnia? Longitudinal data from the HUNT study, Norway. Journal of Sleep Research. 2018;27(1):32-39. [3] Youngstedt S, Kline C. Epidemiology of exercise and sleep. Sleep and Biological Rhythms. 2006;4(3):215-221. [4] Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Practice &amp; Research Clinical Rheumatology. 2015; 29(1):120-130. [5] Chennaoui M, Arnal PJ, Sauvet F, Leger D. Sleep and exercise: a reciprocal issue?Sleep Medicine Reviews. 2015;20:59-72. [6] Skarpsno ES, Mork PJ, Nilsen TIL, Jorgensen MB, Holtermann A. Objectively measured occupational and leisure-time physical activity: cross-sectional associations with sleep problems. Scandinavian Journal of Work Environment &amp;amp;Health. 2018;44(2):202-211. [7] Skarpsno ES, Mork PJ, Nilsen TIL, Jorgensen MB, Holtermann A. The joint association of musculoskeletal pain and domains of physical activity with sleep problems: cross-sectional data from the DPhacto study, Denmark. International Archives of Occupational and Environmental Health. 2018. <h3>Disclosure of Interests:</h3> None declared