Table 2 Risk of chronic back pain and back-related disability at follow-up in 2017–2019 associated with change in sleep quality from 1995–1997 to 2006–2008.

From: The effect of long-term poor sleep quality on risk of back-related disability and the modifying role of physical activity

Risk of back pain and change in sleep quality from 1995–1997 to 2006–2008

No. of persons

No. of cases

Age-adjusted, RRa

Multi-adjusted RR (95% CI)b

Chronic back pain

Remained good sleep

6636

1212

1.00

1.00 (reference)

Poor sleep to good sleep

433

101

1.35

1.30 (1.08–1.55)

Good sleep to poor sleep

1106

275

1.35

1.31 (1.16–1.48)

Remained poor sleep

426

129

1.71

1.65 (1.42–1.93)

Back-related disability

Remained good sleep

6636

486

1.00

1.00 (reference)

Poor sleep to good sleep

433

50

1.65

1.55 (1.17–2.06)

Good sleep to poor sleep

1106

138

1.66

1.59 (1.32–1.92)

Remained poor sleep

426

59

2.01

1.92 (1.48–2.49)

  1. CI confidence interval, RR risk ratio.
  2. aAdjusted for age (continuous).
  3. bAdjusted for age (continuous), sex (women, men), education (primary school, high school, college ≤ 4 years, college > 4 years), body mass index (continuous), relative change in body weight (continuous), changes in physical activity (remained active, inactive to active, active to inactive, remained inactive), and smoking (never smoked, former smoker, current low-intensity smoker [< 10 cigarettes per day], medium-intensity smoker [10–19 cigarettes per day] and high-intensity smoker [20 or more cigarettes per day]).