Dolor musculoesquelético y calidad de vida relacionada con la salud en estudiantes universitarios españoles de ciencias de la salud
DOI:
https://doi.org/10.23938/ASSN.1115Palabras clave:
Calidad de Vida, Estudiantes, Salud Mental, Dolor Crónico, Sensibilización del Sistema Nervioso CentralResumen
Fundamento. Los estudiantes universitarios no están exentos de problemas de salud. El objetivo es analizar la prevalencia de dolor musculoesquelético, sensibilización central, calidad de vida relacionada con la salud y factores relacionados en estudiantes de ciencias de la salud.
Metodología. Estudio transversal en estudiantes españoles de ciencias de la salud mediante cuestionarios anónimos y autoadministrados, incluyendo características sociodemográficas, calidad de vida relacionada con la salud (SF-12), frecuencia y localización de dolor musculoesquelético (Cuestionario Musculoesquelético Nórdico, Escala Numérica de Valoración del Dolor) y puntuación del Inventario de Sensibilización Central (CSI). Las variables relacionadas con el componente físico y mental (PCS y MCS) se determinaron mediante regresión lineal múltiple.
Resultados. Respondieron 338 estudiantes, 76,3% mujeres. El dolor musculoesquelético fue muy prevalente, particularmente en espalda (p.ej., 59% refirió dolor cervical en el último mes), más frecuente en mujeres. La media de PCS fue superior a la de la población adulta española (54,6 vs. 55,9; p=0,02), en ambos sexos, mientras que el MCS fue inferior a la media poblacional (36,7 vs. 42,8; p<0,001), incluso tras compararlo con las puntuaciones poblacionales estandarizadas de igual edad y sexo. Ser mujer, tener discapacidad, dolor musculoesquelético crónico y CSI≥40 se relacionaron con peor salud física, y la puntuación de CSI con peor salud mental.
Conclusiones. Los estudiantes informaron alta prevalencia de dolor musculoesquelético y un deterioro significativo de su salud mental, con la sensibilización central asociada a peor salud. Las mujeres tienen peor salud mental y mayor prevalencia, intensidad y cronificación del dolor musculoesquelético.
Descargas
Citas
1. MORAIS BX, DALMOLIN G DE L, ANDOLHE R, DULLIUS AI DOS S, ROCHA LP. Musculoskeletal pain in undergraduate health students: prevalence and associated factors. Rev Esc Enferm USP 2019; 53: e03444. https://doi.org/10.1590/S1980-220X2018014403444
2. LEIRÓS-RODRÍGUEZ R, RODRÍGUEZ-NOGUEIRA Ó, PINTO-CARRAL A, ÁLVAREZ-ÁLVAREZ MJ, GALÁN-MARTÍN M, MONTERO-CUADRADO F et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 pandemic: Analysis of the impact on students from two Spanish universities. J Clin Med 2020; 9: 1-12. https://doi.org/10.3390/JCM9124053
3. WONG AYL, CHAN LLY, LO CWT, CHAN WWY, LAM KCK, BAO JCH et al. Prevalence/incidence of low back pain and associated risk factors among nursing and medical students: A systematic review and meta-analysis. PM R 2021; 13: 1266-1280. https://doi.org/10.1002/PMRJ.12560
4. SEBBAG E, FELTEN R, SAGEZ F, SIBILIA J, DEVILLIERS H, ARNAUD L. The world-wide burden of musculoskeletal diseases: a systematic analysis of the World Health Organization Burden of Diseases Database. Ann Rheum Dis 2019; 78: 844-848. https://doi.org/10.1136/ANNRHEUMDIS-2019-215142
5. PALACIOS-CEÑA D, ALBALADEJO-VICENTE R, HERNÁNDEZ-BARRERA V, LIMA-FLORENCIO L, FERNÁNDEZ-DE-LAS-PEÑAS C, JIMÉNEZ-GARCÍA R et al. Female gender is associated with a higher prevalence of chronic neck pain, chronic low back pain, and migraine: Results of the Spanish National Health Survey, 2017. Pain Med 2021; 22: 382-395. https://doi.org/10.1093/PM/PNAA368
6. BERGMAN S, JACOBSSON LT, HERRSTROM P, PETERSSON IF. Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: a 3-year follow up study in the general population. Pain 2004; 108: 115-123. https://doi.org/10.1016/j.pain.2003.12.013
7. VIANA MC, LIM CCW, GARCIA PEREIRA F, AGUILAR-GAXIOLA S, ALONSO J, BRUFFAERTS R et al. Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain: Findings From 19 Countries. J Pain 2018; 19: 99-110. https://doi.org/10.1016/J.JPAIN.2017.08.011
8. ALMHDAWI KA, KANAAN SF, KHADER Y, AL-HOURANI Z, ALMOMANI F, NAZZAL M. Study-related mental health symptoms and their correlates among allied health professions students. Work 2018; 61: 391-401. https://doi.org/10.3233/WOR-182815
9. ALMHDAWI KA, KANAAN SF, KHADER Y, AL-HOURANI Z, AL-JARRAH MD, ALMOMANI F et al. Mental and physical health-related quality of life and their associated factors among students of a comprehensive allied health institution. Work 2021; 70: 63-73. https://doi.org/10.3233/WOR-205226
10. SERBIC D, FRIEDRICH C, MURRAY R. Psychological, social and academic functioning in university students with chronic pain: A systematic review. J Am Coll Health 2023; 71: 2894-2908. https://doi.org/10.1080/07448481.2021.2006199
11. NIJS J, GEORGE SZ, CLAUW DJ, FERNÁNDEZ-DE-LAS-PEÑAS C, KOSEK E, ICKMANS K et al. Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine. Lancet Rheumatol 2021; 3: e383-e392. https://doi.org/10.1016/S2665-9913(21)00032-1
12. MAYER TG, NEBLETT R, COHEN H, HOWARD KJ, CHOI YH, WILLIAMS MJ et al. The development and psychometric validation of the central sensitization inventory. Pain Pract 2012; 12: 276-285. https://doi.org/10.1111/J.1533-2500.2011.00493.X
13. SUSO-PALAU D, LÓPEZ-CUADRADO T, DUQUE-LEÓN D, ORTIZ C, GALÁN I. Predictive capacity of self-rated health on all-cause mortality in Spain: differences across sex, age and educational level. J Epidemiol Community Health (1978) 2022; 76: 888-894. https://doi.org/10.1136/JECH-2021-217965
14. SALYERS MP, BOSWORTH HB, SWANSON JW, LAMB-PAGONE J, OSHER FC. Reliability and validity of the SF-12 health survey among people with severe mental illness. Med Care 2000; 38: 1141-1150. https://doi.org/10.1097/00005650-200011000-00008
15. VILAGUT G, VALDERAS JM, FERRER M, GARIN O, LOPEZ-GARCIA E, ALONSO J. Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components. Med Clin (Barc) 2008; 130: 726-735.
16. SCHMIDT S, VILAGUT G, GARIN O, CUNILLERA O, TRESSERRAS R, BRUGULAT P et al. [Reference guidelines for the 12-Item Short-Form Health Survey version 2 based on the Catalan general population]. Med Clin (Barc) 2012; 139: 613-625. https://doi.org/10.1016/J.MEDCLI.2011.10.024
17. HAWES MT, SZENCZY AK, KLEIN DN, HAJCAK G, NELSON BD. Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic. Psychol Med 2021. https://doi.org/10.1017/S0033291720005358
18. FREITAS PHB DE, MEIRELES AL, RIBEIRO IK DA S, ABREU MNS, PAULA W DE, CARDOSO CS. Symptoms of depression, anxiety and stress in health students and impact on quality of life. Rev Lat Am Enfermagem 2023; 31: e3884. https://doi.org/10.1590/1518-8345.6315.3884
19. QUESADA-PUGA C, CAÑADAS GR, GÓMEZ-URQUIZA JL, AGUAYO-ESTREMERA R, ORTEGA-CAMPOS E, ROMERO-BÉJAR JL et al. Depression in nursing students during the COVID-19 pandemic: Systematic review and meta-analysis. PLoS One 2024; 19(7): e0304900. https://doi.org/10.1371/JOURNAL.PONE.0304900
20. WILKS CR, AUERBACH RP, ALONSO J, BENJET C, BRUFFAERTS R, CUIJPERS P et al. The importance of physical and mental health in explaining health-related academic role impairment among college students. J Psychiatr Res 2020; 123: 54-61. https://doi.org/10.1016/J.JPSYCHIRES.2020.01.009
21. Gobierno de España. Ministerio de Universidades. La salud mental en el estudiantado de las universidades españolas. Madrid, 2023. https://www.ciencia.gob.es/dam/jcr:0de3e888-9c3d-4746-9067-e16fc2f3a4e9/Estudio_SaludMentalEstudiantado_jul2023.pdf
22. EDLUND K, SUNDBERG T, JOHANSSON F, ONELL C, RUDMAN A, HOLM LW, et al. Sustainable UNiversity Life (SUN) study: protocol for a prospective cohort study of modifiable risk and prognostic factors for mental health problems and musculoskeletal pain among university students. BMJ Open 2022; 12(4): e056489. https://doi.org/10.1136/BMJOPEN-2021-056489
23. KUORINKA I, JONSSON B, KILBOM A, VINTERBERG H, BIERING-SØRENSEN F, ANDERSSON G et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18: 233-237. https://doi.org/10.1016/0003-6870(87)90010-x
24. CUESTA-VARGAS AI, ROLDAN-JIMENEZ C, NEBLETT R, GATCHEL RJ. Cross-cultural adaptation and validity of the Spanish central sensitization inventory. Springerplus 2016; 5(1): 1837. https://doi.org/10.1186/S40064-016-3515-4
25. WARE JE, KOSINSKI M, KELLER SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220-233. https://doi.org/10.1097/00005650-199603000-00003
26. NORMAN GR, SLOAN JA, WYRWICH KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care 2003; 41: 582-592. https://doi.org/10.1097/01.MLR.0000062554.74615.4C
27. TANAKA K, MURATA S, NISHIGAMI T, MIBU A, MANFUKU M, SHINOHARA Y et al. The central sensitization inventory predict pain-related disability for musculoskeletal disorders in the primary care setting. Eur J Pain 2019; 23: 1640-1648. https://doi.org/10.1002/EJP.1443
28. JACQUIER-BRET J, GORCE P. Prevalence of body area work-related musculoskeletal disorders among healthcare professionals: A systematic review. Int J Environ Res Public Health 2023; 20(1): 841. https://doi.org/10.3390/IJERPH20010841
29. PICAVET HSJ, HOEYMANS N. Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis 2004; 63: 723-729. https://doi.org/10.1136/ARD.2003.010769
30. KREGEL J, SCHUMACHER C, DOLPHENS M, MALFLIET A, GOUBERT D, LENOIR D et al. Convergent validity of the Dutch Central Sensitization Inventory: Associations with psychophysical pain measures, quality of life, disability, and pain cognitions in patients with chronic spinal pain. Pain Pract 2018; 18: 777-787. https://doi.org/10.1111/PAPR.12672
31. SANMARTÍN ABJC; CDKS. Barómetro Juvenil 2021. Salud y bienestar: Informe sintético de resultados. Madrid: 2022. https://doi.org/10.5281/zenodo.6340841
32. WALANKAR PP, PANHALE VP, PATIL MM. Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization. Health Psychol Res 2020; 8: 79-83. https://doi.org/10.4081/HPR.2020.8874
33. MÄNTYSELKÄ P, LUPSAKKO T, KAUTIAINEN H, VANHALA M. Neck-shoulder pain and depressive symptoms: a cohort study with a 7-year follow-up. Eur J Pain 2010; 14: 189-193. https://doi.org/10.1016/J.EJPAIN.2009.04.004
34. KRUEGER EA, UPCHURCH DM. Are sociodemographic, lifestyle, and psychosocial characteristics associated with sexual orientation group differences in mental health disparities? Results from a national population-based study. Soc Psychiatry Psychiatr Epidemiol 2019; 54: 755-770. https://doi.org/10.1007/S00127-018-1649-0
35. HARRER M, ADAM SH, BAUMEISTER H, CUIJPERS P, KARYOTAKI E, AUERBACH RP et al. Internet interventions for mental health in university students: A systematic review and meta-analysis. Int J Methods Psychiatr Res 2019; 28: e1759. https://doi.org/10.1002/MPR.1759
36. PAULUS M, KUNKEL J, SCHMIDT SCE, BACHERT P, WÄSCHE H, NEUMANN R et al. Standing breaks in lectures improve university students’ self-perceived physical, mental, and cognitive condition. Int J Environ Res Public Health 2021; 18(8): 4204. https://doi.org/10.3390/IJERPH18084204
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Anales del Sistema Sanitario de Navarra

Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.


