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Are weight and physical activity associated with the onset or the chronicization of neck pain, in adults with non-specific neck pain? A systematic review
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- Design Systematic review of observational studies Objectives The aim was to describe the potential effects that physical activity and weight can have on the onset or the chronicization of neck pain, in adults with non-specific neck pain. Data sources Literature has been reviewed in Embase, PubMed, Scopus, Psycinfo and Cochrane Library from January 2010 to November 2020. Eligibility criteria Studies (cohort or case control) evaluating the association between weight and/or leisure physical activity, and the onset or the chronicization of non-specific neck pain on subjects over 18 years old. Results Nine studies were included in this systematic review with a total of 20350 participants among 8 different countries. Four studies involved the development of neck pain while 5 studies involved the chronicization of non-specific neck pain. The results concerning the chronicization of non-specific neck pain are conflicting for both weight and leisure physical activity. The results concerning the onset of non-specific neck pain are also conflicting but tend towards a decrease in risk via an increase in leisure physical activity and towards an increase in risk in the presence of obesity/overweight. However, there are too few studies to be able to generalize the results. Conclusion This systematic review presents conflicting results and highlights a lack of study and especially of uniformity of the analyzed studies.