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Risk factor analysis for growing pains in children: Results of parental survey
Ruoyi Guo1, Weili Xiang1, Hanjie Zhuang1
1Department of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Insights
Maternal smoking during pregnancy, long sleep latency, and extreme fatigue after exercise are linked to growing pains. Legume preference and sports participation may protect against this condition.
Area of Science:
- Pediatric Health
- Lifestyle Medicine
- Pain Management
Background:
- Growing pains are a common concern in children, impacting their well-being.
- Identifying modifiable risk factors is crucial for effective prevention and management strategies.
Purpose of the Study:
- To investigate lifestyle-related risk factors associated with the occurrence of growing pains in children.
- To inform clinical strategies for preventing and managing growing pains.
Main Methods:
- A case-control study involving 290 children with growing pains and 467 healthy controls.
- Data collection included medical history, physical examinations, imaging, laboratory tests, and structured questionnaires.
- Multivariate analysis was employed to identify independent risk and protective factors.
Main Results:
- Maternal smoking during pregnancy, sleep latency of 30-60 minutes, and extreme fatigue post-exercise were identified as independent risk factors.
- Preference for legumes and participation in sports emerged as protective factors against growing pains.
Conclusions:
- Lifestyle factors, including maternal smoking, sleep patterns, exercise habits, and dietary preferences, significantly influence the prevalence of growing pains.
- Promoting sports participation and legume consumption may help reduce the incidence of growing pains.
Objectives:
To identify lifestyle-related risk factors for growing pains to advance the clinical prevention and management strategies.
Methods:
A case-control study was conducted from September 2023 to December 2024, enrolling 290 children clinically diagnosed with growing pains (case group) and 467 age-matched healthy controls. All participants underwent detailed medical history reviews, physical examinations, imaging examination, and laboratory tests. The main data were collected through structured questionnaires administered to both groups.
Results:
The results of univariate analysis showed that factors related to growing pains included maternal exposure to smoking environments, child exposure to smoking environments, preference for vegetables, grains, tubers, legumes, and fruits, sports preference, extreme fatigue after exercise, sleeping with parents at night, fear of sleeping alone, sleep latency between 15 and 30 min, sleep latency between 30 and 60 min, and average waking up twice per night (p < 0.050). Multivariate analysis indicated that maternal near-daily exposure to smoking during pregnancy (p = 0.042, odds ratio = 1.926), sleep latency between 30 and 60 min (p < 0.001, odds ratio = 3.696), and extreme fatigue after exercise (p = 0.015, odds ratio = 15.554) were independent risk factors for the occurrence of growth pain. On the other hand, legume preference (p = 0.001, odds ratio = 0.442) and sports preference (p = 0.009, odds ratio = 0.486) were protective factors against the occurrence of growth pains.
Conclusions:
Frequent maternal smoking exposure during pregnancy, prolonged sleep latency (30-60 min), and post-exercise exhaustion are independently associated with a higher prevalence of growing pains. And the preference for legumes and participation in sports were associated with a lower prevalence of growing pains.
Significance Of Study:
The preference for legumes and participation in sports were associated with a lower prevalence of growing pains.
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