{"title":"Risk factor analysis for growing pains in children: Results of parental survey.","authors":"Ruoyi Guo, Weili Xiang, Hanjie Zhuang, Yiwei Wang, Pengfei Zheng","doi":"10.1177/18632521251398410","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To identify lifestyle-related risk factors for growing pains to advance the clinical prevention and management strategies.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> < 0.050). Multivariate analysis indicated that maternal near-daily exposure to smoking during pregnancy (<i>p</i> = 0.042, odds ratio = 1.926), sleep latency between 30 and 60 min (<i>p</i> < 0.001, odds ratio = 3.696), and extreme fatigue after exercise (<i>p</i> = 0.015, odds ratio = 15.554) were independent risk factors for the occurrence of growth pain. On the other hand, legume preference (<i>p</i> = 0.001, odds ratio = 0.442) and sports preference (<i>p</i> = 0.009, odds ratio = 0.486) were protective factors against the occurrence of growth pains.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Significance of study: </strong>The preference for legumes and participation in sports were associated with a lower prevalence of growing pains.</p>","PeriodicalId":56060,"journal":{"name":"Journal of Childrens Orthopaedics","volume":" ","pages":"30-39"},"PeriodicalIF":1.8000,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634403/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Childrens Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/18632521251398410","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
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.
期刊介绍:
Aims & Scope
The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery.
It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents.
The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology.
The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.