Prevalence of Wrist and Shoulder Pain in Smokers and Non-Smokers Male Students of Institutes
DOI:
https://doi.org/10.61919/bcrkn903Keywords:
Smoking; Shoulder Pain; Wrist Pain; Prevalence; Musculoskeletal Disorders; University StudentsAbstract
Background: Smoking is a recognized risk factor for various musculoskeletal disorders due to its effects on vascular perfusion, tissue healing, and systemic inflammation, yet evidence regarding its association with wrist and shoulder pain among young adult populations remains limited and inconclusive. Objective: This study aimed to determine the prevalence of wrist and shoulder pain among male smokers and non-smokers aged 18–25 years in university settings and to explore potential associations between smoking status and musculoskeletal symptoms. Methods: A cross-sectional observational study was conducted among 116 male university students in Lahore, Pakistan, recruited through purposive sampling. Participants completed the Shoulder and Wrist Pain Questionnaire and a Visual Analog Scale for pain intensity. Smoking status, pain prevalence, and potential confounding factors were recorded. Statistical analysis included chi-square tests and calculation of odds ratios with 95% confidence intervals to assess associations between smoking and musculoskeletal pain. Results: Among participants, 68 (58.6%) were smokers and 48 (41.4%) were non-smokers. Wrist pain was reported by 45.6% of smokers and 41.7% of non-smokers (OR 1.14; 95% CI 0.54–2.40; p = 0.717), while shoulder pain was reported by 54.4% of smokers and 58.3% of non-smokers (OR 0.88; 95% CI 0.43–1.81; p = 0.728). No significant association was observed between smoking status and pain prevalence. Conclusion: Although smokers demonstrated higher frequencies of wrist and shoulder pain, differences were not statistically significant, suggesting that in young male university populations, smoking may not substantially influence musculoskeletal pain prevalence, warranting further large-scale research.
References
1 Onda A, Onozato K, Kimura M. Clinical Features of Neck and Shoulder Pain (Katakori) in Japanese Hospital Workers. Fukushima J Med Sci. 2022;68(2):79–87.
2 Hodgetts CJ, Leboeuf-Yde C, Beynon A, Walker BF. Shoulder Pain Prevalence by Age and Within Occupational Groups: A Systematic Review. Arch Physiother. 2021;11:1–12.
3 Smuck M, Schneider BJ, Ehsanian R, Martin E, Kao MCJ. Smoking Is Associated With Pain in All Body Regions, With Greatest Influence on Spinal Pain. Pain Med. 2020;21(9):1759–68.
4 Deressa Guracho Y, Addis GS, Tafere SM, Hurisa K, Bifftu BB, Goedert MH, et al. Prevalence and Factors Associated With Current Cigarette Smoking Among Ethiopian University Students: A Systematic Review and Meta-Analysis. J Addict. 2020;2020:9483164.
5 Al Shammari M, Hassan A, Al Jawad M, Farea A, Almansour A, Al Yousif G, et al. Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers. Am J Case Rep. 2020;21:e926643.
6 Koronaiou K, Delipalla S. The Economic Cost of Tobacco Smoking and Secondhand Smoke in Greece: Musculoskeletal Disorders the Leading Contributor to Smoking-Related Morbidity. Tob Prev Cessat. 2019;5:1–9.
7 Hulkkonen S, Auvinen J, Miettunen J, Karppinen J, Ryhänen J. Smoking as Risk Factor for Carpal Tunnel Syndrome: A Birth Cohort Study. Muscle Nerve. 2019;60(3):299–304.
8 Bento TPF, Genebra CVDS, Cornélio GP, Biancon RDB, Simeão SFAP, Vitta AD. Prevalence and Factors Associated With Shoulder Pain in the General Population: A Cross-Sectional Study. Fisioter Pesqui. 2019;26:401–6.
9 El-Metwally A, Shaikh Q, Aldiab A, Al-Zahrani J, Al-Ghamdi S, Alrasheed AA, et al. The Prevalence of Chronic Pain and Its Associated Factors Among Saudi Al-Kharj Population: A Cross-Sectional Study. BMC Musculoskelet Disord. 2019;20:1–9.
10 Haghighi FM, Ghafarinejad F, Pouya F, Motiallah T. The Prevalence of Musculoskeletal Pain in Male Cigarette Smoking Students at Shiraz University of Medical Sciences. Iran J Med Sci. 2018;43(2):139–45.
11 Ahmed NN, Zuha A, Shareef F, Muhammad AS, Nawaz A, Anwar N, et al. Prevalence of Shoulder Pain in Smokers. Pak J Med Health Sci. 2022;16(12):259–62.
12 Abate M, Vanni D, Pantalone A, Salini V. Cigarette Smoking and Musculoskeletal Disorders. Muscles Ligaments Tendons J. 2013;3(2):63–9.
13 Zabrzyński J, Huri G, Gagat M, Łapaj Ł, Yataganbaba A, Szwedowski D, et al. The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery. J Clin Med. 2021;10(4):599.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Saigha Nasir, Sheher Bano, Muhammad Masab, Bushra Naz, Muhammad Hassan, Samara Shaukat, Shiza Shahzadi, Muhammad Naveed (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.