eprintid: 47830 rev_number: 7 eprint_status: archive userid: 1482 importid: 105 dir: disk0/00/04/78/30 datestamp: 2023-05-12 11:20:43 lastmod: 2023-06-01 07:41:21 status_changed: 2023-06-01 07:41:21 type: article metadata_visibility: show creators_name: Stieglitz, Jonathan creators_name: Buoro, Yoann creators_name: Beheim, Bret A. creators_name: Trumble, Benjamin C. creators_name: Kaplan, Hillard creators_name: Gurven, Michael creators_idrefppn: 241587034 creators_halaffid: 506116 creators_halaffid: 506116 title: Labour's pain: strenuous subsistence work, mechanical wear-and-tear and musculoskeletal pain in a non-industrialized population ispublished: pub subjects: subjects_ECO abstract: Musculoskeletal pain is the most debilitating human health condition. Neurophysiological pain mechanisms are highly conserved and promote somatic maintenance and learning to avoid future harm. However, some chronic pain might be more common owing to mismatches between modern lifestyles and traits that originally evolved under distinct premodern conditions. To inform assumptions about factors affecting chronic pain vulnerability prior to industrialization, we assess pain prevalence, perceived causes, and predictors among Tsimane forager-horticulturalists. Habitual subsistence work is the primary reported cause of pain throughout life for both sexes, and pain is more common with age, especially in the back, and for those with more musculoskeletal problems. Sex differences in pain are relatively weak, and we find no association between women's reproductive history and pain, contrary to the hypothesis that reproduction causes women's greater pain susceptibility. Age-standardized current pain prevalence is 1.7–8.2 times higher for Tsimane than other select populations, and Tsimane chronic pain prevalence is within the range of variation observed elsewhere. Chronic low back pain is not a ‘mismatch disease’ limited to post-industrialized populations. Hominin musculoskeletal changes supporting bipedalism probably imposed health costs, which, after millions of years of evolution, remain an epidemiological burden that may be exacerbated by modern conditions. date: 2023-05-10 date_type: published publisher: The Royal Society id_number: 10.1098/rspb.2022.2497 official_url: http://tse-fr.eu/pub/128090 faculty: tse divisions: tse language: en has_fulltext: FALSE doi: 10.1098/rspb.2022.2497 view_date_year: 2023 full_text_status: none publication: Proceedings of the Royal Society B: Biological Sciences volume: vol. 290 number: n° 1998 place_of_pub: Londres refereed: TRUE issn: 1471-2954 oai_identifier: oai:tse-fr.eu:128090 harvester_local_overwrite: number harvester_local_overwrite: volume harvester_local_overwrite: date harvester_local_overwrite: pending harvester_local_overwrite: creators_idrefppn harvester_local_overwrite: creators_halaffid harvester_local_overwrite: publisher harvester_local_overwrite: place_of_pub oai_lastmod: 2023-05-26T11:34:48Z oai_set: tse site: ut1 citation: Stieglitz, Jonathan , Buoro, Yoann, Beheim, Bret A., Trumble, Benjamin C., Kaplan, Hillard and Gurven, Michael (2023) Labour's pain: strenuous subsistence work, mechanical wear-and-tear and musculoskeletal pain in a non-industrialized population. Proceedings of the Royal Society B: Biological Sciences, vol. 290 (n° 1998).