Association of Pain, Severe Pain, and Multisite Pain with the Level of Physical Activity and Sedentary Behavior in Severely Obese Adults: Baseline Data from the DieTBra Trial

Abstract

The study aimed to assess the prevalence of pain, severe pain, and pain in four or more regions associated with physical activity and sedentary behavior, as well as other associated factors in severely obese adults (Body Mass Index ≥ 35 kg/m2). Baseline data from the DieTBra Trial were analyzed. The outcome variables were pain (yes/no) and pain in four or more sites (yes/no), as identified by the Brazilian version of the Nordic Musculoskeletal Questionnaire, along with the presence of severe pain (yes/no), identified based on the Numerical Pain Rating Scale (≥8). The main independent variables were moderate to vigorous physical activity (MVPA), light physical activity, and sedentary behavior, assessed by triaxial accelerometry. The variables were analyzed using multiple hierarchical Poisson regression. In 150 individuals (men, 14.67%; and women, 85.33%), with a mean age of 39.6 ± 0.7 years, there was a high prevalence of pain (89.33%), severe pain (69.33%), and pain in four or more regions (53.33%). The associated factors were shorter MVPA time with pain (p = 0.010); arthritis/arthrosis (p = 0.007) and the use of muscle relaxants (p = 0.026) with severe pain; and economic class C (p = 0.033), and economic class D (p = 0.003), along with arthritis and arthrosis (p = 0.025) with pain in four or more sites. There were no significant associations between sedentary behavior and any of the three outcomes analyzed. These findings indicate that, in severely obese individuals, shorter MVPA time is associated with a higher prevalence of pain. Future studies on physical activity intervention may contribute to the reduction in the prevalence and severity of pain in adults with severe obesity.

Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis

“…Four cross-sectional studies investigated full-day SB and general MSP. Two high-quality studies of the general population category reported a positive association [ 65 , 67 ] and two studies (one high-quality [ 106 ] and one low-quality [ 107 ]) study of the occupational category reported no association. Based on the high-quality studies, there is strong evidence of a cross-sectional association of full-day SB with general MSP.…”

Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise

“…However, no association was seen between pain and light physical activity (LPA) or SB. These findings indicate that, in severely obese individuals, shorter MVPA time is associated with a higher prevalence of pain [661]. Positive associations with daily SB were found for pain intensity (r = 0.31, p < 0.01) and the number of painful joints (r = 0.24, p < 0.05), but not non-articular pain in individuals with rheumatoid arthritis [662].…”

Bone Mineral Density in Severely Obese Women: Health Risk and Health Protective Risk Factors in Three Different Bone Sites

“…The data for this study are part of the baseline of a major randomized clinical trial called “Effect of nutritional intervention and olive oil in severe obesity-DieTBra Trial” [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]; details of the study design and subject recruitment and randomization are described in the literature [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. Data collection was carried out at the Clinical Research Unit of the Faculty of Medicine Clinics Hospital, Federal University of Goiás, Brazil, between June 2015 and February 2016 [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. The following eligibility criteria were adopted: women, aged between 18 and 64 years with a BMI ≥ 35 kg/m 2 and weight ≤ 130 kg.…”