Epidemiology, co‐morbidity, and impact on health‐related quality of life of self‐reported headache and musculoskeletal pain—a gender perspective

Bingefors, Kerstin; Isacson, Dag

doi:10.1016/j.ejpain.2004.01.005

Cited by 322 publications

(272 citation statements)

References 48 publications

(74 reference statements)

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“…A high prevalence of these degenerative musculoskeletal diseases has been reported [23], and prevalence of concurrent upper and lower extremity pain in patients older than 65 years is reportedly greater than 40% [25]. Furthermore, musculoskeletal pain or disability is reportedly more prevalent [18] and more severe in women [8], which concurs with our findings. This sex effect was not confined to a specific physical subscale but rather involved all physical components of the SF-36, DASH, and WOMAC.…”

Section: Discussionsupporting

confidence: 82%

“…Musculoskeletal disorders are among the most frequently occurring chronic conditions that affect the general population and have substantial impacts on physical activity, mental state, and quality of life (QOL) [8,16]. The prevalence of musculoskeletal disorders increases with age, and they are the leading cause of disability, especially among those older than 65 years [15,23].…”

Section: Introductionmentioning

confidence: 99%

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How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

Roh

Kim

Paik

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

Roh

Kim

Paik

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…A 2002 cross-sectional survey of 4,506 Swedes found that SF-36 scores differed by gender. The authors hypothesize that these differences were due, in part, to gender disparities in work, income, daily living, social life, and expectations between men and women [49]. The authors of this study also noted that there were gender differences in the prevalence and severity of self-reported pain associated with headaches and musculoskeletal disorders, which has also been observed by others for rheumatoid arthritis [50], irritable bowel syndrome [51], fibromyalgia [52], and chronic fatigue syndrome [53,54].…”

Section: Discussionmentioning

confidence: 99%

The Physical and Mental Health of A Large Military Cohort: Baseline Functional Health Status of the Millennium Cohort

Smith¹,

Zamorski²,

Smith³

et al. 2007

PsycEXTRA Dataset

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“…1,2 Physician bias towards obese patients may contribute to the assumption that their painful musculoskeletal (MSK) symptoms are weight related. 3 However, the published literature does not support the association between weight and many MSK conditions.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

et al. 2006

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Objective: To determine the point prevalence of painful musculoskeletal (MSK) conditions in obese subjects before and after weight loss following bariatric surgery. Design: Longitudinal, interventional, unblended. Subjects: Forty-eight obese subjects (47 women, one man, mean age 4479 years; mean body mass index (BMI) 5178 kg/m 2 ) recruited from an academic medical center bariatric surgery program. Measurements: Comorbid medical conditions; MSK findings; BMI; Western Ontario McMaster Osteoarthritis Index (WOMAC) for pain, stiffness and function; and SF-36 s for quality of life. Methods: Consecutive subjects were recruited from the University Hospitals of Cleveland Bariatric Surgery Program. Musculoskeletal signs and symptoms and non-MSK comorbid conditions were documented at baseline and at follow-up. Subjects completed the SF-36 s and the WOMAC questionnaires. Analyses were carried out for each MSK site, fibromyalgia syndrome (FMS) and for the cumulative effect on the spine, upper and lower extremities. The impact of change in comorbid medical conditions, BMI, physical and mental health domains of the SF-36 s on the WOMAC pain subscale score was evaluated. SF-36 s outcomes were compared to normal published controls. Results: Forty-eight subjects were available for baseline and a follow-up assessment 6-12 months after gastric bypass surgery. They lost an average of 41715 kg and the mean BMI decreased from 5178 to 3677 kg/m 2 . Baseline comorbid medical conditions were present in 96% before surgery and 23% after weight loss. There was an increased prevalence of painful MSK conditions at baseline compared to general population frequencies. Musculoskeletal complaints had been present in 100% of obese subjects before, and 23% after weight loss. The greatest improvements occurred in the cervical and lumbar spine, the foot and in FMS (decreased by 90, 83, 83 and 92%, respectively). Seventy-nine percent had upper extremity MSK conditions before and 40% after weight loss. Before surgery, 100% had lower extremity MSK conditions and only 37% did after weight loss. The WOMAC subscale and composite scores all improved significantly, as did the SF-36 s . Change in BMI was the main factor impacting the WOMAC pain score. Conclusion: There was a higher frequency of multiple MSK complaints, including non-weight-bearing sites compared to historical controls, before surgery, which decreased significantly at most sites following weight loss and physical activity. These benefits may improve further, as weight loss may continue for up to 24 months. The benefits seen with weight loss indicate that prevention and treatment of obesity can improve MSK health and function.

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Epidemiology, co‐morbidity, and impact on health‐related quality of life of self‐reported headache and musculoskeletal pain—a gender perspective

Cited by 322 publications

References 48 publications

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

The Physical and Mental Health of A Large Military Cohort: Baseline Functional Health Status of the Millennium Cohort

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

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