Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children

Bout-Tabaku, Sharon; Briggs, Matthew S.; Schmitt, Laura C.

doi:10.1007/s11999-012-2620-0

Cited by 20 publications

(23 citation statements)

References 60 publications

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“…12,15,24,25,41 In a cohort of obese youths, the prevalence of LE pain was 70% and that of upper extremity or back pain was 27%. 9 Our results are consistent with previous studies as most participants had MSK pain (76%), with pain commonly occurring in the lower back, followed by LE pain. 11 Unlike previous studies, we found that a quarter of our participants had pain at all 4 sites.…”

Section: Discussionsupporting

confidence: 92%

“…3–7 In an obese cohort of medically managed children, LE pain was correlated with diminished quality of life on the Pediatric Quality of Life Inventory, especially in the physical domain. 9 Our cohort reported low total and physical comfort scores on WRQOL compared with other obese cohorts. 33,34 Those with MSK pain had total and physical comfort scores 10 and 20 points lower than those without MSK pain.…”

Section: Discussionmentioning

confidence: 57%

“…7,8 Due to strong associations between obesity and joint pain as well as between obesity and the development of knee osteoarthritis (OA), childhood obesity negatively affects musculoskeletal (MSK) health. 9–15 …”

mentioning

confidence: 99%

See 2 more Smart Citations

Musculoskeletal Pain, Self-reported Physical Function, and Quality of Life in the Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Cohort

et al. 2015

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 57%

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Musculoskeletal Pain, Self-reported Physical Function, and Quality of Life in the Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Cohort

et al. 2015

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“…12 In both young and old persons, obesity-related pain is associated with lower quality of life and relatively low psychosocial health when compared with normal-weight individuals. 13,14 Thus, across the age spectrum, obesity is associated with painful musculoskeletal issues that can adversely affect psychological well-being and perceptions about staying physically active. This review will present the relationships between obesity, musculoskeletal pain symptoms, fear avoidance behaviors, and functional decline.…”

mentioning

confidence: 99%

Musculoskeletal Pain, Fear Avoidance Behaviors, and Functional Decline in Obesity

Vincent

Adams

Vincent

et al. 2013

Regional Anesthesia and Pain Medicine

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Individuals with musculoskeletal pain exhibit abnormal movement patterns, including antalgic gait, postural dysfunction, increased thoracolumbar stiffness, decreased proprioception, and altered activation of abdominal and extensor muscles. Additionally, aberrant or increased biomechanical forces over time produce joint or structural damage that results in pain. A large body habitus resulting from excessive weight can accelerate these musculoskeletal complaints. Irrespective of age, obesity contributes to chronic musculoskeletal pain, impairment of mobility, and eventual physical disability. Potential mechanisms that may mediate the relationships between obesity-related pain and functional decline include skeletal muscle strength deterioration, systemic inflammation, and psychosocial characteristics (eg, pain catastrophizing, kinesiophobia, and depression). Treatment considerations for obese patients with musculoskeletal pain include assessment of kinesiophobia levels, biomechanical analysis, and pain medication use. Ideally, a multidisciplinary team of physicians, psychologists, and physical therapists should optimize the design of interventions specific to the patient. In some cases, the use of appropriate pain medications or intra-articular injectable agents may help control pain, fostering sustained activity, caloric expenditure, and weight loss. Morbid obesity is a medical condition that alters biomechanical forces on the tissues of the body. This condition provides the opportunity to examine accelerated development of musculoskeletal pain syndromes and etiology. The proposed therapeutic interventions can have multiple benefits in the obese population including weight loss, improved psychological outlook and self-efficacy, reduced kinesiophobia levels, reduced risk of functional dependence, and improved quality of life.

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“…Physical fitness, or the ability to perform specific physical activities, has also been linked to psychological functioning and weight status in children. Previous research has linked increases in physical fitness to improvements in psychological functioning (Kelly et al, 2011) and healthier weight status (e.g., lower BMI z-scores) (Bout-Tabaku, Briggs, & Schmitt, 2013). However, it is unclear how the frequency of pain may impact physical activity and physical fitness in overweight and obese children.…”

mentioning

confidence: 99%

Pain is Associated with Physical Activity and Health-Related Quality of Life in Overweight and Obese Children

Lim

Mayer-Brown

Clifford

et al. 2014

Children's Health Care

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This study examined associations between pain, physical activity, physical fitness, and health-related quality of life (HRQOL) in overweight and obese children. Participants were 270 overweight and obese children 8–12 years of age and their parents. Children were separated into No Pain Frequency, Low Pain Frequency, and High Pain Frequency groups. Children in the Low Pain Frequency group spent less time in moderately intense physical activities compared to the No Pain Frequency group. Children in the High Pain Frequency group reported significantly lower HRQOL in most domains of functioning compared to children in the No Pain and Low Pain Frequency groups. Pain in overweight and obese children may negatively impact physical activity and HRQOL and should be assessed and treated in research and clinical work.

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Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children

Cited by 20 publications

References 60 publications

Musculoskeletal Pain, Self-reported Physical Function, and Quality of Life in the Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Cohort

Musculoskeletal Pain, Self-reported Physical Function, and Quality of Life in the Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Cohort

Musculoskeletal Pain, Fear Avoidance Behaviors, and Functional Decline in Obesity

Pain is Associated with Physical Activity and Health-Related Quality of Life in Overweight and Obese Children

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