Measurement of pain and anthropometric parameters in women with chronic pelvic pain

Gurian, Maria Beatriz Ferreira; Mitidieri, Andréia Moreira de Souza; Silva, Joyce Beatriz da; Silva, Ana Paula Moreira da; Pazin, Carolina; Neto, Omero Benedicto Poli; Nogueira, Antônio Alberto; Reis, Francisco José Candido dos; Silva, Júlio César Rosa e

doi:10.1111/jep.12221

Cited by 15 publications

(11 citation statements)

References 56 publications

(60 reference statements)

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“…However, the BMI does not necessarily represent an increase in adiposity, since it represents the total body mass, and not only adipose tissue mass, not reflecting the distribution of the %BF. 30 Gurian et al, 31 in their study, aimed to analyze anthropometric parameters (BMI and %BF), and the clinical and experimental pain in women with CPP; the study revealed that a large part of the evaluated women presented a very high %BF, in other words, risk of disease associated with obesity, 32 as shown in the present study.…”

Section: Discussionsupporting

confidence: 68%

Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis

Silva

Gurian

Nonino

et al. 2020

Rev Bras Ginecol Obstet

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Objective To determine the average body composition (percentage of body fat), the anthropometric markers, and the intensity of clinical pain in women with a clinical diagnosis of chronic pelvic pain (CPP) secondary to endometriosis. Methods A case-control study performed with 91 women, 46 of whom with CPP secondary to endometriosis and 45 of whom with CPP secondary to other causes. They underwent an evaluation of the anthropometric parameters by means of the body mass index (BMI), the perimeters (waist, abdomen, hip), and the percentage of body fat (%BF), which were assessed on a body composition monitor by bioimpedance; the intensity of the clinical pain was evaluated using the visual analog scale (VAS), and the symptoms of anxiety and depression, using the hospital's anxiety and depression scale (HAD). Results The groups did not differ in terms of mean age, BMI, %BF or regarding the available waist-to-hip ratio (WHR). The mean intensity of the clinical pain by the VAS was of 7.2 ± 2.06 in the group with CPP secondary to endometriosis, and of 5.93 ± 2.64 in the group with CPP secondary to other causes (p = 0.03), revealing significant differences between the groups. Conclusion We concluded that, despite the difference in the pain score assessed between the two groups, there was no difference regarding body composition and anthropometry.

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Section: Discussionsupporting

confidence: 68%

Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis

Silva

Gurian

Nonino

et al. 2020

Rev Bras Ginecol Obstet

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“… 14 A systematic review 15 concludes that obese people are at a greater risk of having headaches, particularly chronic headaches. Similarly, obesity appears to be a risk factor for developing abdominal pain, 16 pelvic pain, 17 and neuropathic pain. 18 , 19 …”

Section: Obesity and Pain Complaintsmentioning

confidence: 99%

The association between chronic pain and obesity

Okifuji¹,

Hare²

2015

JPR

430

337

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Obesity and pain present serious public health concerns in our society. Evidence strongly suggests that comorbid obesity is common in chronic pain conditions, and pain complaints are common in obese individuals. In this paper, we review the association between obesity and pain in the general population as well as chronic pain patients. We also review the relationship between obesity and pain response to noxious stimulation in animals and humans. Based upon the existing research, we present several potential mechanisms that may link the two phenomena, including mechanical/structural factors, chemical mediators, depression, sleep, and lifestyle. We discuss the clinical implications of obesity and pain, focusing on the effect of weight loss, both surgical and noninvasive, on pain. The literature suggests that the two conditions are significant comorbidities, adversely impacting each other. The nature of the relationship however is not likely to be direct, but many interacting factors appear to contribute. Weight loss for obese pain patients appears to be an important aspect of overall pain rehabilitation, although more efforts are needed to determine strategies to maintain long-term benefit.

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“…For instance, overweight and obesity are suggested as two main associated factors of unhealthy dietary behaviour and are two main aspects of nutritional status in patients with chronic musculoskeletal pain [24]. Overweight and obesity often occur due to nutrition related underlying mechanisms and are both common comorbidities of chronic musculoskeletal pain disorders such as fibromyalgia [25,26], osteoarthritis [27], chronic lower back pain (CLBP) [28], carpal tunnel syndrome [29], and pelvic pain [30]. They are suggested as risk factors for developing chronic musculoskeletal pain [6].…”

Section: Introductionmentioning

confidence: 99%

Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

Elma

Yılmaz

Deliens

et al. 2020

JCM

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Dietary patterns may play an important role in musculoskeletal well-being. However, the link between dietary patterns, the components of patients’ diet, and chronic musculoskeletal pain remains unclear. Therefore, the purpose of this review was to systematically review the literature on the link between dietary patterns, the components of patients’ diet and chronic musculoskeletal pain. This review was conducted following the “Preferred Reporting Items for Systematic reviews and Meta-Analyses” (PRISMA) guidelines and was registered in PROSPERO with the registration number CRD42018110782. PubMed, Web of Science, and Embase online databases were searched. After screening titles and abstracts of 20,316 articles and full texts of 347 articles, 12 eligible articles were included in this review, consisting of nine experimental and three observational studies. Seven out of nine experimental studies reported a pain-relieving effect of dietary changes. Additionally, protein, fat, and sugar intake were found to be associated with pain intensity and pain threshold. In conclusion, plant-based diets might have pain relieving effects on chronic musculoskeletal pain. Patients with chronic rheumatoid arthritis pain can show inadequate intake of calcium, folate, zinc, magnesium, and vitamin B6, whilst patients with fibromyalgia can show a lower intake of carbohydrates, proteins, lipids, vitamin A-E-K, folate, selenium, and zinc. Chronic pain severity also shows a positive relation with fat and sugar intake in osteoarthritis, and pain threshold shows a positive association with protein intake in fibromyalgia.

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Measurement of pain and anthropometric parameters in women with chronic pelvic pain

Abstract: Evaluation of anthropometric parameters and pain measurements can be applied in clinical practice, making a contribution to the diagnosis and influencing the choice of a more effective treatment for women with CPP.

Cited by 15 publications

References 56 publications

Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis

Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis

The association between chronic pain and obesity

Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

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