Obesity and the Impact of Chronic Pain

Marcus, Dawn A.

doi:10.1097/00002508-200405000-00009

Cited by 117 publications

(102 citation statements)

References 40 publications

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“…In addition, positive associations between physical activity and overweight are reported, implying the importance of such lifestyle factors [11]. Further, excess weight or obesity may be a marker of disability and depression and a risk factor for developing spinal pain [25].…”

Section: Discussionmentioning

confidence: 99%

Do physical activity level and body mass index predict recovery from persistent neck pain in men and women of working age? A population-based cohort study

et al. 2013

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Purpose The study sought to examine the gender-specific effects of physical activity level and body mass index on recovery from persistent neck pain (PNP) among citizens of working age in Stockholm, Sweden. Methods A population-based cohort of 1,730 subjects (18-65) with PNP answered surveys in 2002 and 2007. Prognostic factors were self-reported body mass index (BMI) and physical activity level (PAL) at baseline. Analyses were performed with odds ratios (OR) with corresponding 95 % confidence intervals (95 % CI). Results Women reporting higher physical activity level had higher odds of recovering from PNP than women with sedentary leisure time (OR of 1.5, 95 % CI 1.0-2.4), but no associations were found in men. No associations were found between BMI and recovery from PNP in any analyses. Conclusion Physical activity seems to be associated with recovery from PNP in women and should therefore be encouraged. Future studies should continue investigating physical activity and lifestyle factors in relation to recovery from persistent neck pain, since these modifiable factors may be considered in interventions.

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Section: Discussionmentioning

confidence: 99%

Do physical activity level and body mass index predict recovery from persistent neck pain in men and women of working age? A population-based cohort study

et al. 2013

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“…Similarly, longitudinal studies suggest overweight/obesity early in life may be a risk factor for developing LBP [26] and OA [47], and some evidence supports a dose-response relationship between BMI and pain. The co-occurrence of pain and obesity seems to have an additive negative effect on HRQoL, a finding demonstrated both in patients who were seeking treatment for obesity [83] and in patients who were seeking treatment for chronic pain [84]. Some have suggested that the presence of pain may mediate the association between BMI and HRQoL [85].…”

Section: Discussionmentioning

confidence: 99%

“…Obese patients who reported pain scored significantly lower on all domains/subscales (pain subscale not included) of the SF-36 compared with obese patients without pain. Similarly, in a sample of chronic pain patients from a university pain clinic, Marcus found that increased BMI was associated with comorbid pain disability, depression, and reduced physical functioning as measured by the SF-36 [84].…”

Section: Effect Of Pain On Health-related Quality Of Life In Overweigmentioning

confidence: 92%

Overview of the relationship between pain and obesity: What do we know? Where do we go next?

Janke¹,

Collins²,

Kozak³

2007

JRRD

180

141

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Abstract-Overweight/obesity and pain are significant problems of increasing prevalence; understanding the relationship between the two is the focus of a growing body of research. Findings from this review support a likely relationship between increasing weight and pain conditions such as osteoarthritis and low back pain. Longitudinal studies suggest overweight/obesity early in life is a risk factor for pain, and the co-occurrence of pain and overweight/obesity negatively affects quality of life. The mechanism of relationship is unknown but is hypothesized to include mechanical and metabolic abnormalities, possibly secondary to lifestyle choices. Observations from a few studies demonstrate that treatments for obesity reduce pain secondary to weight loss. Few studies examine both pain and weight as primary outcomes, and variability in measurement makes comparisons and conclusions difficult. Research should focus on expanding knowledge about mechanisms of the relationship between pain and obesity, testing explanatory models addressing their co-occurrence, and developing treatments that most effectively target this comorbidity.

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“…It also has a psychological impact on patients and deteriorates their quality of life (QoL) because of these complications and the negative perception of obesity in a society where thinness is idealized (Delin and Watts, 1995;Flanagan, 1996;Marcus, 2004). The randomized and prospective SOS registry study showed that the obese subjects had much lower health-related QoL scores than did the age-matched reference population (Sjöström, 2003).…”

Section: Introductionmentioning

confidence: 99%

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

et al. 2007

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Background and objectives: Long term evaluation of bariatric surgery must include quality of life measurement. Methods: Quality of life (QoL) was evaluated using the original Moorehead-Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure. Results: Overall, the body mass index (BMI) decreased from 5078 kg/m 2 before surgery to 35.277.5 kg/m 2 at the time of the questionnaire. The percentage of weight loss was 28.8712.2%. In the group treated with VBGM, the mean initial weight (P ¼ 0.003) and the percentage of weight loss (Po0.001) were significantly higher, and the QoL was better (P ¼ 0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (Po0.001).Conclusions: This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.

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Obesity and the Impact of Chronic Pain

Cited by 117 publications

References 40 publications

Do physical activity level and body mass index predict recovery from persistent neck pain in men and women of working age? A population-based cohort study

Do physical activity level and body mass index predict recovery from persistent neck pain in men and women of working age? A population-based cohort study

Overview of the relationship between pain and obesity: What do we know? Where do we go next?

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

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