Weight-loss interventions for overweight/obese adults with chronic musculoskeletal pain

Abstract

Review question/objective The objective of this mixed methods review is to develop an aggregated synthesis of qualitative and quantitative data on weight-loss interventions for overweight/obese adults with chronic musculoskeletal pain in an attempt to derive conclusions and recommendations useful for clinical practice and policy decision making. The objective of the quantitative component of this review is to quantify the effectiveness of weight-loss interventions on weight, pain and physical and/or psychosocial function in overweight/obese adults with chronic musculoskeletal pain. The objectives of the qualitative component of this review are to explore the perceptions and experiences of overweight/obese adults with chronic musculoskeletal pain of the link between their weight and pain, and the effectiveness and appropriateness of weight-loss interventions and sustainability of weight-loss efforts.

Fear as a barrier to physical activity in young adults with obesity: a qualitative study

“…These barriers are multifactorial and can include physical, psychological, and environmental components (Hamer et al 2021). Central to physical barriers is pain and injury, making basic movement difficult and uncomfortable (Cooper et al 2016). External barriers include, for example, lack of time and lack of transportation (Coe et al 2017).…”

“…Based on the existing body of qualitative evidence around being active with obesity, psychological barriers appear to be the primary concerns because of increased perceptions of disability, weight stigmatisation, depressive cognitions (negative views of self, the world, and the future), lack of motivation and fear (Napolitano et al 2011;Hamer et al 2021). Several studies have highlighted the importance of psychological barriers and its impact on physical activity participation (Toft et al 2020;Danielsen, Sundgot-Borgen, and Rugseth 2016;Myre, Glenn, and Berry 2021;Cooper et al 2016). Key findings from these studies show that activity avoidance by adults with obesity is often a consequence of negative emotions (e.g.…”

“…Intervention studies that fail to acknowledge psychological barriers or include psychological components have been shown to be less effective at increasing activity in adults with obesity (Wiklund, Olsén, and Willén 2010). According to Cooper et al (2016), motivation and depressive symptoms are likely to be the primary targeted psychological barriers that limit activity in populations with obesity. However, even though there is a much greater understanding of the role played by these psychological barriers, there are still high levels of inactivity among adults with obesity (Napolitano et al 2011).…”

“…catastrophizing, depression, low mood and heightened perceptions of disability) than when prompted by other barriers (e.g. lack of time or lack of motivation) (Cooper et al 2016;National Heart, Lung, & Blood Institute, 2013).…”

Associations of weight loss with obesity‐related comorbidities in a large integrated health system

“…A wide range of adverse cardiovascular, 3 , 4 metabolic, 5 , 6 musculoskeletal, 7 psychological 8 , 9 and other conditions have been linked to weight gain and obesity. However, surprisingly little is known about the impact of weight loss on the development of weight‐related comorbidities.…”