Body Composition Is Associated With Multisite Lower Body Musculoskeletal Pain in a Community-Based Study
Abstract Population-based studies suggest that pain in the lower body is common and that pain at multiple sites is more prevalent than single-site pain. Obesity is a risk factor for multisite musculoskeletal pain, but there are limited data on the role of body composition. Therefore, we sought to de...
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| Veröffentlicht in: | The journal of pain 2015-08, Vol.16 (8), p.700-706 |
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| creator | Brady, Sharmayne R.E Mamuaya, Bambino B Cicuttini, Flavia Wluka, Anita E Wang, Yuanyuan Hussain, Sultana Monira Urquhart, Donna M |
| description | Abstract Population-based studies suggest that pain in the lower body is common and that pain at multiple sites is more prevalent than single-site pain. Obesity is a risk factor for multisite musculoskeletal pain, but there are limited data on the role of body composition. Therefore, we sought to determine whether body composition is associated with multisite musculoskeletal pain involving the low back, knee, and foot. A total of 133 participants were recruited for a study examining the relationship between obesity and musculoskeletal disease. Participants completed validated questionnaires that examined levels of pain at the low back, knee, and foot. Body composition was assessed using dual-energy x-ray absorptiometry. Multisite pain was common, with 26.3% of participants reporting pain at 2 sites and 31.6% at 3 sites, and only 20% were pain free. The low back was the most common site of pain (63%). Greater fat mass and fat mass index, but not fat-free mass, were associated with pain at a greater number of sites, independent of age, gender, and fat-free mass ( P |
| doi_str_mv | 10.1016/j.jpain.2015.04.006 |
| format | Article |
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Obesity is a risk factor for multisite musculoskeletal pain, but there are limited data on the role of body composition. Therefore, we sought to determine whether body composition is associated with multisite musculoskeletal pain involving the low back, knee, and foot. A total of 133 participants were recruited for a study examining the relationship between obesity and musculoskeletal disease. Participants completed validated questionnaires that examined levels of pain at the low back, knee, and foot. Body composition was assessed using dual-energy x-ray absorptiometry. Multisite pain was common, with 26.3% of participants reporting pain at 2 sites and 31.6% at 3 sites, and only 20% were pain free. The low back was the most common site of pain (63%). Greater fat mass and fat mass index, but not fat-free mass, were associated with pain at a greater number of sites, independent of age, gender, and fat-free mass ( P < .01). Longitudinal studies exploring the mechanism of action by which increased fat mass is associated with pain may provide important insights into therapeutic strategies for the prevention of multisite pain. Perspective Greater fat mass and fat mass index were associated with a greater number of lower body pain sites, with no association observed for fat-free mass. Understanding the mechanism by which increased fat mass is associated with pain may provide important insights into therapeutic strategies for the prevention of pain.</description><identifier>ISSN: 1526-5900</identifier><identifier>EISSN: 1528-8447</identifier><identifier>DOI: 10.1016/j.jpain.2015.04.006</identifier><identifier>PMID: 25958316</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Absorptiometry, Photon ; Adult ; Anesthesia & Perioperative Care ; Anthropometry ; Back - pathology ; Body composition ; Body Composition - physiology ; Body Mass Index ; Community Health Planning ; epidemiology ; fat mass pain ; Female ; Foot - pathology ; Humans ; Knee Joint - pathology ; Male ; Middle Aged ; Musculoskeletal Pain - epidemiology ; Musculoskeletal Pain - pathology ; Pain Medicine ; Residence Characteristics ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>The journal of pain, 2015-08, Vol.16 (8), p.700-706</ispartof><rights>American Pain Society</rights><rights>2015 American Pain Society</rights><rights>Copyright © 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-b17fde240d758b293eac2c7b740173016a3ef2a4c615b096345762ff48d7a07e3</citedby><cites>FETCH-LOGICAL-c414t-b17fde240d758b293eac2c7b740173016a3ef2a4c615b096345762ff48d7a07e3</cites><orcidid>0000-0002-8358-3015 ; 0000-0001-8024-9049</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpain.2015.04.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25958316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brady, Sharmayne R.E</creatorcontrib><creatorcontrib>Mamuaya, Bambino B</creatorcontrib><creatorcontrib>Cicuttini, Flavia</creatorcontrib><creatorcontrib>Wluka, Anita E</creatorcontrib><creatorcontrib>Wang, Yuanyuan</creatorcontrib><creatorcontrib>Hussain, Sultana Monira</creatorcontrib><creatorcontrib>Urquhart, Donna M</creatorcontrib><title>Body Composition Is Associated With Multisite Lower Body Musculoskeletal Pain in a Community-Based Study</title><title>The journal of pain</title><addtitle>J Pain</addtitle><description>Abstract Population-based studies suggest that pain in the lower body is common and that pain at multiple sites is more prevalent than single-site pain. Obesity is a risk factor for multisite musculoskeletal pain, but there are limited data on the role of body composition. Therefore, we sought to determine whether body composition is associated with multisite musculoskeletal pain involving the low back, knee, and foot. A total of 133 participants were recruited for a study examining the relationship between obesity and musculoskeletal disease. Participants completed validated questionnaires that examined levels of pain at the low back, knee, and foot. Body composition was assessed using dual-energy x-ray absorptiometry. Multisite pain was common, with 26.3% of participants reporting pain at 2 sites and 31.6% at 3 sites, and only 20% were pain free. The low back was the most common site of pain (63%). Greater fat mass and fat mass index, but not fat-free mass, were associated with pain at a greater number of sites, independent of age, gender, and fat-free mass ( P < .01). Longitudinal studies exploring the mechanism of action by which increased fat mass is associated with pain may provide important insights into therapeutic strategies for the prevention of multisite pain. Perspective Greater fat mass and fat mass index were associated with a greater number of lower body pain sites, with no association observed for fat-free mass. Understanding the mechanism by which increased fat mass is associated with pain may provide important insights into therapeutic strategies for the prevention of pain.</description><subject>Absorptiometry, Photon</subject><subject>Adult</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anthropometry</subject><subject>Back - pathology</subject><subject>Body composition</subject><subject>Body Composition - physiology</subject><subject>Body Mass Index</subject><subject>Community Health Planning</subject><subject>epidemiology</subject><subject>fat mass pain</subject><subject>Female</subject><subject>Foot - pathology</subject><subject>Humans</subject><subject>Knee Joint - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Musculoskeletal Pain - epidemiology</subject><subject>Musculoskeletal Pain - pathology</subject><subject>Pain Medicine</subject><subject>Residence Characteristics</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><issn>1526-5900</issn><issn>1528-8447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2L1TAUhosozjj6CwTp0k1rPpt2oTBz8WPgDgqjuAxpcsqkkzbXJlH6703vHV24EQIJ5H3fc85ziuIlRjVGuHkz1uNB2bkmCPMasRqh5lFxjjlpq5Yx8fj4bireIXRWPAthRAhjLsTT4ozwjrcUN-fF3ZU3a7nz08EHG62fy-tQXobgtVURTPndxrvyJrlo8zeUe_8LlvLouUlBJ-fDPTiIypVfci9lPmpLm9Js41pdqZAzbmMy6_PiyaBcgBcP90Xx7cP7r7tP1f7zx-vd5b7SDLNY9VgMBghDRvC2Jx0FpYkWvWAIC5rHVhQGophuMO9R11DGRUOGgbVGKCSAXhSvT7mHxf9IEKKcbNDgnJrBpyCxQJjyjjCRpfQk1YsPYYFBHhY7qWWVGMkNsRzlEbHcEEvEZEacXa8eCqR-AvPX84dpFrw9CSCP-dPCIoO2MGswdgEdpfH2PwXe_ePXzs5WK3cPK4TRp2XOBCWWgUgkb7ctb0vGPLsZIfQ3Yqqinw</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Brady, Sharmayne R.E</creator><creator>Mamuaya, Bambino B</creator><creator>Cicuttini, Flavia</creator><creator>Wluka, Anita E</creator><creator>Wang, Yuanyuan</creator><creator>Hussain, Sultana Monira</creator><creator>Urquhart, Donna M</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8358-3015</orcidid><orcidid>https://orcid.org/0000-0001-8024-9049</orcidid></search><sort><creationdate>20150801</creationdate><title>Body Composition Is Associated With Multisite Lower Body Musculoskeletal Pain in a Community-Based Study</title><author>Brady, Sharmayne R.E ; 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| subjects | Absorptiometry, Photon Adult Anesthesia & Perioperative Care Anthropometry Back - pathology Body composition Body Composition - physiology Body Mass Index Community Health Planning epidemiology fat mass pain Female Foot - pathology Humans Knee Joint - pathology Male Middle Aged Musculoskeletal Pain - epidemiology Musculoskeletal Pain - pathology Pain Medicine Residence Characteristics Risk Factors Surveys and Questionnaires |
| title | Body Composition Is Associated With Multisite Lower Body Musculoskeletal Pain in a Community-Based Study |
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