Specific body mass index trajectories were related to musculoskeletal pain and mortality: 19‐year follow‐up cohort
•Different latent subgroups of 19-year body mass index (BMI) patterns exist in UK postmenopausal women.•BMI of 27-34 over 19-years was bidirectionally related to knee and multi-site pain.•BMI of 33-38 over time was unidirectionally associated with hip and knee pain.•Women with BMI>40 had increase...
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| Veröffentlicht in: | Journal of clinical epidemiology 2022-01, Vol.141, p.54-63 |
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| container_title | Journal of clinical epidemiology |
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| creator | Radojčić, Maja R. Perera, Romain S. Chen, Lingxiao Spector, Tim D. Hart, Deborah J. Ferreira, Manuela L. Arden, Nigel K. |
| description | •Different latent subgroups of 19-year body mass index (BMI) patterns exist in UK postmenopausal women.•BMI of 27-34 over 19-years was bidirectionally related to knee and multi-site pain.•BMI of 33-38 over time was unidirectionally associated with hip and knee pain.•Women with BMI>40 had increased all-cause and cardiovascular mortality risk.•Women with BMI 25-27 had no different pain or mortality risk than women with BMI |
| doi_str_mv | 10.1016/j.jclinepi.2021.09.020 |
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We aimed to study 19-year body mass index (BMI) patterns and their (1) bidirectional relationship with musculoskeletal pain and (2) mortality risk.
We used data from the Chingford study and group-based trajectory modelling to define 19-year BMI patterns. We investigated whether baseline back, hand, hip, and knee pain (as single- and multi-site) predicted 19-year BMI trajectory, and whether 19-year BMI patterns predicted pain in year 20. We explored BMI trajectories and mortality risk over 25 years (life expectancy).
We included 938 women (mean age: year-1=54, year-20=72) and found seven distinct 19-year BMI trajectories: two normal-weighted (reference), slightly overweight, lower and upper overweight-to-obese, lower and upper obese. BMI patterns capturing the increase overweight-to-obese (BMI 27-34 overtime) were bidirectionally related to knee and multi-site pain. The lower obese pattern (BMI 33-38) was unidirectionally associated with lower limb pain. Women with BMI above 40 had an increased all-cause and cardiovascular mortality risk.
For most postmenopausal women, the overweight WHO category was a transition. Two patterns capturing increase overweight-to-obese were mutually related to musculoskeletal pain, i.e., knee and multi-site pain contributed to becoming obese, and trajectories of becoming obese increased the odds of experiencing pain later.
[Display omitted]</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2021.09.020</identifier><identifier>PMID: 34537387</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Analgesics ; Back pain ; Body Mass Index ; Body size ; Body weight ; Cardiovascular diseases ; Epidemiology ; Female ; Follow-Up Studies ; Group-based trajectory modelling ; Health risks ; Hormone replacement therapy ; Humans ; Investigations ; Knee ; Knee pain ; Life expectancy ; Life span ; Mortality ; Mortality risk ; Musculoskeletal pain ; Musculoskeletal Pain - epidemiology ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Original ; Overweight ; Overweight - complications ; Overweight - epidemiology ; Pain ; Post-menopause ; Quality of life ; Risk ; Risk Factors ; Variables ; Womens health</subject><ispartof>Journal of clinical epidemiology, 2022-01, Vol.141, p.54-63</ispartof><rights>2021 The Authors</rights><rights>Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.</rights><rights>2021. The Authors</rights><rights>2021 The Authors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c446t-ff655d9f90299259df7b385d6f79c97b90b4875587975f3d33e50607c8a5dd693</cites><orcidid>0000-0001-8797-6142 ; 0000-0002-3452-3382 ; 0000-0002-3479-0683</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2642894973?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34537387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Radojčić, Maja R.</creatorcontrib><creatorcontrib>Perera, Romain S.</creatorcontrib><creatorcontrib>Chen, Lingxiao</creatorcontrib><creatorcontrib>Spector, Tim D.</creatorcontrib><creatorcontrib>Hart, Deborah J.</creatorcontrib><creatorcontrib>Ferreira, Manuela L.</creatorcontrib><creatorcontrib>Arden, Nigel K.</creatorcontrib><title>Specific body mass index trajectories were related to musculoskeletal pain and mortality: 19‐year follow‐up cohort</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>•Different latent subgroups of 19-year body mass index (BMI) patterns exist in UK postmenopausal women.•BMI of 27-34 over 19-years was bidirectionally related to knee and multi-site pain.•BMI of 33-38 over time was unidirectionally associated with hip and knee pain.•Women with BMI>40 had increased all-cause and cardiovascular mortality risk.•Women with BMI 25-27 had no different pain or mortality risk than women with BMI<25.
We aimed to study 19-year body mass index (BMI) patterns and their (1) bidirectional relationship with musculoskeletal pain and (2) mortality risk.
We used data from the Chingford study and group-based trajectory modelling to define 19-year BMI patterns. We investigated whether baseline back, hand, hip, and knee pain (as single- and multi-site) predicted 19-year BMI trajectory, and whether 19-year BMI patterns predicted pain in year 20. We explored BMI trajectories and mortality risk over 25 years (life expectancy).
We included 938 women (mean age: year-1=54, year-20=72) and found seven distinct 19-year BMI trajectories: two normal-weighted (reference), slightly overweight, lower and upper overweight-to-obese, lower and upper obese. BMI patterns capturing the increase overweight-to-obese (BMI 27-34 overtime) were bidirectionally related to knee and multi-site pain. The lower obese pattern (BMI 33-38) was unidirectionally associated with lower limb pain. Women with BMI above 40 had an increased all-cause and cardiovascular mortality risk.
For most postmenopausal women, the overweight WHO category was a transition. Two patterns capturing increase overweight-to-obese were mutually related to musculoskeletal pain, i.e., knee and multi-site pain contributed to becoming obese, and trajectories of becoming obese increased the odds of experiencing pain later.
[Display omitted]</description><subject>Analgesics</subject><subject>Back pain</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cardiovascular diseases</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Group-based trajectory modelling</subject><subject>Health risks</subject><subject>Hormone replacement therapy</subject><subject>Humans</subject><subject>Investigations</subject><subject>Knee</subject><subject>Knee pain</subject><subject>Life expectancy</subject><subject>Life span</subject><subject>Mortality</subject><subject>Mortality risk</subject><subject>Musculoskeletal pain</subject><subject>Musculoskeletal Pain - epidemiology</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Original</subject><subject>Overweight</subject><subject>Overweight - complications</subject><subject>Overweight - epidemiology</subject><subject>Pain</subject><subject>Post-menopause</subject><subject>Quality of life</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Variables</subject><subject>Womens 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body mass index trajectories were related to musculoskeletal pain and mortality: 19‐year follow‐up cohort</title><author>Radojčić, Maja R. ; Perera, Romain S. ; Chen, Lingxiao ; Spector, Tim D. ; Hart, Deborah J. ; Ferreira, Manuela L. ; Arden, Nigel K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-ff655d9f90299259df7b385d6f79c97b90b4875587975f3d33e50607c8a5dd693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analgesics</topic><topic>Back pain</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cardiovascular diseases</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Group-based trajectory modelling</topic><topic>Health risks</topic><topic>Hormone replacement therapy</topic><topic>Humans</topic><topic>Investigations</topic><topic>Knee</topic><topic>Knee pain</topic><topic>Life 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Epidemiol</addtitle><date>2022-01</date><risdate>2022</risdate><volume>141</volume><spage>54</spage><epage>63</epage><pages>54-63</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>•Different latent subgroups of 19-year body mass index (BMI) patterns exist in UK postmenopausal women.•BMI of 27-34 over 19-years was bidirectionally related to knee and multi-site pain.•BMI of 33-38 over time was unidirectionally associated with hip and knee pain.•Women with BMI>40 had increased all-cause and cardiovascular mortality risk.•Women with BMI 25-27 had no different pain or mortality risk than women with BMI<25.
We aimed to study 19-year body mass index (BMI) patterns and their (1) bidirectional relationship with musculoskeletal pain and (2) mortality risk.
We used data from the Chingford study and group-based trajectory modelling to define 19-year BMI patterns. We investigated whether baseline back, hand, hip, and knee pain (as single- and multi-site) predicted 19-year BMI trajectory, and whether 19-year BMI patterns predicted pain in year 20. We explored BMI trajectories and mortality risk over 25 years (life expectancy).
We included 938 women (mean age: year-1=54, year-20=72) and found seven distinct 19-year BMI trajectories: two normal-weighted (reference), slightly overweight, lower and upper overweight-to-obese, lower and upper obese. BMI patterns capturing the increase overweight-to-obese (BMI 27-34 overtime) were bidirectionally related to knee and multi-site pain. The lower obese pattern (BMI 33-38) was unidirectionally associated with lower limb pain. Women with BMI above 40 had an increased all-cause and cardiovascular mortality risk.
For most postmenopausal women, the overweight WHO category was a transition. Two patterns capturing increase overweight-to-obese were mutually related to musculoskeletal pain, i.e., knee and multi-site pain contributed to becoming obese, and trajectories of becoming obese increased the odds of experiencing pain later.
[Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34537387</pmid><doi>10.1016/j.jclinepi.2021.09.020</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8797-6142</orcidid><orcidid>https://orcid.org/0000-0002-3452-3382</orcidid><orcidid>https://orcid.org/0000-0002-3479-0683</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of clinical epidemiology, 2022-01, Vol.141, p.54-63 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Analgesics Back pain Body Mass Index Body size Body weight Cardiovascular diseases Epidemiology Female Follow-Up Studies Group-based trajectory modelling Health risks Hormone replacement therapy Humans Investigations Knee Knee pain Life expectancy Life span Mortality Mortality risk Musculoskeletal pain Musculoskeletal Pain - epidemiology Obesity Obesity - complications Obesity - epidemiology Original Overweight Overweight - complications Overweight - epidemiology Pain Post-menopause Quality of life Risk Risk Factors Variables Womens health |
| title | Specific body mass index trajectories were related to musculoskeletal pain and mortality: 19‐year follow‐up cohort |
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