Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain–a 2-year follow-up study
Sylwander, Charlotte ; Haglund, Emma LU ; Larsson, Ingrid LU
and Andersson, Maria L.E.
LU
(2025)
In Scandinavian Journal of Primary Health Care
- Abstract
Introduction: Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and lifestyle habits with chronic pain at a two-year follow-up in individuals with knee pain. Methods: A two-year longitudinal cohort study including 251 individuals aged 30–60 years reporting knee pain at baseline. HRQoL was measured via the Short-Form General Health Survey (SF-36), and lifestyle habits included questions on overweight, physical activity, diet, alcohol and tobacco use. Pain was assessed with a pain mannequin. Differences in... (More)
Introduction: Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and lifestyle habits with chronic pain at a two-year follow-up in individuals with knee pain. Methods: A two-year longitudinal cohort study including 251 individuals aged 30–60 years reporting knee pain at baseline. HRQoL was measured via the Short-Form General Health Survey (SF-36), and lifestyle habits included questions on overweight, physical activity, diet, alcohol and tobacco use. Pain was assessed with a pain mannequin. Differences in health status and lifestyle habits over time in groups with unchanged no chronic pain (NCP), transitioned to less and more pain, and unchanged CWP were analysed using Wilcoxon’s, McNemar’s and Friedman’s tests. Multinominal regression analysis was performed to study associations with reporting chronic pain at follow-up. Results: Reporting better HRQoL across various SF-36 concepts and normal weight at baseline was associated with reporting NCP after two years. A few changes were made regarding HRQoL and lifestyle habits over the course of two years, but an increase in general health was associated with transitioning to less pain. Conclusions: During primary care visits for knee pain with a combination of overweight or lower HRQoL, individuals should receive comprehensive attention to prevent the development of CWP. Future studies should investigate the associations further.
(Less)
- author
- Sylwander, Charlotte
; Haglund, Emma
LU
; Larsson, Ingrid
LU
and Andersson, Maria L.E.
LU
- organization
- publishing date
- 2025
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- chronic pain, health-related quality of life, Knee pain, lifestyle habits, overweight, prevention
- in
- Scandinavian Journal of Primary Health Care
- publisher
- Informa Healthcare
- external identifiers
-
- pmid:39831683
- scopus:85215525250
- ISSN
- 0281-3432
- DOI
- 10.1080/02813432.2025.2452916
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- id
- a70b19e4-91b0-4f98-b18c-de18e55ae4a5
- date added to LUP
- 2025-05-05 15:01:09
- date last changed
- 2025-07-14 21:41:52
@article{a70b19e4-91b0-4f98-b18c-de18e55ae4a5,
abstract = {{<p>Introduction: Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and lifestyle habits with chronic pain at a two-year follow-up in individuals with knee pain. Methods: A two-year longitudinal cohort study including 251 individuals aged 30–60 years reporting knee pain at baseline. HRQoL was measured via the Short-Form General Health Survey (SF-36), and lifestyle habits included questions on overweight, physical activity, diet, alcohol and tobacco use. Pain was assessed with a pain mannequin. Differences in health status and lifestyle habits over time in groups with unchanged no chronic pain (NCP), transitioned to less and more pain, and unchanged CWP were analysed using Wilcoxon’s, McNemar’s and Friedman’s tests. Multinominal regression analysis was performed to study associations with reporting chronic pain at follow-up. Results: Reporting better HRQoL across various SF-36 concepts and normal weight at baseline was associated with reporting NCP after two years. A few changes were made regarding HRQoL and lifestyle habits over the course of two years, but an increase in general health was associated with transitioning to less pain. Conclusions: During primary care visits for knee pain with a combination of overweight or lower HRQoL, individuals should receive comprehensive attention to prevent the development of CWP. Future studies should investigate the associations further.</p>}},
author = {{Sylwander, Charlotte and Haglund, Emma and Larsson, Ingrid and Andersson, Maria L.E.}},
issn = {{0281-3432}},
keywords = {{chronic pain; health-related quality of life; Knee pain; lifestyle habits; overweight; prevention}},
language = {{eng}},
publisher = {{Informa Healthcare}},
series = {{Scandinavian Journal of Primary Health Care}},
title = {{Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain–a 2-year follow-up study}},
url = {{http://dx.doi.org/10.1080/02813432.2025.2452916}},
doi = {{10.1080/02813432.2025.2452916}},
year = {{2025}},
}