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No strong temporal relationship between obesity and multisite pain--results from a population-based 20-year follow-up study

Magnusson, K LU ; Østerås, N; Mowinckel, P; Natvig, B and Hagen, K B (2014) In European Journal of Pain 18(1). p.7-120
Abstract

BACKGROUND: Multisite pain and obesity are cross-sectionally related and are common conditions that may influence each other through socio-demographic, lifestyle and/or health-related factors. The aim of the present study was to examine the cross-sectional and prospective associations between overweight/obesity and multisite pain in a general population.

METHODS: In a 20-year population-based prospective cohort study, persons aged 20-62 years in 1990 participated in postal surveys in 1990, 1994, 2004 and 2010 (n = 855). Multisite pain was defined as reporting ≥ 2 number of pain sites (NPS) on the Standardized Nordic Questionnaire. Overweight was defined as body mass index (BMI) 25-30 kg/m(2) and obesity as BMI ≥ 30 kg/m(2). To... (More)

BACKGROUND: Multisite pain and obesity are cross-sectionally related and are common conditions that may influence each other through socio-demographic, lifestyle and/or health-related factors. The aim of the present study was to examine the cross-sectional and prospective associations between overweight/obesity and multisite pain in a general population.

METHODS: In a 20-year population-based prospective cohort study, persons aged 20-62 years in 1990 participated in postal surveys in 1990, 1994, 2004 and 2010 (n = 855). Multisite pain was defined as reporting ≥ 2 number of pain sites (NPS) on the Standardized Nordic Questionnaire. Overweight was defined as body mass index (BMI) 25-30 kg/m(2) and obesity as BMI ≥ 30 kg/m(2). To exploit all measurement times, generalized estimating equation analyses adjusting for age, sex, educational and occupational status, smoking, sleep quality, mental distress and physical activity were employed.

RESULTS: The mean age was 41 years at baseline and 57% were women. Overweight/obesity and NPS were significantly associated cross-sectionally. Being overweight/obese was associated with reporting future NPS ≥ 2 [overweight: odds ratio (OR), 1.40, 95% confidence interval (CI), 1.12-1.75, obese: OR, 1.54, 95% CI, 1.04-2.28]. Having NPS ≥ 2 was not associated with becoming overweight, but increased the OR for future obesity (OR 1.27, 95% CI, 1.02, 1.59). Smoking was a confounder in this relationship.

CONCLUSIONS: Being overweight or obese was associated with future multisite pain, although the magnitude of the association was small and the dose-response relationship observed in cross-sectional analyses disappeared in prospective analyses. There was less evidence that having multisite pain was a predictor of future overweight/obesity.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Body Mass Index, Cohort Studies, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Life Style, Longitudinal Studies, Male, Middle Aged, Motor Activity, Musculoskeletal Pain/complications, Norway/epidemiology, Obesity/complications, Overweight/complications, Pain Measurement, Population, Prospective Studies, Socioeconomic Factors, Surveys and Questionnaires
in
European Journal of Pain
volume
18
issue
1
pages
8 pages
publisher
Elsevier
external identifiers
  • scopus:84893279102
ISSN
1090-3801
DOI
10.1002/j.1532-2149.2013.00338.x
language
English
LU publication?
no
id
59e7e23a-5d0a-4240-8eac-eca1c051035e
date added to LUP
2018-11-29 15:13:24
date last changed
2019-10-15 06:51:53
@article{59e7e23a-5d0a-4240-8eac-eca1c051035e,
  abstract     = {<p>BACKGROUND: Multisite pain and obesity are cross-sectionally related and are common conditions that may influence each other through socio-demographic, lifestyle and/or health-related factors. The aim of the present study was to examine the cross-sectional and prospective associations between overweight/obesity and multisite pain in a general population.</p><p>METHODS: In a 20-year population-based prospective cohort study, persons aged 20-62 years in 1990 participated in postal surveys in 1990, 1994, 2004 and 2010 (n = 855). Multisite pain was defined as reporting ≥ 2 number of pain sites (NPS) on the Standardized Nordic Questionnaire. Overweight was defined as body mass index (BMI) 25-30 kg/m(2) and obesity as BMI ≥ 30 kg/m(2). To exploit all measurement times, generalized estimating equation analyses adjusting for age, sex, educational and occupational status, smoking, sleep quality, mental distress and physical activity were employed.</p><p>RESULTS: The mean age was 41 years at baseline and 57% were women. Overweight/obesity and NPS were significantly associated cross-sectionally. Being overweight/obese was associated with reporting future NPS ≥ 2 [overweight: odds ratio (OR), 1.40, 95% confidence interval (CI), 1.12-1.75, obese: OR, 1.54, 95% CI, 1.04-2.28]. Having NPS ≥ 2 was not associated with becoming overweight, but increased the OR for future obesity (OR 1.27, 95% CI, 1.02, 1.59). Smoking was a confounder in this relationship.</p><p>CONCLUSIONS: Being overweight or obese was associated with future multisite pain, although the magnitude of the association was small and the dose-response relationship observed in cross-sectional analyses disappeared in prospective analyses. There was less evidence that having multisite pain was a predictor of future overweight/obesity.</p>},
  author       = {Magnusson, K and Østerås, N and Mowinckel, P and Natvig, B and Hagen, K B},
  issn         = {1090-3801},
  keyword      = {Adult,Body Mass Index,Cohort Studies,Cross-Sectional Studies,Female,Follow-Up Studies,Humans,Life Style,Longitudinal Studies,Male,Middle Aged,Motor Activity,Musculoskeletal Pain/complications,Norway/epidemiology,Obesity/complications,Overweight/complications,Pain Measurement,Population,Prospective Studies,Socioeconomic Factors,Surveys and Questionnaires},
  language     = {eng},
  number       = {1},
  pages        = {7--120},
  publisher    = {Elsevier},
  series       = {European Journal of Pain},
  title        = {No strong temporal relationship between obesity and multisite pain--results from a population-based 20-year follow-up study},
  url          = {http://dx.doi.org/10.1002/j.1532-2149.2013.00338.x},
  volume       = {18},
  year         = {2014},
}