Musculoskeletal pain in obese compared with healthy-weight children

Tsiros, Margarita D. and Buckley, Jonathan D. and Howe, Peter R. C. and Walkley, Jeff and Hills, Andrew P. and Coates, Alison M. (2014) Musculoskeletal pain in obese compared with healthy-weight children. Clinical Journal of Pain, 30 (7). pp. 583-588. ISSN 0749-8047

Abstract

OBJECTIVES:: To investigate whether obesity is associated with musculoskeletal pain in children. MATERIALS AND METHODS:: Obese (n=107) and healthy-weight (n=132) 10-to 13-year-old children (132 males, 107 females) participated in an observational case-control study. Children self-reported pain location (excluding abdominal pain), pain intensity (current and prior week), and pain prevalence (overall and lower limb) using the Pediatric Pain Questionnaire. Body composition was assessed (dual-energy x-ray absorptiometry) and children wore an accelerometer for 8 days. RESULTS:: After adjustment for accelerometry (weekly average counts per hour) and socioeconomic status, obese children had more intense pain (worst pain, P=0.006), pain in more locations (P≤0.005), and a higher prevalence of lower limb pain (60% vs. 52% respectively, P=0.012) than healthy-weight children. Significant relationships were observed between body mass index and total pain locations (P≤0.004, unadjusted and adjusted) and worst pain intensity (P≤0.009, adjusted for socioeconomic status/accelerometry). There were no significant relationships between percent body fat and pain variables (unadjusted/adjusted analyses, P=0.262 to 1.0). DISCUSSION:: Obesity in children was associated with increased overall and lower limb musculoskeletal pain, for which body mass index was a stronger predictor than adiposity. Clinicians treating obese children should screen for pain and prescribe exercise programs that take their symptoms into account.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty / Department / School: No Faculty
Date Deposited: 05 Jun 2017 03:02
Last Modified: 05 Jun 2017 06:14
Uncontrolled Keywords: adiposity; body mass index; child; obese; pain; Absorptiometry, Photon; Adolescent; Body Composition; Body Mass Index; Case-Control Studies; Child; Female; Humans; Male; Motor Activity; Musculoskeletal Pain; Obesity; Pain Measurement; Questionnaires; Self Report; Statistics, Nonparametric
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1103 Clinical Sciences > 110314 Orthopaedics
11 Medical and Health Sciences > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis)
Identification Number or DOI: 10.1097/AJP.0000000000000017
URI: http://eprints.usq.edu.au/id/eprint/31584

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