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 Mar 2018 07:30 |
| 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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