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  • Musculoskeletal Pain in Obese Compared With Healthy-Weight Children

    Author(s)
    Tsiros, Margarita D.
    Buckley, Jonathan D.
    Howe, Peter R. C.
    Walkley, Jeff
    Hills, Andrew
    Coates, Alison M.
    Griffith University Author(s)
    Hills, Andrew
    Year published
    2014
    Metadata
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    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 ...
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    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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    Journal Title
    Clinical Journal of Pain
    Volume
    30
    Issue
    7
    Publisher URI
    http://journals.lww.com/clinicalpain/Abstract/2014/07000/Musculoskeletal_Pain_in_Obese_Compared_With.5.aspx
    Subject
    Clinical sciences
    Neurosciences
    Publication URI
    http://hdl.handle.net/10072/65046
    Collection
    • Journal articles

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