Back to Search
Start Over
Excess Body Mass and Leisure Time Physical Activity in the Incidence and Persistence of Chronic Pain
- Source :
- Pain Medicine. 21:3094-3101
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- Objective To estimate the effects of excess body mass and leisure time physical activity on the incidence and persistence of chronic pain. Design A prospective cohort study. Methods As a part of the Finnish Helsinki Health Study, we included three cohorts of employees of the City of Helsinki (18,562 observations) and defined incident chronic pain as having pain in any part of the body for more than three months at follow-up in participants without chronic pain at baseline (N = 13,029 observations). Persistent chronic pain was defined as having pain for more than three months at both baseline and follow-up (N = 5,533 observations). Results Overweight (adjusted odds ratio [OR] = 1.18, 95% confidence interval [CI] = 1.06–1.31) and obesity (OR = 1.65, 95% CI = 1.45–1.88) increased the incidence of chronic pain. Moreover, overweight (OR = 1.16, 95% CI = 1.02–1.32) and obesity (OR = 1.48, 95% CI = 1.26–1.74) increased the risk of persistent chronic pain. Vigorous leisure time physical activity reduced the incidence of chronic pain (OR = 0.85, 95% CI = 0.75–0.96). Physical activity did not influence the risk of persistent chronic pain. Furthermore, overweight/obesity modified the effect of leisure time physical activity on incident chronic pain. Inactive overweight or obese participants were at the highest risk of chronic pain (OR = 1.71, 95% CI = 1.40–2.09), while the OR dropped to 1.44 (95% CI = 1.19–1.75) in moderately active overweight or obese participants and to 1.20 (95% CI = 0.97–1.47) in highly active overweight or obese participants. Conclusions Obesity not only increases the risk of developing chronic pain, but also increases the risk of persistent pain, while leisure time physical activity reduces the risk of developing chronic pain.
- Subjects :
- medicine.medical_specialty
IMPACT
Overweight
Body Mass Index
03 medical and health sciences
AGE
Leisure Activities
0302 clinical medicine
Risk Factors
Internal medicine
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Prospective cohort study
Exercise
Finland
business.industry
Incidence
Incidence (epidemiology)
Chronic pain
ASSOCIATION
ADULTS
General Medicine
Odds ratio
medicine.disease
Low back pain
Obesity
3142 Public health care science, environmental and occupational health
Confidence interval
PREVALENCE
Anesthesiology and Pain Medicine
OBESITY
Neurology (clinical)
Chronic Pain
medicine.symptom
business
030217 neurology & neurosurgery
LOW-BACK-PAIN
Subjects
Details
- ISSN :
- 15264637 and 15262375
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Pain Medicine
- Accession number :
- edsair.doi.dedup.....75077191abe6cad3f25ae6c1b001dd5e