Musculoskeletal Pain in Obese Compared With Healthy-Weight Children

作者：Tsiros Margarita D^*; Buckley Jonathan D; Howe Peter R C; Walkley Jeff; Hills Andrew P; Coates Alison M

来源：The Clinical Journal of Pain, 2014, 30(7): 583-588.

• body mass index
• child
• pain
• adiposity
• obese

Objectives: To investigate whether obesity is associated with musculoskeletal pain in children. %26lt;br%26gt;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. %26lt;br%26gt;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 %26lt;= 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 %26lt;= 0.004, unadjusted and adjusted) and worst pain intensity (P %26lt;= 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). %26lt;br%26gt;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.

• 出版日期2014-7