The Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study
| العنوان: | The Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study |
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| المؤلفون: | Robert D. Kerns, Eugenia Buta, Alicia A. Heapy, L. Wandner, Diana M. Higgins, Joseph L. Goulet, Cynthia Brandt, Matthew J. Bair, Mary A. Driscoll, William C. Becker, Leslie R. M. Hausmann, E. Amy Janke, Robin M. Masheb |
| المصدر: | Pain Med |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Osteoarthritis, Overweight, Body Mass Index, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Musculoskeletal disorder, Internal medicine, medicine, Humans, Musculoskeletal Diseases, 030212 general & internal medicine, health care economics and organizations, Veterans, General & Selected Populations Section, Neck pain, business.industry, Chronic pain, General Medicine, medicine.disease, Low back pain, Cross-Sectional Studies, Anesthesiology and Pain Medicine, Female, Neurology (clinical), medicine.symptom, business, Body mass index, 030217 neurology & neurosurgery, Cohort study |
| الوصف: | Objective To examine the relationship between body mass index (BMI) and pain intensity among veterans with musculoskeletal disorder diagnoses (MSDs; nontraumatic joint disorder; osteoarthritis; low back, back, and neck pain). Setting Administrative and electronic health record data from the Veterans Health Administration (VHA). Subjects A national cohort of US military veterans with MSDs in VHA care during 2001–2012 (N = 1,759,338). Methods These cross-sectional data were analyzed using hurdle negative binomial models of pain intensity as a function of BMI, adjusted for comorbidities and demographics. Results The sample had a mean age of 59.4, 95% were male, 77% were white/Non-Hispanic, 79% were overweight or obese, and 42% reported no pain at index MSD diagnosis. Overall, there was a J-shaped relationship between BMI and pain (nadir = 27 kg/m2), with the severely obese (BMI ≥ 40 kg/m2) being most likely to report any pain (OR vs normal weight = 1.23, 95% confidence interval = 1.21–1.26). The association between BMI and pain varied by MSD, with a stronger relationship in the osteoarthritis group and a less pronounced relationship in the back and low back pain groups. Conclusions There was a high prevalence of overweight/obesity among veterans with MSD. High levels of BMI (>27 kg/m2) were associated with increased odds of pain, most markedly among veterans with osteoarthritis. |
| تدمد: | 1526-4637 1526-2375 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a7fae322a2d73959c135e4628a7673aTest https://doi.org/10.1093/pm/pnaa043Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1a7fae322a2d73959c135e4628a7673a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 15262375 |
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