Hitt Holli C, McMillen Robert C, Thornton-Neaves Tonya, Koch Karen, Cosby Arthur G
School of Public Health, University of Alabama at Birmingham, USA.
J Pain. 2007 May;8(5):430-6. doi: 10.1016/j.jpain.2006.12.003. Epub 2007 Mar 6.
This cross-sectional study examines the relation between obesity and self-reported pain (moderate or severe pain occurring at least monthly) in a general population sample of adults in the southeastern United States (N = 3637). Results of the study suggest that obese adults (body mass index [BMI] >30) are more likely to experience pain than their normal-weight and underweight counterparts. Respondents classified as class I obese (BMI of 30 to 34.9) were 1.762 times as likely as the underweight and normal weight participants to report severe pain. Class II obese respondents (BMI of 35 to 39.9) were 1.888 times as likely to experience severe pain. Those respondents categorized as class III obese were most likely to report severe pain--2.297 times as likely as the underweight and normal-weight respondents. Analyses demonstrated a similar trend for respondents reporting moderate to severe pain. Adults who are obese are also more likely to report experiencing pain in multiple locations. This study complements clinical research that links pain and obesity and extends it into a general population. Because this is a cross-sectional study, further research is needed to discern causal explanations for the relation between self-reported pain and obesity.
This article provides a population-level depiction of the positive relation between obesity and self-reported pain, which complements clinical research on the topic. It may prompt future research to shape interventions and treatment for both pain and obesity.
本横断面研究调查了美国东南部成年普通人群样本(N = 3637)中肥胖与自我报告的疼痛(至少每月出现一次中度或重度疼痛)之间的关系。研究结果表明,肥胖成年人(体重指数[BMI] >30)比正常体重和体重过轻的成年人更有可能经历疼痛。被归类为I类肥胖(BMI为30至34.9)的受访者报告严重疼痛的可能性是体重过轻和正常体重参与者的1.762倍。II类肥胖受访者(BMI为35至39.9)经历严重疼痛的可能性是1.888倍。那些被归类为III类肥胖的受访者最有可能报告严重疼痛——是体重过轻和正常体重受访者的2.297倍。分析表明,报告中度至重度疼痛的受访者也有类似趋势。肥胖成年人也更有可能报告在多个部位疼痛。这项研究补充了将疼痛与肥胖联系起来的临床研究,并将其扩展到普通人群。由于这是一项横断面研究,需要进一步研究以辨别自我报告的疼痛与肥胖之间关系的因果解释。
本文提供了肥胖与自我报告的疼痛之间正相关关系的人群层面描述,这补充了该主题的临床研究。它可能促使未来的研究为疼痛和肥胖制定干预措施和治疗方法。