Hainsworth Keri R, Miller Lawrence A, Stolzman Stacy C, Fidlin Brian M, Davies W Hobart, Weisman Steven J, Skelton Joseph A
Jane B. Pettit Pain and Palliative Care Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin (KRH, SJW); Rogers Partners in Behavioral Health, Roger's Memorial Hospital, Oconomowoc, Wisconsin (LAM); College of Health Sciences, Marquette University, Milwaukee, Wisconsin (SCS); NEW Kids Program, Children's Hospital of Wisconsin, Milwaukee, Wisconsin (BMF); Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (WHD); and Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina (JAS).
Infant Child Adolesc Nutr. 2012 Oct 1;4(5):315-320. doi: 10.1177/1941406412458315.
The purpose of this study was to document the prevalence and characteristics of physical pain in a sample of severely obese children and adolescents. In this retrospective chart review, primary measures included current and past pain, pain intensity, and pain characteristics during a 5-minute walk test. Pain assessments for 74 patients (mean age 11.7 years; 53% female; 41% African American) were conducted by a physical therapist. Past pain was reported by 73% of the sample, with 47% reporting pain on the day of program enrollment. Although average pain intensity was moderate (M = 5.5/10), alarmingly, 42% of those with current pain reported severe pain (6/10 to 10/10). Overall, pain occurred primarily in the lower extremities and with physical activity. Patients reporting current pain had a significantly higher body mass index than those reporting no pain. These findings suggest that pain is common in severely obese youth, and furthermore, that pain should be recognized as a comorbidity of pediatric obesity. Routinely screening severely obese children and adolescents for pain presence and intensity is recommended.
本研究的目的是记录重度肥胖儿童和青少年样本中身体疼痛的患病率及特征。在这项回顾性病历审查中，主要测量指标包括当前和过去的疼痛、疼痛强度以及5分钟步行测试期间的疼痛特征。由一名物理治疗师对74名患者（平均年龄11.7岁；53%为女性；41%为非裔美国人）进行疼痛评估。73%的样本报告有过去的疼痛，47%在项目登记当天报告有疼痛。尽管平均疼痛强度为中度（M = 5.5/10），但令人担忧的是，42%当前有疼痛的患者报告有重度疼痛（6/10至10/10）。总体而言，疼痛主要发生在下肢且与身体活动有关。报告当前有疼痛的患者的体重指数显著高于无疼痛报告的患者。这些发现表明，疼痛在重度肥胖青少年中很常见，此外，疼痛应被视为儿童肥胖的一种合并症。建议对重度肥胖儿童和青少年进行疼痛存在情况及强度的常规筛查。
