Washington State University, College of Nursing, 412 E Spokane Falls Blvd, Spokane, WA, 99202, United States.
Washington State University, College of Nursing, 412 E Spokane Falls Blvd, Spokane, WA, 99202, United States.
Appetite. 2019 Jun 1;137:99-103. doi: 10.1016/j.appet.2019.02.015. Epub 2019 Mar 1.
A bidirectional relationship exists between obesity and chronic pain. How the two variables influence one another is unclear, especially in the context of prescription opioid use. The current study aimed to explore the phenomenon of overeating in the context of chronic pain and obesity among adults prescribed opioids.
Adults with a self-reported pain condition taking a prescription opioid completed surveys for this exploratory study. Participants provided demographic data and reported appetite changes when in pain. Chi-square analyses and analyses of variances (ANVOAs) were conducted to establish baseline comparability among body mass index (BMI) groups. Relative risk ratios were calculated to determine risk for reporting an increased appetite among BMI groups. Participants' responses to an open-ended question on appetite when in pain were analyzed using qualitative descriptive analysis.
In total, 219 participants' data were analyzed. Of these, 46.8% reported eating less, 38.2% reported an unchanged appetite, and 11.9% reported eating more to feel better when in pain. Adults with obesity were over three times more likely to report an increased appetite compared to adults with normal weight. Participants reported having either a nutritional or a non-food response to painful episodes.
This preliminary study supports that some adults with chronic pain follow poor nutritional patterns when in pain which may make weight management difficult. Pain clinicians should assess and counsel clients for overeating or undereating risks to facilitate pain and weight management.
肥胖症和慢性疼痛之间存在双向关系。这两个变量如何相互影响尚不清楚，尤其是在使用处方类阿片的情况下。本研究旨在探讨慢性疼痛和肥胖症背景下，服用阿片类药物的成年人过度进食的现象。
参加这项探索性研究的成年人自我报告患有疼痛疾病，并填写了调查问卷。参与者提供了人口统计学数据，并报告了疼痛时食欲的变化。进行了卡方分析和方差分析（ANOVA），以确定体重指数（BMI）组之间的基线可比性。计算相对风险比，以确定 BMI 组报告食欲增加的风险。使用定性描述性分析对参与者关于疼痛时食欲的开放式问题的回答进行了分析。
共分析了 219 名参与者的数据。其中，46.8%的人报告说吃得少了，38.2%的人报告说食欲没有变化，11.9%的人报告说为了感觉好一点而在疼痛时吃得更多。与体重正常的成年人相比，肥胖症成年人报告食欲增加的可能性高出三倍以上。参与者报告说在疼痛发作时有营养或非食物反应。
这项初步研究支持，一些患有慢性疼痛的成年人在疼痛时遵循不良的营养模式，这可能使体重管理变得困难。疼痛临床医生应评估和咨询客户是否存在过度进食或进食不足的风险，以促进疼痛和体重管理。
