Musculoskeletal pain in the obese: a comparison with a general population and long-term changes after conventional and surgical obesity treatment
Musculoskeletal pain in the obese: a comparison with a general population and long-term changes after conventional and surgical obesity treatment
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DOI：
10.1016/s0304-3959(03)00091-5
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发表时间：
2003-08-01
期刊：
影响因子：
7.4
通讯作者：
Torgerson, JS
中科院分区：
文献类型：
--
作者：
Peltonen, M;Lindroos, AK;Torgerson, JS
肥胖与肌肉骨骼疼痛和骨关节炎有关。本研究比较了肥胖人群和普通人群中工作限制性肌肉骨骼疼痛的患病率，并调查了减肥手术或传统肥胖治疗后肌肉骨骼疼痛的发病率和恢复情况。从普通人群中随机抽取1135例受试者，与瑞典肥胖受试者（SOS）研究中的6328例肥胖受试者进行比较。对于肥胖受试者，还在肥胖手术或非手术治疗开始后2年和6年收集有关肌肉骨骼疼痛的信息。在两种性别中，自我报告的颈部和背部区域以及髋关节、膝关节和踝关节的工作限制性疼痛在肥胖受试者中比在普通人群中更常见（比值比（OR）范围为1.7至9.9，P < 0.001）。与常规治疗的对照组相比，2年和6年内，手术肥胖女性膝关节和踝关节工作限制性疼痛的发生率较低（OR为0.51-0.71）。在基线时报告症状的受试者中，2年后手术组男性膝关节和踝关节疼痛以及女性颈部和背部以及髋关节、膝关节和踝关节疼痛的恢复率与对照组相比有所改善（OR 1.4-4.8）。肥胖受试者有更多的问题，工作限制肌肉骨骼疼痛比一般人群。手术肥胖治疗可以降低出现限制工作的肌肉骨骼疼痛的长期风险，并增加从此类疼痛中恢复的可能性。(C)2003年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
Obesity is associated With musculoskeletal pain and osteoarthritis. This study compares the prevalence of work-restricting musculoskeletal pain in an obese and a general population and investigates changes in the incidence of and recovery from musculoskeletal pain after bariatric Surgery or conventional obesity treatment. A random sample of 1135 subjects from a general population was compared with 6328 obese subjects in the Swedish obese subjects (SOS) study. For the obese subjects, information about musculoskeletal pain was also collected 2 and 6 years after obesity surgery or the start of non-surgical treatment. In both sexes, self-reported work-restricting pain in the neck and back area and in the hip, knee and ankle joints was more common in the obese subjects than in the general population (odds ratios (ORs) ranging from 1.7 to 9.9, P < 0.001). Operated obese women had a lower incidence of work restricting pain in the knee and ankle joints compared with the conventionally treated control group over 2 and 6 years (ORs 0.51-0.71). Among subjects reporting symptoms at baseline, the recovery rate for pain in the knee and ankle joints in men and pain in the neck and back and in the hip, knee and ankle joints in women improved in the surgical group compared with the control group after 2 years (ORs 1.4-4.8). Obese subjects have more problems with work-restricting musculoskeletal pain than the general population. Surgical obesity treatment reduces the long-term risk of developing work-restricting musculoskeletal pain and increases the likelihood of recovering from such pain. (C) 2003 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.