Research Article
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Year 2023, Volume: 9 Issue: 4, 665 - 673, 04.07.2023
https://doi.org/10.18621/eurj.1018104

Abstract

References

  • 1. Varallo G, Giusti EM, Scarpina F, Cattivelli R, Capodaglio P, Castelnuovo G. The association of kinesiophobia and pain catastrophizing with pain-related disability and pain intensity in obesity and chronic lower-back pain. Brain Sci 2020;11:11.
  • 2. Vincent HK, Ben-David K, Cendan J, Vincent KR, Lamb KM, Stevenson A. Effects of bariatric surgery on joint pain: a review of emerging evidence. Surg Obes Relat Dis 2010;6:451-60.
  • 3. Vincent HK, Vincent KR, Seay AN, Hurley RW. Functional impairment in obesity: a focus on knee and back pain. Pain Manag 2011;1:427-39.
  • 4. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. The rising prevalence of chronic low back pain. Arch Intern Med 2009;169:251-8.
  • 5. Janke EA, Collins A, Kozak AT. Overview of the relationship between pain and obesity: What do we know? Where do we go next? J Rehabil Res Dev 2007;44:245-62.
  • 6. Varallo G, Scarpina F, Giusti EM, Cattivelli R, Usubini AG, Capodaglio P, et al. Does kinesiophobia mediate the relationship between pain intensity and disability in individuals with chronic low-back pain and obesity? Brain Sci 2021;11:684.
  • 7. Vincent HK, Omli MR, Day T, Hodges M, Vincent KR, George SZ. Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain. Pain Med 2011;12:154-64.
  • 8. Knapik A, Saulicz E, Gnat R. Kinesiophobia--introducing a new diagnostic tool. J Hum Kinet 2011;28:25-31.
  • 9. Larsson C, Hansson EE, Sundquist K, Jakobsson U. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatr 2016;16:128.
  • 10. Vincent HK, Seay AN, Montero C, Conrad BP, Hurley RW, Vincent KR. Kinesiophobia and fear avoidance beliefs in overweight older adults with chronic low back pain, relationship to walking endurance: part II. Am J Phys Med Rehabil 2013;92:439-45.
  • 11. Noğay AEK, Özen M. [The validity and reliability analysis of Turkish version of General Practice Physical Activity Questionnaire]. Konuralp Med J 2019;11:1-8. [Article in Turkish]
  • 12. Öncü J, Ilişer R, Kuran B. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. J Back Musculoskelet Rehabil 2016;29:135-43.
  • 13. Soylu C, Kütük B. Reliability and validity of the Turkish Version of SF-12 Health Survey. Turk Psikiyatri Derg 2022;33:108-17.
  • 14. Çayır M, Durutürk NA, Tekindal MA. [Reliability and validity of the Turkish version of Kinesiophopia Causes Scale]. J Exerc Ther Rehabil 2020;7:64-73. [Article in Turkish]
  • 15. Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007;39:175-91.
  • 16. Alpar R. Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı Istatistik ve Geçerlik Güvenirlik. 6 th ed. Ankara: Detay Yayincilik; 2016.
  • 17. Alqahtani A, Aloraini M, Alsubaie A, Alateq A, Alsagabi B, Benajiba N. Comparison of lifestyle patterns and body weight management practices between normal weight and obese female university students (Riyadh – Saudi Arabia). Nor Afr J Food Nutr Res 2017;1:11-9.
  • 18. Gomes-Neto M, Araujo AD, Junqueira IDA, Oliveira D, Brasileiro A, Arcanjo FL. Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis. Rev Bras Reumatol 2016;56:126-30.
  • 19. Akhondi N, Memar Montazerin S, Soltani S, Saneei P, Hassanzadeh Keshteli A, Esmaillzadeh A, et al. General and abdominal obesity in relation to the prevalence of irritable bowel syndrome. Neurogastroenterol Motil 2019;31:e13549.
  • 20. Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, et al. Persistent pain and comorbidity among operation enduring freedom/operation Iraqi freedom/operation new dawn veterans. Pain Med 2014;15:782-90.
  • 21. Deere KC, Clinch J, Holliday K, McBeth J, Crawley EM, Sayers A, et al. Obesity is a risk factor for musculoskeletal pain in adolescents: findings from a population-based cohort. Pain. 2012;153:1932-8.
  • 22. Smith SM, Sumar B, Dixon KA. Musculoskeletal pain in overweight and obese children. Int J Obes 2014;38:11-5.
  • 23. Smuck M, Kao M-CJ, Brar N, Martinez-Ith A, Choi J, Tomkins-Lane CC. Does physical activity influence the relationship between low back pain and obesity? Spine J 2014;14:209-16.
  • 24. Mork PJ, Holtermann A, Nilsen TIL. Physical exercise, body mass index and risk of chronic arm pain: Longitudinal data on an adult population in Norway. Eur J Pain 2013;17:1252-8.
  • 25. Heuch I, Heuch I, Hagen K, Zwart J-A. Body mass index as a risk factor for developing chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. Spine (Phila Pa 1976) 2013;38:133-9.
  • 26. MacLellan GA, Dunlevy C, O’Malley E, Blake C, Breen C, Gaynor K, et al. Musculoskeletal pain profile of obese individuals attending a multidisciplinary weight management service. Pain 2017;158:1342-53.
  • 27. Blümel JE, Arteaga E, Mezones-Holguín E, Zúñiga MC, Witis S, Vallejo MS, et al. Obesity is associated with a higher prevalence of musculoskeletal pain in middle-aged women. Gynecol Endocrinol 2017;33:378-82.
  • 28. Stone AA, Broderick JE. Obesity and pain are associated in the United States. Obesity 2012;20:1491-5.
  • 29. Hitt HC, McMillen RC, Thornton-Neaves T, Koch K, Cosby AG. Comorbidity of obesity and pain in a general population: results from the Southern Pain Prevalence Study. J Pain 2007;8:430-6.
  • 30. Wee CC, Davis RB, Hamel MB. Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesity. Health Qual Life Outcomes 2008;6:11.
  • 31. Doll HA, Petersen SEK, Stewart-Brown SL. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res 2000;8:160-70.
  • 32. Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP. Self-reported body mass index and health-related quality of life: findings from the Behavioral Risk Factor Surveillance System. Obes Res 2001;9:21-31.
  • 33. Yan LL, Daviglus ML, Liu K, Pirzada A, Garside DB, Schiffer L, et al. BMI and health-related quality of life in adults 65 years and older. Obes Res 2004;12:69-76.
  • 34. Katz DA, McHorney CA, Atkinson RL. Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med 2000;15:789-96.

Musculoskeletal pain, kinesiophobia, and quality of life in obese patients

Year 2023, Volume: 9 Issue: 4, 665 - 673, 04.07.2023
https://doi.org/10.18621/eurj.1018104

Abstract

Objectives: This study aims to examine musculoskeletal pain, kinesiophobia, and quality of life in individuals with normal body mass index and in individuals with obesity, and to determine the relationship between the variables.


Methods:
In the study; individuals aged between 20-65 years, with a body mass index of 30 kg/m2 and above (Group obesity) with obesity, and individuals with a range of 18.5-24.9 kg/m2 (Group normal) were included. General Practice Physical Activity Questionnaire, Orebro Musculoskeletal Screening Questionnaire, Short Form-12 Health Survey, and Kinesiophopia Causes Scale were applied to the participants for primary care.


Results:
When the descriptive characteristics of the individuals in the sample which were divided into two groups as the Group normal (n = 82; 22.6 ± 1.7 kg/m2) and Group obesity (n = 92; 33.0 ± 2.8 kg/m2 were analyzed; while a difference was determined in terms of sex, education level and presence of chronic disease (p ˂ 0.05), no difference was found in terms of age, marital status and regular drug use for the treatment of chronic disease (p ˃ 0.05). Although the activity level rates of Group obesity were lower according to the physical activity questionnaire classification for primary care, no statistically significant difference was found between the groups (p = 0.090). More musculoskeletal pain was found in the individuals of the obesity group (p = 0.003), the physical sub-dimension score of the general quality of life questionnaire was negatively affected (p = 0.014), and a difference in favor of phobia was determined in all domains of the kinesiophobia causes scale (p < 0.001). There was a weak positive correlation between body mass index and musculoskeletal pain, while a moderate positive correlation with kinesiophobia.


Conclusions:
Although physical activity level is similar to individuals with normal body mass index, musculoskeletal pain and kinesiophobia are higher in individuals with obesity, and their quality of life is negatively affected.

References

  • 1. Varallo G, Giusti EM, Scarpina F, Cattivelli R, Capodaglio P, Castelnuovo G. The association of kinesiophobia and pain catastrophizing with pain-related disability and pain intensity in obesity and chronic lower-back pain. Brain Sci 2020;11:11.
  • 2. Vincent HK, Ben-David K, Cendan J, Vincent KR, Lamb KM, Stevenson A. Effects of bariatric surgery on joint pain: a review of emerging evidence. Surg Obes Relat Dis 2010;6:451-60.
  • 3. Vincent HK, Vincent KR, Seay AN, Hurley RW. Functional impairment in obesity: a focus on knee and back pain. Pain Manag 2011;1:427-39.
  • 4. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. The rising prevalence of chronic low back pain. Arch Intern Med 2009;169:251-8.
  • 5. Janke EA, Collins A, Kozak AT. Overview of the relationship between pain and obesity: What do we know? Where do we go next? J Rehabil Res Dev 2007;44:245-62.
  • 6. Varallo G, Scarpina F, Giusti EM, Cattivelli R, Usubini AG, Capodaglio P, et al. Does kinesiophobia mediate the relationship between pain intensity and disability in individuals with chronic low-back pain and obesity? Brain Sci 2021;11:684.
  • 7. Vincent HK, Omli MR, Day T, Hodges M, Vincent KR, George SZ. Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain. Pain Med 2011;12:154-64.
  • 8. Knapik A, Saulicz E, Gnat R. Kinesiophobia--introducing a new diagnostic tool. J Hum Kinet 2011;28:25-31.
  • 9. Larsson C, Hansson EE, Sundquist K, Jakobsson U. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatr 2016;16:128.
  • 10. Vincent HK, Seay AN, Montero C, Conrad BP, Hurley RW, Vincent KR. Kinesiophobia and fear avoidance beliefs in overweight older adults with chronic low back pain, relationship to walking endurance: part II. Am J Phys Med Rehabil 2013;92:439-45.
  • 11. Noğay AEK, Özen M. [The validity and reliability analysis of Turkish version of General Practice Physical Activity Questionnaire]. Konuralp Med J 2019;11:1-8. [Article in Turkish]
  • 12. Öncü J, Ilişer R, Kuran B. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. J Back Musculoskelet Rehabil 2016;29:135-43.
  • 13. Soylu C, Kütük B. Reliability and validity of the Turkish Version of SF-12 Health Survey. Turk Psikiyatri Derg 2022;33:108-17.
  • 14. Çayır M, Durutürk NA, Tekindal MA. [Reliability and validity of the Turkish version of Kinesiophopia Causes Scale]. J Exerc Ther Rehabil 2020;7:64-73. [Article in Turkish]
  • 15. Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007;39:175-91.
  • 16. Alpar R. Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı Istatistik ve Geçerlik Güvenirlik. 6 th ed. Ankara: Detay Yayincilik; 2016.
  • 17. Alqahtani A, Aloraini M, Alsubaie A, Alateq A, Alsagabi B, Benajiba N. Comparison of lifestyle patterns and body weight management practices between normal weight and obese female university students (Riyadh – Saudi Arabia). Nor Afr J Food Nutr Res 2017;1:11-9.
  • 18. Gomes-Neto M, Araujo AD, Junqueira IDA, Oliveira D, Brasileiro A, Arcanjo FL. Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis. Rev Bras Reumatol 2016;56:126-30.
  • 19. Akhondi N, Memar Montazerin S, Soltani S, Saneei P, Hassanzadeh Keshteli A, Esmaillzadeh A, et al. General and abdominal obesity in relation to the prevalence of irritable bowel syndrome. Neurogastroenterol Motil 2019;31:e13549.
  • 20. Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, et al. Persistent pain and comorbidity among operation enduring freedom/operation Iraqi freedom/operation new dawn veterans. Pain Med 2014;15:782-90.
  • 21. Deere KC, Clinch J, Holliday K, McBeth J, Crawley EM, Sayers A, et al. Obesity is a risk factor for musculoskeletal pain in adolescents: findings from a population-based cohort. Pain. 2012;153:1932-8.
  • 22. Smith SM, Sumar B, Dixon KA. Musculoskeletal pain in overweight and obese children. Int J Obes 2014;38:11-5.
  • 23. Smuck M, Kao M-CJ, Brar N, Martinez-Ith A, Choi J, Tomkins-Lane CC. Does physical activity influence the relationship between low back pain and obesity? Spine J 2014;14:209-16.
  • 24. Mork PJ, Holtermann A, Nilsen TIL. Physical exercise, body mass index and risk of chronic arm pain: Longitudinal data on an adult population in Norway. Eur J Pain 2013;17:1252-8.
  • 25. Heuch I, Heuch I, Hagen K, Zwart J-A. Body mass index as a risk factor for developing chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. Spine (Phila Pa 1976) 2013;38:133-9.
  • 26. MacLellan GA, Dunlevy C, O’Malley E, Blake C, Breen C, Gaynor K, et al. Musculoskeletal pain profile of obese individuals attending a multidisciplinary weight management service. Pain 2017;158:1342-53.
  • 27. Blümel JE, Arteaga E, Mezones-Holguín E, Zúñiga MC, Witis S, Vallejo MS, et al. Obesity is associated with a higher prevalence of musculoskeletal pain in middle-aged women. Gynecol Endocrinol 2017;33:378-82.
  • 28. Stone AA, Broderick JE. Obesity and pain are associated in the United States. Obesity 2012;20:1491-5.
  • 29. Hitt HC, McMillen RC, Thornton-Neaves T, Koch K, Cosby AG. Comorbidity of obesity and pain in a general population: results from the Southern Pain Prevalence Study. J Pain 2007;8:430-6.
  • 30. Wee CC, Davis RB, Hamel MB. Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesity. Health Qual Life Outcomes 2008;6:11.
  • 31. Doll HA, Petersen SEK, Stewart-Brown SL. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res 2000;8:160-70.
  • 32. Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP. Self-reported body mass index and health-related quality of life: findings from the Behavioral Risk Factor Surveillance System. Obes Res 2001;9:21-31.
  • 33. Yan LL, Daviglus ML, Liu K, Pirzada A, Garside DB, Schiffer L, et al. BMI and health-related quality of life in adults 65 years and older. Obes Res 2004;12:69-76.
  • 34. Katz DA, McHorney CA, Atkinson RL. Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med 2000;15:789-96.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Sabriye Ercan 0000-0001-9500-698X

Furkan Küçük 0000-0001-7718-8003

Aydan Örsçelik 0000-0002-8610-8869

Cem Çetin 0000-0002-8151-9554

Early Pub Date June 1, 2023
Publication Date July 4, 2023
Submission Date November 3, 2021
Acceptance Date August 31, 2022
Published in Issue Year 2023 Volume: 9 Issue: 4

Cite

AMA Ercan S, Küçük F, Örsçelik A, Çetin C. Musculoskeletal pain, kinesiophobia, and quality of life in obese patients. Eur Res J. July 2023;9(4):665-673. doi:10.18621/eurj.1018104

e-ISSN: 2149-3189 


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