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Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
- Source :
- Journal of Epidemiology, Journal of Epidemiology, Vol 31, Iss 11, Pp 566-572 (2021)
- Publication Year :
- 2021
- Publisher :
- Japan Epidemiological Association, 2021.
-
Abstract
- Background: The association between overweight and chronic musculoskeletal pain may vary by anatomical site and be modified by hypertension status. This study examined the associations between overweight and low back and knee pains and their effect modification by hypertension status. Methods: We conducted a community-based cross-sectional study involving 2,845 adults (1,080 men and 1,765 women) aged 40–89 years. Chronic knee pain (CKP) and low back pain (CLBP) lasting more than 3 months were categorized into more or less severe pain. Odds ratios (ORs) and 95% confidence intervals (CIs) of the association between overweight and more or less severe CKP and CLBP were determined using logistic regression and stratified by hypertension status. Adjustment variables were age, sex, area, hypertension, smoking and drinking status, inactivity, job category, mental stress, depression, and overall CKP or CLBP. Results: Overall, 288 (10.1%) and 631 (22.2%) adults had more and less severe CKP, respectively, and 284 (10.0%) and 830 (29.2%) had more and less severe CLBP, respectively. Overweight was associated with overall CKP and more or less severe CKP, regardless of hypertension status. Overweight was not associated with overall CLBP; its association was more pronounced for more severe CLBP. The association between overweight and more severe CLBP was evident among non-hypertensives (multivariable OR 1.72; 95% CI, 1.09–2.71); however, that between overweight and less severe CLBP was not evident (multivariable OR 1.07; 95% CI, 0.73–1.56). Conclusions: As hypertension may attenuate the association between overweight and CLBP, we should consider hypertension status for proper management of CLBP among overweight individuals.
- Subjects :
- Adult
Male
medicine.medical_specialty
Medicine (General)
hypertension
Epidemiology
Cross-sectional study
back pain
030209 endocrinology & metabolism
Overweight
Logistic regression
03 medical and health sciences
0302 clinical medicine
R5-920
Musculoskeletal Pain
Internal medicine
medicine
Back pain
cross-sectional study
Humans
030212 general & internal medicine
Depression (differential diagnoses)
knee pain
business.industry
General Medicine
Odds ratio
Low back pain
humanities
Knee pain
Cross-Sectional Studies
Original Article
Female
Public Health
Independent Living
medicine.symptom
Chronic Pain
business
human activities
Subjects
Details
- Language :
- English
- ISSN :
- 13499092 and 09175040
- Volume :
- 31
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of Epidemiology
- Accession number :
- edsair.doi.dedup.....4d9e12570a2a348ca4c397911e2bf084