Obesity and Chronic Pain: Systematic Review of Prevalence and Implications for Pain Practice

@article{Narouze2014ObesityAC,
  title={Obesity and Chronic Pain: Systematic Review of Prevalence and Implications for Pain Practice},
  author={Samer Narouze and Dmitri Souzdalnitski},
  journal={Regional Anesthesia \& Pain Medicine},
  year={2014},
  volume={40},
  pages={111 - 91}
}
The combination of obesity and pain may worsen a patient's functional status and quality of life more than each condition in isolation. [...] Key Method We systematically searched PubMed/MEDLINE and the Cochrane databases for all reports published on obesity and pain. The prevalence of combined obesity and pain was substantial. Good evidence shows that weight reduction can alleviate pain and diminish pain-related functional impairment. However, inadequate pain control can be a barrier to effective lifestyle…Expand
Refractory Chronic Pain and Obesity: Promising Implications for Multidisciplinary Pain Rehabilitation.
TLDR
Multidisciplinary pain rehabilitation programs appear to be an effective treatment intervention for patients who have concomitant chronic pain and obesity, to a degree comparable to Patients who have chronic pain but do not contend with obesity. Expand
A Biobehavioral Pain Hygiene Model: Narrative Review and Conceptualization
TLDR
A biobehavioral pain hygiene model is proposed that combines existing strategies in managing pain to make them useful for daily multimodal application and which may be used to integrate therapeutic interventions for chronic pain management. Expand
Pain sensitivity and pain scoring in patients with morbid obesity.
TLDR
Individuals with severe obesity displayed hypoalgesia to noxious electrical stimuli together with difficulty in grading experimental noxious thermal and electrical stimuli in between pain threshold and tolerance, which is argued to have a significant effect on pain treatment. Expand
Obesity and chronic pelvic pain
TLDR
Education, respect, communication, legitimization of their pain, and multidisciplinary care will help overcome many barriers in managing the obese woman with chronic pelvic pain. Expand
Examining Risk for Persistent Pain among Adults with Overweight Status
TLDR
There is an elevated risk for persistent pain among adults who are overweight compared with those who are recommended weight status, and weight management may be implied for clinical risk reduction of pain conditions among adults with an overweight body mass index levels. Expand
The impact of obesity on the effectiveness of spinal cord stimulation in chronic spine-related pain patients.
TLDR
A negative association between SCS effectiveness and increasing BMI was found, whereas, no significant difference was noted amongst the various BMI cohorts and the daily opioid consumption. Expand
The effect of obesity on pain and disability in chronic shoulder pain patients.
TLDR
Shoulder pain may be associated with obesity and the addition of weight control to the treatment of patients with shoulder pain is recommended. Expand
Lose Pain, Lose Weight, and Lose Both: A Cohort Study of Patients with Chronic Pain and Obesity Using a National Quality Registry
TLDR
About one-fifth of obese patients achieved significant weight reduction after IMMPR, suggesting that obese patients need a tailored pain rehabilitation program incorporating a targeted approach for weight management. Expand
Impact of pain in overweight to morbidly obese women: preliminary findings of a cross-sectional study.
TLDR
This study found that the prevalence and intensity of pain are greater in morbidly obese women than women of normal weight, and pain is negatively associated with physical activity. Expand
Chronic pain and its association with obesity among older adults in China.
TLDR
Chronic pain is common among older adults in China and understanding the role of obesity in chronic pain is important for preventing and treating chronic pain. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 254 REFERENCES
Pain and obesity in the older adult.
TLDR
More research is warranted to elucidate the mechanistic links between obesity and pain and to determine the optimal treatment strategies for reducing these comorbities. Expand
“The More Pain I Have, the More I Want to Eat”: Obesity in the Context of Chronic Pain
TLDR
Five themes emerged indicating that patients with chronic pain and obesity experience: depression as magnifying the comorbid physical symptoms and complicating treatment; hedonic hunger triggered by physical pain and associated with depression and shame; emotional or “binge” eating in response to pain; altered dietary choices in responseto pain; and low self‐efficacy for physical activity due to pain. Expand
Interventions in chronic pain management. 5. Approaches to medication and lifestyle in chronic pain syndromes.
TLDR
The importance of addressing obesity and smoking cessation in patients with low back pain and medication usage in trigeminal neuralgia and complex regional pain syndromes is discussed. Expand
Overview of the relationship between pain and obesity: What do we know? Where do we go next?
TLDR
A likely relationship between increasing weight and pain conditions such as osteoarthritis and low back pain is supported and research should focus on expanding knowledge about mechanisms of the relationship between pain and obesity. Expand
Musculoskeletal pain in overweight and obese children
TLDR
Bone deformity and dysfunction, pain reporting and the impact of children being overweight or obese on physical activity, exercise and quality of life were the three themes identified from the literature. Expand
Obesity and the Impact of Chronic Pain
  • D. Marcus
  • Medicine
  • The Clinical journal of pain
  • 2004
TLDR
Weight is associated with co-morbid disability, depression, and reduced quality of life for physical function in chronicPain patients, and calculation of the BMI should become a routine part of the screening evaluation for chronic pain patients. Expand
Mechanisms of association between obesity and chronic pain in the elderly
TLDR
Central obesity is the metabolic syndrome component showing the strongest independent association with pain, and the relationship is not explained by markers of insulin resistance or inflammation, nor by the presence of osteoarthritis or neuropathy. Expand
Obesity is a risk factor for musculoskeletal pain in adolescents: Findings from a population-based cohort
TLDR
Obese adolescents were more likely to report musculoskeletal pain, including knee pain and CRP, and had relatively high pain scores, suggesting a more severe phenotype with worse prognosis. Expand
Musculoskeletal Pain, Fear Avoidance Behaviors, and Functional Decline in Obesity: Potential Interventions to Manage Pain and Maintain Function
TLDR
The proposed therapeutic interventions can have multiple benefits in the obese population including weight loss, improved psychological outlook and self-efficacy, reduced kinesiophobia levels, reduced risk of functional dependence, and improved quality of life. Expand
Pain management and pain characteristics in obese and normal weight patients before joint replacement.
TLDR
Obese patients suffer more significantly of unrelieved chronic pain, which lowers considerably their quality of life and pain relief is more difficult to obtain, as it requires stronger pain medication and NSAIDs. Expand
...
1
2
3
4
5
...