Abstract
Musculoskeletal (MSK) pain is common in obese populations. Multidisciplinary Tier 3 weight management services (WMS) are effective in reducing weight, however MSK pain as an outcome is not routinely reported post‐WMS interventions. Following ethical approval this retrospective‐design study using anonymized data from a national WMS established changes in anthropometric and pain prevalence and intensity scores as well as establishing variables predictive of achieving clinically significant changes (CSC) in pain scores.
Of the 806 patients registered to the WMS (01/2011‐02/2015), 59% (n=476; CI=56–62) attended their reassessments at six months. The overall mean age was 45.1±12 years and 62% (n=294) were female. At baseline 70% (n=281; CI=65‐75) reported LBP and 59% (n=234; CI=54‐64) had knee pain. At reassessment 37.3% (n=177) of patients lost ≥5% body weight, 58.7% (n=279) were weight stable (5% weight loss or gain) and 4.0% (n=19) gained ≥5% body weight. Low back and knee pain prevalence reduced significantly for those who lost ≥ 5% body weight. Variables predictive of a clinically significant change (CSC) in LBP NRS score included a higher baseline NRS score, weighing more, and rating losing weight as being important (P<0.05). Higher baseline NRS and being younger resulted in higher odds of a CSC in knee pain NRS (p<0.05).
Overall this WMS was effective for clinical weight loss. For those who lost most weight prevalence of knee and LBP reduced. Imbedding pain management strategies within WMS's may provide a more holistic approach to obesity management.
This article is protected by copyright. All rights reserved.
from Wiley: European Journal of Pain: Table of Contents http://bit.ly/2ImPFw3
via IFTTT
No comments:
Post a Comment