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Co-occurring chronic pain and obesity in children and adolescents: the impact on health-related quality of life.
Clin J Pain. 2009 Oct; 25(8):715-21.CJ

Abstract

OBJECTIVES

Determine the impact of co-occurring chronic pain and obesity on health-related quality of life (HRQOL) in children and adolescents.

METHODS

Retrospective chart review of 319 children and adolescents (8 to 18 y) seen at a multispecialty chronic pain clinic. HRQOL was measured with the Pediatric Quality of Life Inventory (v.4.0). Total, physical and psychosocial summary scores, and subscale scores for emotional, social, and school functioning were compared for youth across weight groups (healthy weight, overweight, obese). Odds ratios (ORs) were calculated to assess the likelihood of impaired HRQOL with a combined impact of chronic pain and obesity compared with chronic pain alone. Using previously published data; we also assessed the likelihood of impaired HRQOL with a combined impact of chronic pain and obesity compared with obesity alone.

RESULTS

Across all domains of functioning, children and adolescents in the obese group reported lower HRQOL than the overweight and healthy weight groups. Emotional functioning was the exception; the obese group reported lower scores than the overweight group, but not the healthy weight group. The likelihood of impaired HRQOL was higher [OR, 2.2; 95% confidence interval (CI): 1.1-4.4] for children and adolescents with chronic pain and obesity than with chronic pain alone and higher than children and adolescents with obesity alone (OR, 3.7; 95% CI: 1.8-7.8).

DISCUSSION

Co-occurring chronic pain and obesity exacerbates the impact of chronic pain alone on the HRQOL of children and adolescents. Routinely screening pediatric patients with chronic pain for elevated body mass index is recommended.

Authors+Show Affiliations

Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI 53226, USA. khainsworth@chw.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19920723

Citation

Hainsworth, Keri R., et al. "Co-occurring Chronic Pain and Obesity in Children and Adolescents: the Impact On Health-related Quality of Life." The Clinical Journal of Pain, vol. 25, no. 8, 2009, pp. 715-21.
Hainsworth KR, Davies WH, Khan KA, et al. Co-occurring chronic pain and obesity in children and adolescents: the impact on health-related quality of life. Clin J Pain. 2009;25(8):715-21.
Hainsworth, K. R., Davies, W. H., Khan, K. A., & Weisman, S. J. (2009). Co-occurring chronic pain and obesity in children and adolescents: the impact on health-related quality of life. The Clinical Journal of Pain, 25(8), 715-21. https://doi.org/10.1097/AJP.0b013e3181a3b689
Hainsworth KR, et al. Co-occurring Chronic Pain and Obesity in Children and Adolescents: the Impact On Health-related Quality of Life. Clin J Pain. 2009;25(8):715-21. PubMed PMID: 19920723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Co-occurring chronic pain and obesity in children and adolescents: the impact on health-related quality of life. AU - Hainsworth,Keri R, AU - Davies,William Hobart, AU - Khan,Kim A, AU - Weisman,Steven J, PY - 2009/11/19/entrez PY - 2009/11/19/pubmed PY - 2010/1/27/medline SP - 715 EP - 21 JF - The Clinical journal of pain JO - Clin J Pain VL - 25 IS - 8 N2 - OBJECTIVES: Determine the impact of co-occurring chronic pain and obesity on health-related quality of life (HRQOL) in children and adolescents. METHODS: Retrospective chart review of 319 children and adolescents (8 to 18 y) seen at a multispecialty chronic pain clinic. HRQOL was measured with the Pediatric Quality of Life Inventory (v.4.0). Total, physical and psychosocial summary scores, and subscale scores for emotional, social, and school functioning were compared for youth across weight groups (healthy weight, overweight, obese). Odds ratios (ORs) were calculated to assess the likelihood of impaired HRQOL with a combined impact of chronic pain and obesity compared with chronic pain alone. Using previously published data; we also assessed the likelihood of impaired HRQOL with a combined impact of chronic pain and obesity compared with obesity alone. RESULTS: Across all domains of functioning, children and adolescents in the obese group reported lower HRQOL than the overweight and healthy weight groups. Emotional functioning was the exception; the obese group reported lower scores than the overweight group, but not the healthy weight group. The likelihood of impaired HRQOL was higher [OR, 2.2; 95% confidence interval (CI): 1.1-4.4] for children and adolescents with chronic pain and obesity than with chronic pain alone and higher than children and adolescents with obesity alone (OR, 3.7; 95% CI: 1.8-7.8). DISCUSSION: Co-occurring chronic pain and obesity exacerbates the impact of chronic pain alone on the HRQOL of children and adolescents. Routinely screening pediatric patients with chronic pain for elevated body mass index is recommended. SN - 1536-5409 UR - https://www.unboundmedicine.com/medline/citation/19920723/Co_occurring_chronic_pain_and_obesity_in_children_and_adolescents:_the_impact_on_health_related_quality_of_life_ L2 - https://doi.org/10.1097/AJP.0b013e3181a3b689 DB - PRIME DP - Unbound Medicine ER -