Association of Chronic Widespread Pain With Objectively Measured Physical Activity in Adults: Findings From the National Health and Nutrition Examination Survey

Dansie, Elizabeth J.; Turk, Dennis C.; Martin, Kathryn; Domelen, Dane R. Van; Patel, Kushang V.

doi:10.1016/j.jpain.2014.01.489

Cited by 51 publications

(45 citation statements)

References 42 publications

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“…Similar to our data, analysis of NHANES data consistently estimated chronic pain (pain ≥3 months) prevalence at 13 to 15%. 6,15,38 The slightly lower rate we observed (11.1%) most likely results from our requirement that defined chronic pain as daily pain. These consistencies across national surveys reinforce our confidence that the pain questions in the NHIS provide reliable national estimates of pain prevalence.…”

Section: Discussionmentioning

confidence: 64%

Estimates of Pain Prevalence and Severity in Adults: United States, 2012

Nahin

2015

The Journal of Pain

827

549

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Using a simple approach for coding pain severity, the present study describes self-reported pain in U.S. adults. Data are included for 8,781 adults who completed the Functioning and Disability Supplement of the 2012 National Health Interview Survey. An internationally piloted pain severity coding system was used to group participants into 5 discrete ordered pain categories based on their pain persistence (days with pain in last 3 months) and bothersomeness (little, lot, somewhere in between): pain free and categories 1 (low) to 4 (high). It is estimated that 126.1 million adults reported some pain in the previous 3 months, with 25.3 million adults (11.2%) suffering from daily (chronic) pain and 23.4 million (10.3%) reporting a lot of pain. Based on the persistence and bothersomeness of their pain, 14.4 million adults (6.4%) were classified as having the highest level of pain, category 4, with an additional 25.4 million adults (11.3%) experiencing category 3 pain. Individuals with category 3 or 4 pain were likely to have worse health status, to use more health care, and to suffer from more disability than those with less severe pain. Associations were seen between pain severity and selected demographic variables, including race, ethnicity, preferred language, sex, and age. Perspective U.S. estimates of pain prevalence are presented using a simple approach for assigning pain severity developed by the Washington Group on Disability Statistics. Concurrent validity is assessed. Although this approach is promising, additional work is required to determine the usefulness of the Washington Group pain categories for pain research or clinical practice.

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Section: Discussionmentioning

confidence: 64%

Estimates of Pain Prevalence and Severity in Adults: United States, 2012

Nahin

2015

The Journal of Pain

827

549

View full text Add to dashboard Cite

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“…41 Another study suggested that individuals with chronic pain participate in similar levels of sedentary and light activity compared to the general population. 48 However, individuals with chronic pain are presumed to avoid movement so they do not aggravate their pain. Our finding that individuals in chronic pain are less sedentary compared to a healthy population is surprising, but this may be more of a statement about physical activity levels in the general population.…”

Section: Discussionmentioning

confidence: 99%

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Miller¹,

Roumanis²,

Kakinami³

et al. 2020

JPR

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Purpose: To examine the relationship between baseline kinesiophobia and baseline pain catastrophizing with the 4-day average activity intensity at different times of the day while accounting for different wake and sleep-onset times in chronic pain patients. Methods: Twenty-one participants suffering from idiopathic chronic pain completed baseline questionnaires about kinesiophobia, catastrophizing, disability, depression, and pain. We measured the participants' activity using accelerometers and calculated activity intensity in the morning, afternoon, and evening. We performed a 2-way repeated measures ANOVA to compare activity levels at different times of the day, and multiple linear regressions. Results: Baseline kinesiophobia was significantly associated with 4-day average evening light activity and sedentary activity at all time periods while baseline catastrophizing was significantly associated with increased 4-day average light activity in the evening and more moderate to vigorous activity in the morning. Our participants engaged in more light activity on average than sedentary activity, and very little moderate-vigorous activity. Participants were most active in the afternoon. Conclusion: Baseline kinesiophobia and baseline catastrophizing were not associated with the 4-day average total daily activity; however, they were associated with 4-day average activity intensities at different times throughout the day. Segmenting daily activity into morning, afternoon, evening may influence the relationship between daily activity, and kinesiophobia and pain catastrophizing. Individuals with chronic pain are less sedentary than previously thought which may affect future interventions.

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“…We attribute this finding to the common use of non-opioid analgesics including NSAIDs, neuropathic agents, and physical therapy or massage for pain control. 7,[69][70][71][72][73][74][75][76] We did find a significant association between 'admission diagnosis of chronic pain' and 'opioid receipt at discharge.' It was possible that the acute event leading to hospitalization exacerbated one's baseline chronic pain, necessitating the use of opioids for pain control at discharge.…”

Section: Discussionmentioning

confidence: 99%

Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use

et al. 2015

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BACKGROUND: Chronic opioid therapy for chronic pain treatment has increased. Hospital physicians, including hospitalists and medical/surgical resident physicians, care for many hospitalized patients, yet little is known about opioid prescribing at hospital discharge and future chronic opioid use. OBJECTIVE: We aimed to characterize opioid prescribing at hospital discharge among 'opioid naïve' patients. Opioid naïve patients had not filled an opioid prescription at an affiliated pharmacy 1 year preceding their hospital discharge. We also set out to quantify the risk of chronic opioid use and opioid refills 1 year post discharge among opioid naïve patients with and without opioid receipt at discharge. DESIGN: This was a retrospective cohort study. PARTICIPANTS: From 1 January 2011 to 31 December 2011, 6,689 opioid naïve patients were discharged from a safety-net hospital. MAIN MEASURE: Chronic opioid use 1 year post discharge. KEY RESULTS: Twenty-five percent of opioid naïve patients (n=1,688) had opioid receipt within 72 hours of discharge. Patients with opioid receipt were more likely to have diagnoses including neoplasm (6.3 % versus 3.5 %, p<0.001), acute pain (2.7 % versus 1.0 %, p<0.001), chronic pain at admission (12.1 % versus 3.3 %, p<0.001) or surgery during their hospitalization (65.1 % versus 18.4 %, p<0.001) compared to patients without opioid receipt. Patients with opioid receipt were less likely to have alcohol use disorders (15.7 % versus 20.7 %, p<0.001) and mental health disorders (23.9 % versus 31.4 %, p<0.001) compared to patients without opioid receipt. Chronic opioid use 1 year post discharge was more common among patients with opioid receipt (4.1 % versus 1.3 %, p<0.0001) compared to patients without opioid receipt. Opioid receipt was associated with increased odds of chronic opioid use (AOR=4.90, 95 % CI 3.22-7.45) and greater subsequent opioid refills (AOR=2.67, 95 % CI 2.29-3.13) 1 year post discharge compared to no opioid receipt. CONCLUSION:Opioid receipt at hospital discharge among opioid naïve patients increased future chronic opioid use. Physicians should inform patients of this risk prior to prescribing opioids at discharge.

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Association of Chronic Widespread Pain With Objectively Measured Physical Activity in Adults: Findings From the National Health and Nutrition Examination Survey

Cited by 51 publications

References 42 publications

Estimates of Pain Prevalence and Severity in Adults: United States, 2012

Estimates of Pain Prevalence and Severity in Adults: United States, 2012

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use

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