Perceptions of adults with overweight/obesity and chronic musculoskeletal pain: An interpretative phenomenological analysis

Cooper, Lesley; Ells, Louisa; Ryan, Cormac; Martin, Denis

doi:10.1111/jocn.14178

Cited by 28 publications

(52 citation statements)

References 31 publications

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“…Chronic abdominal pain in the morbidly obese population has been reported previously 23,24 , with a prevalence of 12-24 per cent. Furthermore, obesity is associated with chronic musculoskeletal pain, especially chronic low back pain 23,25 . Before and after RYGB, musculoskeletal pain was reported by about 48 per cent of the study population.…”

Section: Discussionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

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Background Despite increased emphasis on patient‐reported outcomes, few studies have focused on abdominal pain symptoms before and after Roux‐en‐Y gastric bypass (RYGB). The aim of this study was to quantify chronic abdominal pain (CAP) in relation to RYGB. Methods Patients with morbid obesity planned for RYGB were invited to participate at a tertiary referral centre from February 2014 to June 2015. Participants completed a series of seven questionnaires before and 2 years after RYGB. CAP was defined as patient‐reported presence of long‐term or recurrent abdominal pain lasting for more than 3 months. Results A total of 236 patients were included, of whom 209 (88·6 per cent) attended follow‐up. CAP was reported by 28 patients (11·9 per cent) at baseline and 60 (28·7 per cent) at follow‐up ( P < 0·001). Gastrointestinal Symptom Rating Scale (GSRS) scores (except reflux scores) and symptoms of anxiety increased from baseline to follow‐up. Most quality of life (QoL) scores (except role emotional, mental health and mental component scores) also increased. At follow‐up, patients with CAP had higher GSRS scores than those without CAP, with large effect sizes for abdominal pain and indigestion syndrome scores. Patients with CAP had more symptoms of anxiety, higher levels of catastrophizing and lower QoL scores. Baseline CAP seemed to predict CAP at follow‐up. Conclusion The prevalence of CAP is higher 2 years after RYGB compared with baseline values.

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Section: Discussionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

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“…Obesity and chronic pain are common comorbidities that often lead to hardships (Cooper, Ells, Ryan, & Martin, ; Hitt, McMillen, Thornton‐Neaves, Koch, & Cosby, ; Marcus, ; Narouze & Souzdalnitski, ; Okifuji & Hare, ; Stone & Broderick, ). More than 50% of the European population is overweight or obese (Marques, Peralta, Naia, Loureiro, & de Matos, ), resulting in substantial economic burdens for patients and society (Phillips, ; Tremmel, Gerdtham, Nilsson, & Saha, ), and 20% of Europeans report chronic pain of at least moderate intensity(Breivik, Collett, Ventafridda, Cohen, & Gallacher, ).…”

Section: Introductionmentioning

confidence: 99%

“…In another qualitative study, Cooper, Ells, et al. () found that ‘overweight/obesity contributed to fear and catastrophizing, which resulted in avoidance of exercise that would have assisted their weight loss’. As these insights suggest, providing pain rehabilitation to patients across all the weight classes and expecting similar results will be challenging.…”

Section: Introductionmentioning

confidence: 99%

Maintenance of quality of life improvement for patients with chronic pain and obesity after interdisciplinary multimodal pain rehabilitation – A study using the Swedish Quality Registry for Pain Rehabilitation

Dong

Larsson

Fischer

et al. 2019

European Journal of Pain

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Background Throughout the world many people have both obesity and chronic pain, comorbidities that decrease Health‐Related Quality of Life (HRQoL). It is uncertain whether patients with comorbid obesity can maintain improved HRQoL after Interdisciplinary Multimodal Pain Rehabilitation (IMMPR). Methods Data from 2016, 2017, and 2018 were obtained from a national pain database for Swedish specialized pain clinics and collected at three time points: Pre‐IMMPR; Post‐ IMMPR; and 12‐month follow‐up (FU‐IMMPR). Participants (N = 872) reported body weight, height, pain aspects, and HRQoL (RAND 36‐Item Health Survey). Severe obesity (Body Mass Index, BMI ≥35 kg/m2) was defined according to WHO classifications. We used linear mixed regression models to examine BMI group differences in HRQoL over time. Results More than 25% of patients (224/872) were obese and nearly 30% (63/224) of these were severely obese. All BMI groups improved significantly in both physical and mental composites of HRQoL after IMMPR (Pre‐ vs. Post‐IMMPR, p < .001). The improvements were maintained at a 12‐month follow‐up (Post‐ vs. FU‐IMMPR, p > .05). The severe obesity group had the lowest physical health score and least improvement (pre‐ vs. FU‐IMMPR, Cohen's d = o.422, small effect size). Severe obesity had negative impact on physical health (β = −4.39, p < .05) after controlling for sociodemographic factors and pain aspects. Conclusion Improvements in HRQoL after IMMPR were achieved and maintained across all weights, including patients with comorbid obesity. Only severe obesity was negatively associated with physical health aspects of HRQoL. Significance Patients with chronic pain and comorbid obesity achieve sustained Health‐Related Quality of Life (HRQoL) improvements from Interdisciplinary Multimodal Pain Rehabilitation (IMMPR). This finding suggests that rehabilitation professionals should consider using IMMPR for patients with comorbid obesity even though their improvement may not reach the same level as for non‐obese patients.

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“…Cooper et al showed that pain was firstly an important factor in the decision and motivation of obese patients to lose weight, but secondly, it was also a limiting factor on the type and amount of physical activity, and thus, a barrier to weight-loss efforts. This latter effect seems to stem from the belief that physical activity incurs a risk of injury and additional pain (78) .…”

Section: Impaired Perception Of Interoceptive Bodily Inputmentioning

confidence: 99%

Body misperception: A complex, multifaceted issue to be taken into consideration in obesity

Bertin

Benzerouk

Bernard³

et al. 2019

Cahiers de Nutrition et de Diététique

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Body misperception could predispose to obesity, by masking excess weight and/or hunger and satiety signals, and by promoting emotional eating and difficulties engaging in physical activity. Thus, it may also be an obstacle to the management of persons with obesity. This narrative review describes the different types of troubles of the relationship with the body that can be encountered in obese subjects, and groups them into three main categories, namely: silhouette distortion, alteration of internal bodily signals pertaining to food, and impaired perception of interoceptive input. Each of these categories is detailed in terms of its clinical phenotypes and potential mechanisms involved. The therapeutic challenges posed by these various disorders are also developped, as well as the limitations of the main instruments available to identify them. The authors conclude that body misperception should be systematicaly investigated in the clinical management of obesity.

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Perceptions of adults with overweight/obesity and chronic musculoskeletal pain: An interpretative phenomenological analysis

Cited by 28 publications

References 31 publications

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Maintenance of quality of life improvement for patients with chronic pain and obesity after interdisciplinary multimodal pain rehabilitation – A study using the Swedish Quality Registry for Pain Rehabilitation

Body misperception: A complex, multifaceted issue to be taken into consideration in obesity

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