Demographics, Daily Sleep Hours, Body Mass Index, and Comorbidities in Overweight People


  • Ayesha Amjad Department of Medicine, University of Lahore, Gujrat Campus Gujrat Pakistan
  • Saeed Bin Ayaz Department of Rehabilitation Medicine, Combined Military Hospital, Jhelum/National University of Medical Sciences (NUMS) Pakistan
  • Fawad Rahman Department of Medicine, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
  • Ahmad Jamal Department of Medicine, University of Lahore, Gujrat Campus Gujrat Pakistan
  • Naureen Tassadaq Department of Rehabilitation Medicine, Fauji Foundation Hospital, Rawalpindi Pakistan
  • Sonia Iqbal Department of Medicine, University of Lahore, Gujrat Campus Gujrat Pakistan



Pain intensity, blood pressure, body mass index, diabetes mellitus, hypertension, pain measurement.


Objective: To explore the association of knee pain intensity with demographics, body mass index, daily sleep hours and comorbidities in overweight people.

Study Design: Cross-sectional study.

Place and Duration of Study: Different Clinics of Wazirabad City, Pakistan, from Oct 2020 to May 2021.

Methodology: People with knee pain for >1 month and a body mass index of ≥25 kg/m2 were included and questioned regarding variables of interest. The pain was graded according to the Numerical Rating Scale.

Results: Of 335 individuals (mean age: 31±7 years), 189(56.4%) were males, and 199(59.4%) were married. The mean systolicand diastolic blood pressures were 124.4±7.9 mmHg and 85.3±7.2 mmHg, respectively. The mean sleep hours were 7±0.8 hours,while the mean body mass index was 30.1±2 kg/m2. The mean pain score was 2.8±1. Pain intensity had a significant positive correlation with age (p<0.001), body mass index (p=0.041), systolic and diastolic blood pressures (p<0.001 each). Similarly, pain intensity was significantly higher in people who were married (p<0.001) or had diabetes mellitus or hypertension (p<0.001 each).

Conclusion: Knee pain intensity increases with age, body mass index, and systolic and diastolic blood pressure, and it decreases with increasing sleep hours.


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Flego A, Dowsey MM, Choong PF, Moodie M. Addressing

obesity in the management of knee and hip osteoarthritis -

weighing in from an economic perspective. BMC Musculoskelet

Disord 2016; 17: 233.

Badley EM, Wilfong JM, Yip C, Millstone DB, Perruccio AV. The

contribution of age and obesity to the number of painful joint

sites in individuals reporting osteoarthritis: a population-based

study. Rheumatology 2020; 59(11): 3350-3357.

Salih S, Sutton P. Obesity, knee osteoarthritis and knee

arthroplasty: a review. BMC Sports Sci Med Rehabil 2013; 5(1): 25.

Seaman DR. Weight gain as a consequence of living a modern

lifestyle: a discussion of barriers to effective weight control and

how to overcome them. J Chiropr Humanit 2013; 20(1): 27-35.

Chang J, Liao Z, Lu M, Meng T, Han W, Ding C, et al. Systemic

and local adipose tissue in knee osteoarthritis. Osteoarthritis

Cartilage 2018; 26(7): 864-871.

Khalid MU, Akhtar MAB, Akhtar MHB. Frequency of

osteoarthritis among patients of knee joint pain. J Sheikh Zayed

Med Coll 2015; 6 (4): 885-887.

Lerman SF, Finan PH, Smith MT, Haythornthwaite JA.

Psychological interventions that target sleep reduce pain

catastrophizing in knee osteoarthritis. Pain 2017; 158(11):


Alenazi AM, Alshehri MM, Alothman S, Alqahtani BA, Rucker J,

Sharma N, et al. The Association of Diabetes with Knee Pain

Severity and Distribution in People with Knee Osteoarthritis

using Data from the Osteoarthritis Initiative. Sci Rep 2020; 10(1):

Tanzil S, Jamali T. Obesity, an emerging epidemic in Pakistan-a

review of evidence. J Ayub Med Coll Abbottabad 2016; 28(3):


Umar A, Adelowo OO, Okpapi JO, Omuya UB. Effect of obesity

on self-reported pain and functional disability in patients with

knee osteoarthritis in Zaria, North Western Nigeria. Sub-Saharan

Afr J Med 2018; 5(2): 52-58.

Bindawas SM, Vennu V, Stubbs B. Longitudinal Relationship

Between Knee Pain Status and Incident Frailty: Data from the

Osteoarthritis Initiative. Pain Med 2018 ;19(11):2146-2153.

MacLellan GA, Dunlevy C, O'Malley E, Blake C, Breen C, Gaynor

K, et al. Musculoskeletal pain profile of obese individuals

attending a multidisciplinary weight management service. Pain

; 158(7): 1342-1353.

Goulston LM, Kiran A, Javaid MK, Soni A, White KM, Hart DJ, et

al. Does obesity predict knee pain over fourteen years in women,

independently of radiographic changes? Arthritis Care Res 2011;

(10): 1398-406. .

Leyland KM, Judge A, Javaid MK, Diez-Perez A, Carr A, Cooper

C, et al. Obesity and the Relative Risk of Knee Replacement

Surgery in Patients With Knee Osteoarthritis: A Prospective

Cohort Study. Arthritis Rheumatol 2016; 68(4): 817-825.

Landsmeer MLA, Runhaar J, van Middelkoop M, Oei EHG,

Schiphof D, Bindels PJE, et al. Predicting Knee Pain and Knee

Osteoarthritis among Overweight Women. J Am Board Fam Med

; 32(4): 575-584.

Raud B, Gay C, Guiguet-Auclair C, Bonnin A, Gerbaud L, Pereira

B, et al. Level of obesity is directly associated with the clinical and

functional consequences of knee osteoarthritis. Sci Rep 2020 ;

(1): 3601.

Zhang YM, Wang J, Liu XG. Association between hypertension

and risk of knee osteoarthritis: A meta-analysis of observational

studies. Medicine 2017; 96(32): e7584.

Eitner A, Culvenor AG, Wirth W, Schaible HG, Eckstein F. Impact

of Diabetes Mellitus on Knee Osteoarthritis Pain and Physical and

Mental Status: Data From the Osteoarthritis Initiative. Arthritis

Care Res 2021; 73(4): 540-548.

Alenazi AM, Obaidat SM, Alshehri MM, Alothman S, Gray C,

Rucker J, et al. Type-2 Diabetes Affects Joint Pain Severity in

People with Localized Osteoarthritis: A Retrospective Study. Pain

Med 2020; 21(5): 1025-1031.

Eitner A, Pester J, Vogel F, Marintschev I, Lehmann T, Hofmann

GO, et al. Pain sensation in human osteoarthritic knee joints is

strongly enhanced by diabetes mellitus. Pain 2017 ; 158(9):


Cho Y, Jung B, Lee YJ, Kim MR, Kim EJ, Sung WS, et al.

Association between sleep duration and osteoarthritis and their

prevalence in Koreans: A cross-sectional study. PLoS One 2020 ;

(4): e0230481.

Jeong JN, Kim SH, Park KN. Relationship between objectively

measured lifestyle factors and health factors in patients with knee

osteoarthritis: The STROBE Study. Medicine 2019; 98(26): e16060.




How to Cite

Amjad, A., Ayaz, S. B., Rahman, F., Jamal, A., Tassadaq, N., & Iqbal, S. (2024). Demographics, Daily Sleep Hours, Body Mass Index, and Comorbidities in Overweight People. Pakistan Armed Forces Medical Journal, 74(1), 234–237.



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