Demographics, Daily Sleep Hours, Body Mass Index, and Comorbidities in Overweight People
DOI:
https://doi.org/10.51253/pafmj.v74i1.6967Keywords:
Pain intensity, blood pressure, body mass index, diabetes mellitus, hypertension, pain measurement.Abstract
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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References
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. https://doi.org/10.1186/s12891-016-1087-7.
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.
https://doi.org/10.1093/rheumatology/keaa138.
Salih S, Sutton P. Obesity, knee osteoarthritis and knee
arthroplasty: a review. BMC Sports Sci Med Rehabil 2013; 5(1): 25.
https://doi.org/10.1186/2052-1847-5-25.
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.
https://doi.org/10.1016/j.echu.2013.08.001.
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.
https://doi.org/10.1016/j.joca.2018.03.004.
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):
-2195. https://doi.org/10.1097/j.pain.0000000000001023.
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):
https://doi.org/10.1038/s41598-020-60989-1.
Tanzil S, Jamali T. Obesity, an emerging epidemic in Pakistan-a
review of evidence. J Ayub Med Coll Abbottabad 2016; 28(3):
-600.
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.
https://doi.org/10.4103/ssajm.ssajm_10_18
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.
https://doi.org/10.1093/pm/pnx296.
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.
https://doi.org/10.1097/j.pain.0000000000000918.
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. https://doi.org/10.1002/acr.20546 .
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.
https://doi.org/10.1002/art.39486.
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.
https://doi.org/10.3122/jabfm.2019.04.180302.
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. https://doi.org/10.1038/s41598-020-60587-1.
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.
https://doi.org/10.1097/MD.0000000000007584.
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. https://doi.org/10.1002/acr.24173.
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.
https://doi.org/10.1093/pm/pnz299.
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):
-1753. https://doi.org/10.1097/j.pain.0000000000000972.
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. https://doi.org/10.1371/journal.pone.0230481.
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.