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
Date
11/19/2009Pubmed ID
19920723DOI
10.1097/AJP.0b013e3181a3b689Scopus ID
2-s2.0-70349668424 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
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.
Author List
Hainsworth KR, Davies WH, Khan KA, Weisman SJAuthors
Keri Hainsworth PhD Director, Associate Professor in the Anesthesiology department at Medical College of WisconsinSteven J. Weisman MD Professor in the Anesthesiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAnthropometry
Body Mass Index
Body Weight
Child
Chronic Disease
Comorbidity
Emotions
Female
Humans
Male
Obesity
Odds Ratio
Overweight
Pain
Pain Measurement
Quality of Life
Retrospective Studies
Schools
Social Environment
Treatment Outcome
