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Chronic pain and its association with obesity among older adults in China
Affiliation:1. Department of Health Economics and Industrial Policy, Osaka University Graduate School of Medicine, Osaka, Japan;2. Multidisciplinary Pain Center, Aichi Medical University, Nagakute, Japan;3. Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan;4. Pain/Neuroscience Medical Affairs, Pfizer, Tokyo, Japan;5. Health Outcomes Practice, Kantar Health, 11 Madison Avenue, 12th Floor, New York, NY 10010, USA
Abstract:ObjectivesThere is a paucity of epidemiological data on chronic pain and obesity among older adults. This study attempted to present the characterization of chronic pain and its association with obesity among the Chinese elderly.MethodsA cross-sectional survey was undertaken among 6524 elderly individuals aged ≥60 years in China. Chronic pain was identified by self-reports based on the definition from the International Association for the Study of Pain (IASP). Body Mass Index (BMI) was measured to assess obesity. Binary logistic regression analysis was performed to explore the association between obesity and chronic pain.ResultsThe prevalence of chronic pain was 49.8%. The legs/feet (25.5%), back (23.2%), and neck/shoulder (14.6%) were the most salient locations for chronic pain. Compared with normal weight, subjects with overweight (OR = 1.234, 95%CI = 1.100–1.384) and obesity (OR = 1.715, 95%CI = 1.418–2.073) were considerably more likely to have chronic pain after adjusting for covariates (p < .05). Age was not significantly associated with chronic pain (p > .05). Further analyses revealed that the associations between chronic pain and obesity were restricted to the legs/feet and back.ConclusionChronic pain is common among older adults in China. Understanding the role of obesity in chronic pain is important for preventing and treating chronic pain.
Keywords:China  Chronic pain  Cross-sectional survey  Elderly  Obesity
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