Is adiposity associated with back and lower limb pain? A systematic review.

<h4>Background</h4>Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposi...

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Autores principales:	Waruna L Peiris, Flavia M Cicuttini, Sultana Monira Hussain, Mahnuma M Estee, Lorena Romero, Tom A Ranger, Jessica L Fairley, Emily C McLean, Donna M Urquhart
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6c56e025dfe44bb99430195bb387ac36
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spelling	oai:doaj.org-article:6c56e025dfe44bb99430195bb387ac362021-12-02T20:14:37ZIs adiposity associated with back and lower limb pain? A systematic review.1932-620310.1371/journal.pone.0256720https://doaj.org/article/6c56e025dfe44bb99430195bb387ac362021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256720https://doaj.org/toc/1932-6203<h4>Background</h4>Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposity and its distribution and back and lower limb pain.<h4>Methods</h4>A systematic search of electronic databases was conducted to identify studies that examined the association between anthropometric and/or direct measures of adiposity and site specific musculoskeletal pain. Risk of bias was assessed and a best evidence synthesis was performed.<h4>Results</h4>A total of 56 studies were identified which examined 4 pain regions, including the lower back (36 studies), hip (two studies), knee (13 studies) and foot (eight studies). 31(55%) studies were assessed as having low to moderate risk of bias. 17(30%) studies were cohort in design. The best evidence synthesis provided evidence of a relationship between central adiposity and low back and knee pain, but not hip or foot pain. There was also evidence of a longitudinal relationship between adiposity and the presence of back, knee and foot pain, as well as incident and increasing foot pain.<h4>Conclusions</h4>This systematic review provides evidence of an association between both body fat and its central distribution and low back and knee pain, and a longitudinal relationship between adiposity and back, knee and foot pain. These results highlight the potential for targeting adiposity in the development of novel treatments at these sites.Waruna L PeirisFlavia M CicuttiniSultana Monira HussainMahnuma M EsteeLorena RomeroTom A RangerJessica L FairleyEmily C McLeanDonna M UrquhartPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256720 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Waruna L Peiris Flavia M Cicuttini Sultana Monira Hussain Mahnuma M Estee Lorena Romero Tom A Ranger Jessica L Fairley Emily C McLean Donna M Urquhart Is adiposity associated with back and lower limb pain? A systematic review.
description	<h4>Background</h4>Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposity and its distribution and back and lower limb pain.<h4>Methods</h4>A systematic search of electronic databases was conducted to identify studies that examined the association between anthropometric and/or direct measures of adiposity and site specific musculoskeletal pain. Risk of bias was assessed and a best evidence synthesis was performed.<h4>Results</h4>A total of 56 studies were identified which examined 4 pain regions, including the lower back (36 studies), hip (two studies), knee (13 studies) and foot (eight studies). 31(55%) studies were assessed as having low to moderate risk of bias. 17(30%) studies were cohort in design. The best evidence synthesis provided evidence of a relationship between central adiposity and low back and knee pain, but not hip or foot pain. There was also evidence of a longitudinal relationship between adiposity and the presence of back, knee and foot pain, as well as incident and increasing foot pain.<h4>Conclusions</h4>This systematic review provides evidence of an association between both body fat and its central distribution and low back and knee pain, and a longitudinal relationship between adiposity and back, knee and foot pain. These results highlight the potential for targeting adiposity in the development of novel treatments at these sites.
format	article
author	Waruna L Peiris Flavia M Cicuttini Sultana Monira Hussain Mahnuma M Estee Lorena Romero Tom A Ranger Jessica L Fairley Emily C McLean Donna M Urquhart
author_facet	Waruna L Peiris Flavia M Cicuttini Sultana Monira Hussain Mahnuma M Estee Lorena Romero Tom A Ranger Jessica L Fairley Emily C McLean Donna M Urquhart
author_sort	Waruna L Peiris
title	Is adiposity associated with back and lower limb pain? A systematic review.
title_short	Is adiposity associated with back and lower limb pain? A systematic review.
title_full	Is adiposity associated with back and lower limb pain? A systematic review.
title_fullStr	Is adiposity associated with back and lower limb pain? A systematic review.
title_full_unstemmed	Is adiposity associated with back and lower limb pain? A systematic review.
title_sort	is adiposity associated with back and lower limb pain? a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6c56e025dfe44bb99430195bb387ac36
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Is adiposity associated with back and lower limb pain? A systematic review.

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