Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)

Background: The association between overweight and chronic musculoskeletal pain may vary by anatomical site and be modified by hypertension status. This study examined the associations between overweight and low back and knee pains and their effect modification by hypertension status. Methods: We co...

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Autores principales:	Hironobu Kakihana, Hiroshige Jinnouchi, Akihiko Kitamura, Ko Matsudaira, Masahiko Kiyama, Mina Hayama-Terada, Isao Muraki, Yasuhiko Kubota, Kazumasa Yamagishi, Takeo Okada, Hironori Imano, Hiroyasu Iso
Formato:	article
Lenguaje:	EN
Publicado:	Japan Epidemiological Association 2021
Materias:	back pain knee pain overweight hypertension cross-sectional study Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f1f46644ab634ca4aafb051d917a8a12
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spelling	oai:doaj.org-article:f1f46644ab634ca4aafb051d917a8a122021-11-05T08:43:52ZOverweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)0917-50401349-909210.2188/jea.JE20200135https://doaj.org/article/f1f46644ab634ca4aafb051d917a8a122021-11-01T00:00:00Zhttps://www.jstage.jst.go.jp/article/jea/31/11/31_JE20200135/_pdfhttps://doaj.org/toc/0917-5040https://doaj.org/toc/1349-9092Background: The association between overweight and chronic musculoskeletal pain may vary by anatomical site and be modified by hypertension status. This study examined the associations between overweight and low back and knee pains and their effect modification by hypertension status. Methods: We conducted a community-based cross-sectional study involving 2,845 adults (1,080 men and 1,765 women) aged 40–89 years. Chronic knee pain (CKP) and low back pain (CLBP) lasting more than 3 months were categorized into more or less severe pain. Odds ratios (ORs) and 95% confidence intervals (CIs) of the association between overweight and more or less severe CKP and CLBP were determined using logistic regression and stratified by hypertension status. Adjustment variables were age, sex, area, hypertension, smoking and drinking status, inactivity, job category, mental stress, depression, and overall CKP or CLBP. Results: Overall, 288 (10.1%) and 631 (22.2%) adults had more and less severe CKP, respectively, and 284 (10.0%) and 830 (29.2%) had more and less severe CLBP, respectively. Overweight was associated with overall CKP and more or less severe CKP, regardless of hypertension status. Overweight was not associated with overall CLBP; its association was more pronounced for more severe CLBP. The association between overweight and more severe CLBP was evident among non-hypertensives (multivariable OR 1.72; 95% CI, 1.09–2.71); however, that between overweight and less severe CLBP was not evident (multivariable OR 1.07; 95% CI, 0.73–1.56). Conclusions: As hypertension may attenuate the association between overweight and CLBP, we should consider hypertension status for proper management of CLBP among overweight individuals.Hironobu KakihanaHiroshige JinnouchiAkihiko KitamuraKo MatsudairaMasahiko KiyamaMina Hayama-TeradaIsao MurakiYasuhiko KubotaKazumasa YamagishiTakeo OkadaHironori ImanoHiroyasu IsoJapan Epidemiological Associationarticleback painknee painoverweighthypertensioncross-sectional studyMedicine (General)R5-920ENJournal of Epidemiology, Vol 31, Iss 11, Pp 566-572 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	back pain knee pain overweight hypertension cross-sectional study Medicine (General) R5-920
spellingShingle	back pain knee pain overweight hypertension cross-sectional study Medicine (General) R5-920 Hironobu Kakihana Hiroshige Jinnouchi Akihiko Kitamura Ko Matsudaira Masahiko Kiyama Mina Hayama-Terada Isao Muraki Yasuhiko Kubota Kazumasa Yamagishi Takeo Okada Hironori Imano Hiroyasu Iso Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
description	Background: The association between overweight and chronic musculoskeletal pain may vary by anatomical site and be modified by hypertension status. This study examined the associations between overweight and low back and knee pains and their effect modification by hypertension status. Methods: We conducted a community-based cross-sectional study involving 2,845 adults (1,080 men and 1,765 women) aged 40–89 years. Chronic knee pain (CKP) and low back pain (CLBP) lasting more than 3 months were categorized into more or less severe pain. Odds ratios (ORs) and 95% confidence intervals (CIs) of the association between overweight and more or less severe CKP and CLBP were determined using logistic regression and stratified by hypertension status. Adjustment variables were age, sex, area, hypertension, smoking and drinking status, inactivity, job category, mental stress, depression, and overall CKP or CLBP. Results: Overall, 288 (10.1%) and 631 (22.2%) adults had more and less severe CKP, respectively, and 284 (10.0%) and 830 (29.2%) had more and less severe CLBP, respectively. Overweight was associated with overall CKP and more or less severe CKP, regardless of hypertension status. Overweight was not associated with overall CLBP; its association was more pronounced for more severe CLBP. The association between overweight and more severe CLBP was evident among non-hypertensives (multivariable OR 1.72; 95% CI, 1.09–2.71); however, that between overweight and less severe CLBP was not evident (multivariable OR 1.07; 95% CI, 0.73–1.56). Conclusions: As hypertension may attenuate the association between overweight and CLBP, we should consider hypertension status for proper management of CLBP among overweight individuals.
format	article
author	Hironobu Kakihana Hiroshige Jinnouchi Akihiko Kitamura Ko Matsudaira Masahiko Kiyama Mina Hayama-Terada Isao Muraki Yasuhiko Kubota Kazumasa Yamagishi Takeo Okada Hironori Imano Hiroyasu Iso
author_facet	Hironobu Kakihana Hiroshige Jinnouchi Akihiko Kitamura Ko Matsudaira Masahiko Kiyama Mina Hayama-Terada Isao Muraki Yasuhiko Kubota Kazumasa Yamagishi Takeo Okada Hironori Imano Hiroyasu Iso
author_sort	Hironobu Kakihana
title	Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
title_short	Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
title_full	Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
title_fullStr	Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
title_full_unstemmed	Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)
title_sort	overweight and hypertension in relation to chronic musculoskeletal pain among community-dwelling adults: the circulatory risk in communities study (circs)
publisher	Japan Epidemiological Association
publishDate	2021
url	https://doaj.org/article/f1f46644ab634ca4aafb051d917a8a12
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Overweight and Hypertension in Relation to Chronic Musculoskeletal Pain Among Community-Dwelling Adults: The Circulatory Risk in Communities Study (CIRCS)

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