Obesity in children and adolescents with chronic pain: Associations with pain and activity limitations

Anna Wilson, Bethany Samuelson, Tonya M. Palermo

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objectives: Obesity is associated with functional disability in adults with chronic pain, but less is known about obesity among youth with chronic pain. The purpose of this study was to (1) identify the prevalence of overweight and obesity in children and adolescents receiving treatment for chronic pain, and (2) examine associations between Body Mass Index (BMI), pain intensity, and activity limitations in this population. Methods: Data were obtained from records of 118 patients, ages 8 to 18, seen in a multidisciplinary pediatric pain clinic. Information about age, sex, pain problem, duration and severity, medical diagnoses, medications, height, and weight were collected from medical records and intake questionnaires. The CDCs pediatric BMI calculator was used to obtain percentile and category (underweight, healthy weight, overweight, obese). Children and parents completed the Child Activity Limitations Interview-21 (CALI-21), a self-report measure of activity limitations. Results: A significantly higher rate of overweight and obesity was observed among youth with chronic pain compared with a normative sample. BMI percentile was predictive of concurrent limitations in vigorous activities, according to parent report. DISCUSSION: BMI percentile and weight status may contribute to activity limitations among children and adolescents with chronic pain. Weight status is an important factor to consider in the context of treatment of chronic pain and disability in children and adolescents.

Original languageEnglish (US)
Pages (from-to)705-711
Number of pages7
JournalClinical Journal of Pain
Volume26
Issue number8
DOIs
StatePublished - Oct 2010

Fingerprint

Pediatric Obesity
Chronic Pain
Pain
Body Mass Index
Weights and Measures
Obesity
Pediatrics
Pain Clinics
Thinness
Centers for Disease Control and Prevention (U.S.)
Self Report
Medical Records
Parents
Interviews
Therapeutics
Population

Keywords

  • activity
  • Body Mass Index (BMI)
  • chronic pain
  • obesity
  • pediatric

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

Cite this

Obesity in children and adolescents with chronic pain : Associations with pain and activity limitations. / Wilson, Anna; Samuelson, Bethany; Palermo, Tonya M.

In: Clinical Journal of Pain, Vol. 26, No. 8, 10.2010, p. 705-711.

Research output: Contribution to journalArticle

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