Did You Know?
Australian Researchers have provided evidence that strongly suggests obesity causes chronic pain.
RESEARCH ARTICLE Open Access
Two colliding epidemics – obesity is independently associated with chronic pain
interfering with activities of daily living in adults 18 years and over; a cross-sectional,
Sharon A. Allen1*, Eleonora Dal Grande2, Amy P. Abernethy3,4 and David C. Currow1,3
Background: Chronic pain interfering with activities of daily living is highly prevalent in the community. More than 600 million people worldwide are obese. The aim of this paper is to assess if such chronic pain is associated independently with obesity across the adult population, having controlled for other key factors.Methods: The South Australian Health Omnibus is an annual, population-based, cross-sectional study. Data on 2616 participants were analysed for episodes of daily pain for three of the preceding six months. Obesity was derived from self-reported height and weight. Multivariable logistic regression analysed the associations between chronic pain interfering with activities of daily living, body mass index (BMI) and key socio-demographic factors.
Results: Chronic pain interfering with activities of daily living peaks in people ≥75 years of age while obesity peaks in the 45-54 age group. Pain and obesity together peak in the 55-74 year age group. In the adjusted multinominal logistic regression model, compared to those with no pain, there was a strong association between obesity and pain that interfered moderately or extremely with day-to-day activities (OR 2.25; 95 % CI 1.57-3.23; p < 0.001) having controlled for respondents’ age, gender, rurality, country of birth and highest educational attainment. People over 65 years of age and those with lower educational levels were more likely to experience such chronic pain related to obesity.
Conclusion: This study demonstrates a strong association between chronic pain and obesity/morbid obesity in the South Australian population. Prospective, longitudinal data are needed to understand the dynamic interaction between these two prevalent conditions.
Keywords: Pain, Obesity, Period prevalence, Impaired activities of daily living, Population survey
The World Health Organisation (WHO) report that more than 1.9 billion adults globally were considered
overweight with 600 million people identified as obese in 2014. This has more than doubled as a proportion of the world’s population since 1980 . Adding to the concern of the global burden of obesity is that in 2013, 42 million children under the age of 5 were overweight or obese …
1Southern Adelaide Palliative Services, Repatriation General Hospital, Daw
Park, Adelaide, South Australia
Full list of author information is available at the end of the article
© 2016 The Author(s).
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Allen et al. BMC Public Health (2016) 16:1034
Did you know?
Maintenance of healthy BMI has important environmental benefits. A population with obesity rates between 30% and 40% require 19% more food energy. We burn more fuel energy in making this extra food and in transporting the extra weight of people. The result is up to an additional 1 Giga tonne of Carbon Dioxide released into the atmosphere every year.
Read the following abstract and find the article if you want to know more.
Population adiposity and climate change
Background The increasing global prevalence of overweight and obesity has
serious implications for the environment, as well as for health.
We estimate the impact on greenhouse gas emissions of increases
in the population distribution of body mass index (BMI).
Methods We estimated the food energy required to maintain basal metabolic
rate in two hypothetical adult populations using the Schofield equations
for males and females. Additional greenhouse gas emissions
due to higher fuel energy use for transporting a heavier population
Results Compared with a normal population distribution of BMI, a population
with 40% obese requires 19% more food energy for its total
energy expenditure. Greenhouse gas emissions from food production
and car travel due to increases in adiposity in a population of
1 billion are estimated to be between 0.4 Giga tonnes (GT) and 1.0
GT of carbon dioxide equivalents per year.
Conclusions The maintenance of a healthy BMI has important environmental
benefits in terms of lower greenhouse gas emissions.
Keywords Climate, greenhouse effect, body mass index, obesity, overweight,
Authors: Phil Edwards* and Ian Roberts
International Journal of Epidemiology 2009;1–4