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Ryan, CG, Vijayaraman, A, Denny, V, Ogier, A, Ells, L, Wellburn, S, Cooper, L, Martin, DJ and Atkinson, G (2017) The association between baseline persistent pain and weight change in patients attending a specialist weight management service. PLoS One, 12 (6). ISSN 1932-6203
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Abstract
Objective To quantify the influence of baseline pain levels on weight change at one-year follow-up in patients attending a National Health Service specialist weight management programme.
Methods We compared one-year follow-up weight (body mass) change between patient sub-groups of none-to-mild, moderate, and severe pain at baseline. A mean sub-group difference in weight change of 5kg was considered clinically relevant.
Results Of the 141 complete cases, n = 43 (30.5%) reported none-to-mild pain, n = 44 (31.2%) reported moderate pain, and n = 54 (38.3%) reported severe pain. Covariate-adjusted mean weight loss (95%CI) was similar for those with none-to-mild (8.1kg (4.2 to 12.0kg)) and moderate pain (8.3kg (4.9 to 11.7kg). The mean weight loss of 3.0kg (-0.4 to 6.4kg) for the severe pain group was 5.1kg (-0.6 to 10.7, p = 0.08) lower than the none-to-mild pain group and 5.3kg (0.4 to 10.2kg, p = 0.03) lower than the moderate pain group.
Conclusions Patients with severe pain upon entry to a specialist weight management service in England achieve a smaller mean weight loss at one-year follow-up than those with none-to-moderate pain. The magnitude of the difference in mean weight loss was clinically relevant, highlighting the importance of addressing severe persistent pain in obese patients undertaking weight management programmes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Science & Technology; Multidisciplinary Sciences; Science & Technology - Other Topics; LOW-BACK-PAIN; GENERAL-POPULATION; OBESITY; SF-36; OSTEOARTHRITIS; QUESTIONNAIRE; SCALE; LIFE |
| Subjects: | R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport and Exercise Sciences |
| Publisher: | Public Library of Science |
| Related URLs: | |
| Date of acceptance: | 25 May 2017 |
| Date of first compliant Open Access: | 7 April 2022 |
| Date Deposited: | 07 Apr 2022 11:20 |
| Last Modified: | 07 Apr 2022 11:30 |
| DOI or ID number: | 10.1371/journal.pone.0179227 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/16620 |
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