Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjpt.2022.100430 http://hdl.handle.net/11449/240521 |
Resumo: | Background: Young adults with patellofemoral pain (PFP) have a high prevalence of being overweight or obese, which is associated with impaired lower limb function and muscle weakness. However, the impact of being overweight or obese on pain sensitivity has not been explored. Objectives: We investigated the association between body fat, skeletal muscle mass, and body mass index (BMI) with pressure hyperalgesia and self-reported pain in young adults with PFP. Methods: 114 adults with PFP (24 ± 5 years old, 62% women) were recruited. Demographics and self-reported pain (current and worst knee pain intensity in the previous month - 0–100 mm visual analog scale) were recorded. Body fat and skeletal muscle mass were measured using bioelectrical impedance. Pressure hyperalgesia was measured using a handheld algometer (pressure pain threshold) at three sites: center of patella of the painful knee, ipsilateral tibialis anterior, and contralateral upper limb. The association between body fat, skeletal muscle mass, and BMI with pressure hyperalgesia and self-reported pain were investigated using partial correlations and hierarchical regression models (adjusted for sex, bilateral pain, and symptoms duration). Results: Higher body fat and lower skeletal muscle mass were associated with local, spread, and widespread pressure hyperalgesia (ΔR2=0.09 to 0.17, p ≤ 0.001; ΔR2=0.14 to 0.26, p<0.001, respectively), and higher current self-reported pain (ΔR2=0.10, p<0.001; ΔR2=0.06, p = 0.007, respectively). Higher BMI was associated with higher current self-reported pain (ΔR2=0.10, p = 0.001), but not with any measures of pressure hyperalgesia (p>0.05). Conclusion: Higher body fat and lower skeletal muscle mass help to explain local, spread, and widespread pressure hyperalgesia, and self-reported pain in people with PFP. BMI only helps to explain self-reported pain. These factors should be considered when assessing people with PFP and developing their management plan, but caution should be taken as the strength of association was generally low. |
id |
UNSP_c500abdf107890c6803cbbdc5cfbcacc |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/240521 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral painBody compositionPain measurementPatellofemoral pain syndromePressure pain thresholdBackground: Young adults with patellofemoral pain (PFP) have a high prevalence of being overweight or obese, which is associated with impaired lower limb function and muscle weakness. However, the impact of being overweight or obese on pain sensitivity has not been explored. Objectives: We investigated the association between body fat, skeletal muscle mass, and body mass index (BMI) with pressure hyperalgesia and self-reported pain in young adults with PFP. Methods: 114 adults with PFP (24 ± 5 years old, 62% women) were recruited. Demographics and self-reported pain (current and worst knee pain intensity in the previous month - 0–100 mm visual analog scale) were recorded. Body fat and skeletal muscle mass were measured using bioelectrical impedance. Pressure hyperalgesia was measured using a handheld algometer (pressure pain threshold) at three sites: center of patella of the painful knee, ipsilateral tibialis anterior, and contralateral upper limb. The association between body fat, skeletal muscle mass, and BMI with pressure hyperalgesia and self-reported pain were investigated using partial correlations and hierarchical regression models (adjusted for sex, bilateral pain, and symptoms duration). Results: Higher body fat and lower skeletal muscle mass were associated with local, spread, and widespread pressure hyperalgesia (ΔR2=0.09 to 0.17, p ≤ 0.001; ΔR2=0.14 to 0.26, p<0.001, respectively), and higher current self-reported pain (ΔR2=0.10, p<0.001; ΔR2=0.06, p = 0.007, respectively). Higher BMI was associated with higher current self-reported pain (ΔR2=0.10, p = 0.001), but not with any measures of pressure hyperalgesia (p>0.05). Conclusion: Higher body fat and lower skeletal muscle mass help to explain local, spread, and widespread pressure hyperalgesia, and self-reported pain in people with PFP. BMI only helps to explain self-reported pain. These factors should be considered when assessing people with PFP and developing their management plan, but caution should be taken as the strength of association was generally low.Department of Physical Therapy School of Science and Technology Universidade Estadual Paulista (UNESP), SPDepartment of Physical Therapy UniAmérica Descomplica Centro UniversitárioCentre for Sports and Exercise Medicine School of Medicine and Dentistry Queen Mary University of LondonPhysical Therapy Department Cascavel Educational CenterLa Trobe Sport and Exercise Medicine Research Centre School of Allied Health Human Services and Sport La Trobe UniversityDepartment of Physical Therapy School of Science and Technology Universidade Estadual Paulista (UNESP), SPUniversidade Estadual Paulista (UNESP)UniAmérica Descomplica Centro UniversitárioQueen Mary University of LondonCascavel Educational CenterLa Trobe UniversityFerreira, Amanda Schenatto [UNESP]Lack, SimonTaborda, BiancaPazzinatto, Marcella FerrazAzevedo, Fábio Mícolis de [UNESP]Silva, Danilo de Oliveira2023-03-01T20:20:48Z2023-03-01T20:20:48Z2022-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.bjpt.2022.100430Brazilian Journal of Physical Therapy, v. 26, n. 4, 2022.1809-92461413-3555http://hdl.handle.net/11449/24052110.1016/j.bjpt.2022.1004302-s2.0-85134673776Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Physical Therapyinfo:eu-repo/semantics/openAccess2023-03-01T20:20:48Zoai:repositorio.unesp.br:11449/240521Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T22:36:58.838294Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
title |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
spellingShingle |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain Ferreira, Amanda Schenatto [UNESP] Body composition Pain measurement Patellofemoral pain syndrome Pressure pain threshold |
title_short |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
title_full |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
title_fullStr |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
title_full_unstemmed |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
title_sort |
Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain |
author |
Ferreira, Amanda Schenatto [UNESP] |
author_facet |
Ferreira, Amanda Schenatto [UNESP] Lack, Simon Taborda, Bianca Pazzinatto, Marcella Ferraz Azevedo, Fábio Mícolis de [UNESP] Silva, Danilo de Oliveira |
author_role |
author |
author2 |
Lack, Simon Taborda, Bianca Pazzinatto, Marcella Ferraz Azevedo, Fábio Mícolis de [UNESP] Silva, Danilo de Oliveira |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) UniAmérica Descomplica Centro Universitário Queen Mary University of London Cascavel Educational Center La Trobe University |
dc.contributor.author.fl_str_mv |
Ferreira, Amanda Schenatto [UNESP] Lack, Simon Taborda, Bianca Pazzinatto, Marcella Ferraz Azevedo, Fábio Mícolis de [UNESP] Silva, Danilo de Oliveira |
dc.subject.por.fl_str_mv |
Body composition Pain measurement Patellofemoral pain syndrome Pressure pain threshold |
topic |
Body composition Pain measurement Patellofemoral pain syndrome Pressure pain threshold |
description |
Background: Young adults with patellofemoral pain (PFP) have a high prevalence of being overweight or obese, which is associated with impaired lower limb function and muscle weakness. However, the impact of being overweight or obese on pain sensitivity has not been explored. Objectives: We investigated the association between body fat, skeletal muscle mass, and body mass index (BMI) with pressure hyperalgesia and self-reported pain in young adults with PFP. Methods: 114 adults with PFP (24 ± 5 years old, 62% women) were recruited. Demographics and self-reported pain (current and worst knee pain intensity in the previous month - 0–100 mm visual analog scale) were recorded. Body fat and skeletal muscle mass were measured using bioelectrical impedance. Pressure hyperalgesia was measured using a handheld algometer (pressure pain threshold) at three sites: center of patella of the painful knee, ipsilateral tibialis anterior, and contralateral upper limb. The association between body fat, skeletal muscle mass, and BMI with pressure hyperalgesia and self-reported pain were investigated using partial correlations and hierarchical regression models (adjusted for sex, bilateral pain, and symptoms duration). Results: Higher body fat and lower skeletal muscle mass were associated with local, spread, and widespread pressure hyperalgesia (ΔR2=0.09 to 0.17, p ≤ 0.001; ΔR2=0.14 to 0.26, p<0.001, respectively), and higher current self-reported pain (ΔR2=0.10, p<0.001; ΔR2=0.06, p = 0.007, respectively). Higher BMI was associated with higher current self-reported pain (ΔR2=0.10, p = 0.001), but not with any measures of pressure hyperalgesia (p>0.05). Conclusion: Higher body fat and lower skeletal muscle mass help to explain local, spread, and widespread pressure hyperalgesia, and self-reported pain in people with PFP. BMI only helps to explain self-reported pain. These factors should be considered when assessing people with PFP and developing their management plan, but caution should be taken as the strength of association was generally low. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-01 2023-03-01T20:20:48Z 2023-03-01T20:20:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjpt.2022.100430 Brazilian Journal of Physical Therapy, v. 26, n. 4, 2022. 1809-9246 1413-3555 http://hdl.handle.net/11449/240521 10.1016/j.bjpt.2022.100430 2-s2.0-85134673776 |
url |
http://dx.doi.org/10.1016/j.bjpt.2022.100430 http://hdl.handle.net/11449/240521 |
identifier_str_mv |
Brazilian Journal of Physical Therapy, v. 26, n. 4, 2022. 1809-9246 1413-3555 10.1016/j.bjpt.2022.100430 2-s2.0-85134673776 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Physical Therapy |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129443185557504 |