Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain

Detalhes bibliográficos
Autor(a) principal: Ferreira, Amanda Schenatto [UNESP]
Data de Publicação: 2022
Outros Autores: Lack, Simon, Taborda, Bianca, Pazzinatto, Marcella Ferraz, Azevedo, Fábio Mícolis de [UNESP], Silva, Danilo de Oliveira
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