Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study

Objective To assess the bidirectional association between chronic pain and both subjectively and objectively measured physical activity (PA).Design Cross-sectional study.Setting Population-based sample in Lausanne, Switzerland, May 2014 to April 2017.Participants Non-stratified, representative sampl...

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Main Authors: Pedro Marques-Vidal, Peter Vollenweider, Oriane Aebischer, Marc René Suter
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e057288.full
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author Pedro Marques-Vidal
Peter Vollenweider
Oriane Aebischer
Marc René Suter
author_facet Pedro Marques-Vidal
Peter Vollenweider
Oriane Aebischer
Marc René Suter
author_sort Pedro Marques-Vidal
collection DOAJ
description Objective To assess the bidirectional association between chronic pain and both subjectively and objectively measured physical activity (PA).Design Cross-sectional study.Setting Population-based sample in Lausanne, Switzerland, May 2014 to April 2017.Participants Non-stratified, representative sample of the population of Lausanne (Switzerland) aged 35–75 years. Participants were excluded if they had missing data for the pain or the PA questionnaires, for accelerometry (defined as >20% of non-wear time or duration <7 days) or for covariates.Primary outcomes Primary outcomes were association between chronic pain and previous, subjectively assessed PA (questionnaire), and subsequent, objectively assessed PA (accelerometry). Daily pain, pain duration, number of painful sites and pain intensity were assessed by questionnaire. PA was assessed by questionnaire 2 weeks prior and by accelerometry 2 weeks after completion of the pain questionnaire. PA was further categorised as sedentary (SED), light and moderate-to-vigorous PA.Results 2598 participants (52.9% women, mean age 60.5 years) had subjectively assessed PA. Multivariable analysis showed time spent in SED to be negatively associated with the number of painful sites: adjusted mean±SE 528±5, 522±7 and 502±7 min/day for 0, 1–2 and 3+ painful sites, respectively, p for trend <0.005. No other association was found between chronic pain and subjectively assessed PA categories. 2205 participants (52.8% women, mean age 61.7 years) had accelerometry-derived PA. No significant association between chronic pain and subsequent objectively assessed PA was found after multivariable analyses.Conclusion In this Swiss population-based cohort, no consistent association was found between chronic pain and PA. Hence, in the general population, chronic pain does not significantly impact time spent in PA.
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spelling doaj-art-4d6869eea23c48caae5083acb9e0989e2025-01-30T18:10:14ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-057288Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional studyPedro Marques-Vidal0Peter Vollenweider1Oriane Aebischer2Marc René Suter3Medicine, Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandInternal Medicine, CHUV, Lausanne, SwitzerlandDepartment of Internal Medicine, Ensemble Hospitalier de la Côte, Morges, SwitzerlandDepartment of Anaesthesiology, CHUV and University of Lausanne, Lausanne, SwitzerlandObjective To assess the bidirectional association between chronic pain and both subjectively and objectively measured physical activity (PA).Design Cross-sectional study.Setting Population-based sample in Lausanne, Switzerland, May 2014 to April 2017.Participants Non-stratified, representative sample of the population of Lausanne (Switzerland) aged 35–75 years. Participants were excluded if they had missing data for the pain or the PA questionnaires, for accelerometry (defined as >20% of non-wear time or duration <7 days) or for covariates.Primary outcomes Primary outcomes were association between chronic pain and previous, subjectively assessed PA (questionnaire), and subsequent, objectively assessed PA (accelerometry). Daily pain, pain duration, number of painful sites and pain intensity were assessed by questionnaire. PA was assessed by questionnaire 2 weeks prior and by accelerometry 2 weeks after completion of the pain questionnaire. PA was further categorised as sedentary (SED), light and moderate-to-vigorous PA.Results 2598 participants (52.9% women, mean age 60.5 years) had subjectively assessed PA. Multivariable analysis showed time spent in SED to be negatively associated with the number of painful sites: adjusted mean±SE 528±5, 522±7 and 502±7 min/day for 0, 1–2 and 3+ painful sites, respectively, p for trend <0.005. No other association was found between chronic pain and subjectively assessed PA categories. 2205 participants (52.8% women, mean age 61.7 years) had accelerometry-derived PA. No significant association between chronic pain and subsequent objectively assessed PA was found after multivariable analyses.Conclusion In this Swiss population-based cohort, no consistent association was found between chronic pain and PA. Hence, in the general population, chronic pain does not significantly impact time spent in PA.https://bmjopen.bmj.com/content/12/7/e057288.full
spellingShingle Pedro Marques-Vidal
Peter Vollenweider
Oriane Aebischer
Marc René Suter
Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
BMJ Open
title Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
title_full Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
title_fullStr Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
title_full_unstemmed Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
title_short Association between chronic pain and physical activity in a Swiss population-based cohort: a cross-sectional study
title_sort association between chronic pain and physical activity in a swiss population based cohort a cross sectional study
url https://bmjopen.bmj.com/content/12/7/e057288.full
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AT marcrenesuter associationbetweenchronicpainandphysicalactivityinaswisspopulationbasedcohortacrosssectionalstudy