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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BMJ Publishing Group
2022-07-01
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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. |
format | Article |
id | doaj-art-4d6869eea23c48caae5083acb9e0989e |
institution | Kabale University |
issn | 2044-6055 |
language | English |
publishDate | 2022-07-01 |
publisher | BMJ Publishing Group |
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series | BMJ Open |
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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