Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study

Introduction Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and...

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Main Authors: Charlotte Sylwander, Emma Haglund, Ingrid Larsson, Maria L. E. Andersson
Format: Article
Language:English
Published: Taylor & Francis Group 2025-01-01
Series:Scandinavian Journal of Primary Health Care
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Online Access:https://www.tandfonline.com/doi/10.1080/02813432.2025.2452916
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author Charlotte Sylwander
Emma Haglund
Ingrid Larsson
Maria L. E. Andersson
author_facet Charlotte Sylwander
Emma Haglund
Ingrid Larsson
Maria L. E. Andersson
author_sort Charlotte Sylwander
collection DOAJ
description Introduction Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and lifestyle habits with chronic pain at a two-year follow-up in individuals with knee pain.Methods A two-year longitudinal cohort study including 251 individuals aged 30–60 years reporting knee pain at baseline. HRQoL was measured via the Short-Form General Health Survey (SF-36), and lifestyle habits included questions on overweight, physical activity, diet, alcohol and tobacco use. Pain was assessed with a pain mannequin. Differences in health status and lifestyle habits over time in groups with unchanged no chronic pain (NCP), transitioned to less and more pain, and unchanged CWP were analysed using Wilcoxon’s, McNemar’s and Friedman’s tests. Multinominal regression analysis was performed to study associations with reporting chronic pain at follow-up.Results Reporting better HRQoL across various SF-36 concepts and normal weight at baseline was associated with reporting NCP after two years. A few changes were made regarding HRQoL and lifestyle habits over the course of two years, but an increase in general health was associated with transitioning to less pain.Conclusions During primary care visits for knee pain with a combination of overweight or lower HRQoL, individuals should receive comprehensive attention to prevent the development of CWP. Future studies should investigate the associations further.
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spelling doaj-art-acb41124c20249d980bf21ad2eccb1422025-01-25T09:30:47ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242025-01-0111210.1080/02813432.2025.2452916Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up studyCharlotte Sylwander0Emma Haglund1Ingrid Larsson2Maria L. E. Andersson3School of Health and Welfare, Halmstad University, Halmstad, SwedenSpenshult Research and Development Centre, Halmstad, SwedenSchool of Health and Welfare, Halmstad University, Halmstad, SwedenSpenshult Research and Development Centre, Halmstad, SwedenIntroduction Knee pain increases the risk of developing chronic widespread pain (CWP) and knee osteoarthritis (KOA). The prevalence of CWP and KOA has increased, and there is a need for early prevention. Therefore, the aim was to examine the associations of health-related quality of life (HRQoL) and lifestyle habits with chronic pain at a two-year follow-up in individuals with knee pain.Methods A two-year longitudinal cohort study including 251 individuals aged 30–60 years reporting knee pain at baseline. HRQoL was measured via the Short-Form General Health Survey (SF-36), and lifestyle habits included questions on overweight, physical activity, diet, alcohol and tobacco use. Pain was assessed with a pain mannequin. Differences in health status and lifestyle habits over time in groups with unchanged no chronic pain (NCP), transitioned to less and more pain, and unchanged CWP were analysed using Wilcoxon’s, McNemar’s and Friedman’s tests. Multinominal regression analysis was performed to study associations with reporting chronic pain at follow-up.Results Reporting better HRQoL across various SF-36 concepts and normal weight at baseline was associated with reporting NCP after two years. A few changes were made regarding HRQoL and lifestyle habits over the course of two years, but an increase in general health was associated with transitioning to less pain.Conclusions During primary care visits for knee pain with a combination of overweight or lower HRQoL, individuals should receive comprehensive attention to prevent the development of CWP. Future studies should investigate the associations further.https://www.tandfonline.com/doi/10.1080/02813432.2025.2452916Knee painchronic painhealth-related quality of lifelifestyle habitsoverweightprevention
spellingShingle Charlotte Sylwander
Emma Haglund
Ingrid Larsson
Maria L. E. Andersson
Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
Scandinavian Journal of Primary Health Care
Knee pain
chronic pain
health-related quality of life
lifestyle habits
overweight
prevention
title Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
title_full Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
title_fullStr Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
title_full_unstemmed Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
title_short Health-related quality of life, lifestyle habits and chronic pain in individuals with knee pain – a 2-year follow-up study
title_sort health related quality of life lifestyle habits and chronic pain in individuals with knee pain a 2 year follow up study
topic Knee pain
chronic pain
health-related quality of life
lifestyle habits
overweight
prevention
url https://www.tandfonline.com/doi/10.1080/02813432.2025.2452916
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