Work-restricting musculoskeletal pain after bariatric surgery or usual obesity care in the Swedish Obese Subjects study

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Pub Date : 2024-08-29 DOI:10.1002/oby.24128
L. Stefan Lohmander, Markku Peltonen, Johanna C. Andersson-Assarsson, Kajsa Sjöholm, Magdalena Taube, Peter Jacobson, Per-Arne Svensson, Lena M. S. Carlsson, Sofie Ahlin
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Abstract

Objective

The objective of this study was to study the recovery from, and incidence of, work-restricting musculoskeletal pain after bariatric surgery compared with usual obesity care.

Methods

Pain in different body regions was monitored using questionnaires in the nonrandomized, prospective, controlled Swedish Obese Subjects (SOS) study, which included 2007 participants treated with bariatric surgery and a matched control group of 2040 participants receiving usual obesity care at primary health care centers. Self-reported pain in the neck and shoulders, back, hips, knees, and ankles was captured from questionnaires administered at baseline and after 1, 2, 3, 4, 6, 8, 10, 15, and 20 years.

Results

Compared with matched controls, bariatric surgery was associated with better recovery from baseline work-restricting knee and ankle pain in both the short (1–4 years) and long term (up to 20 years), as well as from back and hip pain in the short term. In participants without pain at baseline, bariatric surgery was associated with a lower incidence of developing new pain in the knee and ankle in the short and long term.

Conclusions

Bariatric surgery was associated with better recovery from pain, primarily in weight-bearing joints, as well as with prevention of pain development in the knee and ankle compared with matched controls receiving usual obesity care.

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瑞典肥胖受试者研究》中的减肥手术后或常规肥胖护理后的工作限制性肌肉骨骼疼痛。
研究目的本研究的目的是研究减肥手术后限制工作的肌肉骨骼疼痛的恢复情况和发生率,并与常规肥胖护理进行比较:在非随机、前瞻性、对照瑞典肥胖受试者(SOS)研究中,使用调查问卷对不同身体部位的疼痛进行了监测,该研究包括接受减肥手术治疗的 2007 名受试者和在初级保健中心接受常规肥胖护理的 2040 名匹配对照组受试者。研究人员在基线期和 1、2、3、4、6、8、10、15 和 20 年后进行了问卷调查,收集了他们对颈部和肩部、背部、臀部、膝盖和脚踝疼痛的自我报告:与匹配的对照组相比,减肥手术在短期(1-4 年)和长期(长达 20 年)内能更好地恢复基线工作限制性膝关节和踝关节疼痛,在短期内也能更好地恢复背部和髋关节疼痛。在基线无疼痛的参与者中,减肥手术与较低的短期和长期膝关节和踝关节新疼痛发生率相关:结论:与接受常规肥胖治疗的匹配对照组相比,减肥手术能更好地从疼痛中恢复,主要是负重关节的疼痛,并能预防膝关节和踝关节疼痛的发生。
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来源期刊
Obesity
Obesity 医学-内分泌学与代谢
CiteScore
11.70
自引率
1.40%
发文量
261
审稿时长
2-4 weeks
期刊介绍: Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.
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