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Effects of Obesity on Function and Quality of Life in Chronic Pain Conditions

  • CHRONIC PAIN (R STAUD, SECTION EDITOR)
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Abstract

Many people throughout the world have both chronic pain and obesity. Overweight and obese people are more prone to a proinflammatory state manifesting as metabolic syndrome but also to a higher prevalence of chronic pain comorbidities. Obesity and a high body mass index (BMI) are associated with impaired functional capacity and reduced quality of life (QoL) in patients with chronic pain conditions. Systemic inflammation is not only involved in metabolic syndrome but it also initiates and perpetuates chronic pain. Changes in lifestyle, behavior, physical activity, and diet have demonstrated benefits in functional capacity and QoL; therefore, patient assessment should tackle high BMI and metabolic syndrome as part of the treatment of chronic pain. A healthier lifestyle would lead to a lower inflammatory state and consequently to an improvement in function and QoL in overweight or obese patients who have chronic pain conditions.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Johannes CB, Le TK, Zhou X, et al. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain. 2010;11(11):1230–9.

    Article  PubMed  Google Scholar 

  2. Scoping Document for WHO Treatment Guideline on Non-malignant Pain in Adults. Adopted in WHO Steering Group on Pain Guidelines, 14 October 2008.

  3. •• Seaman DR. Body mass index and musculoskeletal pain: is there a connection? Chiropr Man Therap. 2013;21(1):15. This is an article about a relevant issue and provides an excellent explanation of the relationships among BMI, metabolic syndrome, chronic systemic inflammation, and pain.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Wright LJ, Schur E, Noonan C, et al. Chronic pain, overweight, and obesity: findings from a community-based twin registry. J Pain. 2010;11(7):628–35.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Gandhi R, Razak F, Davey IR, et al. Metabolic syndrome and the functional outcomes of hip and knee arthroplasty. J Rheumatol. 2010;37(9):1917–22.

    Article  PubMed  Google Scholar 

  6. Bultink IE, Vis M, van der Horst-Bruinsma IE, et al. Inflammatory rheumatic disorders and bone. Curr Rheumatol Rep. 2012;14(3):224–30.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Piechota G, Małkiewicz J, Karwat ID. Obesity as a cause and result of disability. Przegl Epidemiol. 2005;59(1):155–61.

    PubMed  Google Scholar 

  8. • D’Arcy Y. Managing pain in obese patients. Nurse Pract. 2011;36(12):28–32. This article offers a good view of how obesity affects people with different chronic pain conditions and provides management options.

    Article  PubMed  Google Scholar 

  9. World Health Organization. Global Health Risks: Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.

    Google Scholar 

  10. Yancy Jr WS, Olsen MK, Westman EC, et al. Relationship between obesity and health-related quality of life in men. Obes Res. 2002;10(10):1057–64.

    Article  PubMed  Google Scholar 

  11. Dixon JB. The effect of obesity on health outcomes. Mol Cell Endocrinol. 2010;316(2):104–8.

    Article  CAS  PubMed  Google Scholar 

  12. • Sirtori A, Brunani A, Villa V, et al. Obesity is a marker of reduction in QoL and disability. ScientificWorldJournal. 2012;2012:167520. This is a good evaluation of a main issue for this paper, which is that obesity in itself reduces QoL and functional capacity.

  13. Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev. 2001;2(3):173–82.

    Article  CAS  PubMed  Google Scholar 

  14. Castres I, Folope V, Dechelotte P, et al. Quality of life and obesity class relationships. Int J Sports Med. 2010;31(11):773–8.

    Article  CAS  PubMed  Google Scholar 

  15. Sendi P, Brunotte R, Potoczna N, et al. Health-related quality of life in patients with class II and class III obesity. Obes Surg. 2005;15(7):1070–6.

    Article  PubMed  Google Scholar 

  16. Oliva-Moreno J, Gil-Lacruz A. Body weight and health-related quality of life in Catalonia. Spain Eur J Health Econ. 2013;14(1):95–105.

    Article  Google Scholar 

  17. Wang J, Sereika SM, Styn MA, et al. Factors associated with health-related quality of life among overweight or obese adults. J Clin Nurs. 2013;22(15–16):2172–82.

    Article  PubMed  Google Scholar 

  18. Chaput JP, Klingenberg L, Sjödin A. Do all sedentary activities lead to weight gain?: sleep does not. Curr Opin Clin Nutr Metab Care. 2010;13(6):601–7.

    Article  PubMed  Google Scholar 

  19. Greer SM, Goldstein AN, Walker MP. The impact of sleep deprivation on food desire in the human brain. Nat Commun. 2013;4:2259.

    Article  PubMed  Google Scholar 

  20. Touma C, Pannain S. Does lack of sleep cause diabetes? Cleve Clin J Med. 2011;78(8):549–58.

    Article  PubMed  Google Scholar 

  21. Bollinger T, Bollinger A, Oster H, et al. Sleep, immunity, and circadian clocks: a mechanistic model. Gerontology. 2010;56(6):574–80.

    Article  PubMed  Google Scholar 

  22. Grandner MA, Sands-Lincoln MR, Pak VM, et al. Sleep duration, cardiovascular disease, and proinflammatory biomarkers. Nat Sci Sleep. 2013;5:93–107.

    Article  PubMed  Google Scholar 

  23. Krystal AD. Psychiatric disorders and sleep. Neurol Clin. 2012;30(4):1389–413.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Caldwell J, Hart-Johnson T, Green CR. Body mass index and quality of life: examining blacks and whites with chronic pain. J Pain. 2009;10(1):60–7.

    Article  PubMed  Google Scholar 

  25. Marcus DA. Obesity and the impact of chronic pain. Clin J Pain. 2004;20(3):186–91.

    Article  PubMed  Google Scholar 

  26. Heo M, Allison DB, Faith MS, et al. Obesity and quality of life: mediating effects of pain and comorbidities. Obes Res. 2003;11(2):209–16.

    Article  PubMed  Google Scholar 

  27. • Tanamas SK, Wluka AE, Berry P, et al. Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass. Arthritis Care Res (Hoboken). 2012;64(2):262–8. This article is relevant for its analysis of the relationship between obesity and body composition as well as a chronic pain condition.

    Article  PubMed  Google Scholar 

  28. Janke EA, Collins A, Kozak AT. Overview of the relationship between pain and obesity: What do we know? Where do we go next? J Rehabil Res Dev. 2007;44(2):245–62.

    Article  PubMed  Google Scholar 

  29. Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med. 2001;161(1):102–6.

    Article  CAS  PubMed  Google Scholar 

  30. Vorona RD, Winn MP, Babineau TW, et al. Overweight and obese patients in a primary care population report less sleep than patients with a normal body mass index. Arch Intern Med. 2005;165(1):25–30.

    Article  PubMed  Google Scholar 

  31. •• Janke EA, Kozak AT. “The more pain I have, the more I want to eat”: obesity in the context of chronic pain. Obesity (Silver Spring). 2012;20(10):2027–34. This article explains the importance of managing behavior, because it might promote the coexistence of chronic pain and obesity, and highlights the relevance of behavioral management.

    Article  Google Scholar 

  32. Somers TJ, Keefe FJ, Carson JW, et al. Pain catastrophizing in borderline morbidly obese and morbidly obese individuals with osteoarthritic knee pain. Pain Res Manage. 2008;13(5):401–6.

    CAS  Google Scholar 

  33. Lebovits A, Hainline B, Stone LS, et al. Struck from behind: maintaining quality of life with chronic low back pain. J Pain. 2009;10(9):927–31.

    Article  PubMed  Google Scholar 

  34. Hainsworth KR, Davies WH, Khan KA, et al. Co-occurring chronic pain and obesity in children and adolescents: the impact on health-related quality of life. Clin J Pain. 2009;25(8):715–21.

    Article  PubMed  Google Scholar 

  35. Chakrabarty S, Zoorob R. Fibromyalgia. Am Fam Physician. 2007;76(2):247–54.

    PubMed  Google Scholar 

  36. Carville SF, Arendt-Nielsen S, Bliddal H, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67:536–41.

    Article  CAS  PubMed  Google Scholar 

  37. Yunus MB, Arslan S, Aldag JC. Relationship between body mass index and fibromyalgia features. Scand J Rheumatol. 2002;31(1):27–31.

    Article  PubMed  Google Scholar 

  38. Bennett RM, Jones J, Turk DC, et al. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord. 2007;8:27.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Aparicio VA, Ortega FB, Heredia JM, et al. Analysis of the body composition of Spanish women with fibromyalgia [in Spanish]. Reumatol Clin. 2011;7(1):7–12.

    Article  PubMed  Google Scholar 

  40. Arranz LI, Canela MA, Rafecas M. Fibromyalgia and nutrition, what do we know? Rheumatol Int. 2010;30(11):1417–27.

    Article  PubMed  Google Scholar 

  41. Okifuji A, Donaldson GW, Barck L, et al. Relationship between fibromyalgia and obesity in pain, function, mood, and sleep. J Pain. 2010;11(12):1329–37.

    Article  PubMed Central  PubMed  Google Scholar 

  42. Arranz L, Canela MA, Rafecas M. Relationship between body mass index, fat mass and lean mass with SF-36 quality of life scores in a group of fibromyalgia patients. Rheumatol Int. 2012;32(11):3605–11.

    Article  PubMed  Google Scholar 

  43. Neumann L, Lerner E, Glazer Y, et al. A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients. Clin Rheumatol. 2008;27(12):1543–7.

    Article  PubMed  Google Scholar 

  44. Aparicio VA, Ortega FB, Carbonell-Baeza A, et al. Relationship of weight status with mental and physical health in female fibromyalgia patients. Obes Facts. 2011;4(6):443–8.

    Article  PubMed  Google Scholar 

  45. Kim CH, Luedtke CA, Vincent A, et al. Association of body mass index with symptom severity and quality of life in patients with fibromyalgia. Arthritis Care Res (Hoboken). 2012;64(2):222–8.

    Article  PubMed  Google Scholar 

  46. Shapiro JR, Anderson DA, Danoff-Burg S. A pilot study of the effects of behavioral weight loss treatment on fibromyalgia symptoms. J Psychosom Res. 2005;59(5):275–82.

    Article  PubMed  Google Scholar 

  47. Senna MK, Sallam RA, Ashour HS, et al. Effect of weight reduction on the quality of life in obese patients with fibromyalgia syndrome: a randomized controlled trial. Clin Rheumatol. 2012;31(11):1591–7.

    Article  PubMed  Google Scholar 

  48. Fontaine KR, Conn L, Clauw DJ. Effects of lifestyle physical activity in adults with fibromyalgia: results at follow-up. J Clin Rheumatol. 2011;17(2):64–8.

    Article  PubMed Central  PubMed  Google Scholar 

  49. Sañudo B, Carrasco L, de Hoyo M, et al. Effects of exercise training and detraining in patients with fibromyalgia syndrome: a 3-yr longitudinal study. Am J Phys Med Rehabil. 2012;91(7):561–9. quiz 570–3.

    Article  PubMed  Google Scholar 

  50. Nijs J, Roussel N, Van Oosterwijck J, et al. Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. Clin Rheumatol. 2013;32(8):1121–9.

    Article  PubMed  Google Scholar 

  51. Anandacoomarasamy A, Caterson I, Sambrook P, et al. The impact of obesity on the musculoskeletal system. Int J Obes (Lond). 2008;32(2):211–22.

    Article  CAS  Google Scholar 

  52. Anandacoomarasamy A, Fransen M, March L. Obesity and the musculoskeletal system. Curr Opin Rheumatol. 2009;21(1):71–7.

    Article  PubMed  Google Scholar 

  53. Karvonen-Gutierrez CA, Harlow SD, Mancuso P, et al. Association of leptin levels with radiographic knee osteoarthritis among a cohort of midlife women. Arthritis Care Res (Hoboken). 2013;65(6):936–44.

    Article  CAS  PubMed  Google Scholar 

  54. Creamer P, Lethbridge-Cejku M, Hochberg MC. Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology (Oxford). 2000;39(5):490–6.

    Article  CAS  Google Scholar 

  55. Tukker A, Visscher TL, Picavet HS. Overweight and health problems of the lower extremities: osteoarthritis, pain and disability. Public Health Nutr. 2009;12(3):359–68.

    CAS  PubMed  Google Scholar 

  56. Marks R. Obesity profiles with knee osteoarthritis: correlation with pain, disability, disease progression. Obesity (Silver Spring). 2007;15(7):1867–74.

    Article  Google Scholar 

  57. Elbaz A, Debbi EM, Segal G, et al. Sex and body mass index correlate with Western Ontario and McMaster Universities Osteoarthritis Index and quality of life scores in knee osteoarthritis. Arch Phys Med Rehabil. 2011;92(10):1618–23.

    Article  PubMed  Google Scholar 

  58. van Gool CH, Penninx BW, Kempen GI, et al. Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Rheum. 2005;53(1):24–32.

    Article  PubMed  Google Scholar 

  59. Miller GD, Rejeski WJ, Williamson JD, et al. ADAPT Investigators. The Arthritis, Diet and Activity Promotion Trial (ADAPT): design, rationale, and baseline results. Control Clin Trials. 2003;24(4):462–80.

    Article  PubMed  Google Scholar 

  60. Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004;50(5):1501–10.

    Article  PubMed  Google Scholar 

  61. Vincent HK, Lamb KM, Day TI, et al. Morbid obesity is associated with fear of movement and lower quality of life in patients with knee pain-related diagnoses. PM R. 2010;2(8):713–22.

    Article  PubMed  Google Scholar 

  62. Christensen R, Astrup A, Bliddal H. Weight loss: the treatment of choice for knee osteoarthritis? A randomized trial. Osteoarthritis Cartilage. 2005;13(1):20–7.

    Article  CAS  PubMed  Google Scholar 

  63. Christensen R, Bartels EM, Astrup A, et al. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis. Ann Rheum Dis. 2007;66(4):433–9.

    Article  PubMed  Google Scholar 

  64. Riecke BF, Christensen R, Christensen P, et al. Comparing two low-energy diets for the treatment of knee osteoarthritis symptoms in obese patients: a pragmatic randomized clinical trial. Osteoarthritis Cartilage. 2010;18(6):746–54.

    Article  CAS  PubMed  Google Scholar 

  65. Richette P, Poitou C, Garnero P, et al. Benefits of massive weight loss on symptoms, systemic inflammation and cartilage turnover in obese patients with knee osteoarthritis. Ann Rheum Dis. 2011;70(1):139–44.

    Article  CAS  PubMed  Google Scholar 

  66. •• Vincent HK, Heywood K, Connelly J, et al. Weight loss and obesity in the treatment and prevention of osteoarthritis. PM R. 2012;4(5):S59–67. This is a good review of the relevance of weight loss by different strategies for obese patients with osteoarthritis; it highlights the importance of body fat reduction to achieve a reduction in mechanical and biochemical stress.

    Article  PubMed Central  PubMed  Google Scholar 

  67. Pells JJ, Shelby RA, Keefe FJ, et al. Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain. Pain. 2008;136(3):340–7.

    Article  PubMed Central  PubMed  Google Scholar 

  68. Possley D, Budiman-Mak E, O’Connell S, et al. Relationship between depression and functional measures in overweight and obese persons with osteoarthritis of the knee. J Rehabil Res Dev. 2009;46(9):1091–8.

    Article  PubMed  Google Scholar 

  69. • Ackerman IN, Osborne RH. Obesity and increased burden of hip and knee joint disease in Australia: results from a national survey. BMC Musculoskelet Disord. 2012;13:254. This article discusses the accurate evaluation of the effect of obesity in people with a chronic pain condition on pain and QoL, and provides relevant examples.

    Article  PubMed Central  PubMed  Google Scholar 

  70. Paans N, van den Akker-Scheek I, van der Meer K, et al. The effects of exercise and weight loss in overweight patients with hip osteoarthritis: design of a prospective cohort study. BMC Musculoskelet Disord. 2009;10:24.

    Article  PubMed Central  PubMed  Google Scholar 

  71. Stevens M, Paans N, Wagenmakers R, et al. The influence of overweight/obesity on patient-perceived physical functioning and health-related quality of life after primary total hip arthroplasty. Obes Surg. 2012;22(4):523–9.

    Article  PubMed Central  PubMed  Google Scholar 

  72. Vincent HK, Horodyski M, Gearen P, et al. Obesity and long term functional outcomes following elective total hip replacement. J Orthop Surg Res. 2012;7:16.

    Article  PubMed Central  PubMed  Google Scholar 

  73. Symmons DP. Epidemiology of rheumatoid arthritis: determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol. 2002;16(5):707–22.

    Article  PubMed  Google Scholar 

  74. García-Poma A, Segami MI, Mora CS, et al. Obesity is independently associated with impaired quality of life in patients with rheumatoid arthritis. Clin Rheumatol. 2007;26(11):1831–5.

    Article  PubMed  Google Scholar 

  75. Stavropoulos-Kalinoglou A, Metsios GS, Panoulas VF, et al. Underweight and obese states both associate with worse disease activity and physical function in patients with established rheumatoid arthritis. Clin Rheumatol. 2009;28(4):439–44.

    Article  PubMed  Google Scholar 

  76. •• Stavropoulos-Kalinoglou A, Metsios GS, Koutedakis Y, et al. Obesity in rheumatoid arthritis. Rheumatology (Oxford). 2011;50(3):450–62. This relevant review discusses the specific relationship between obesity and body composition with RA, as well as an existing controversy.

    Article  Google Scholar 

  77. Humphreys JH, Verstappen SM, Mirjafari H, et al. Association of morbid obesity with disability in early inflammatory polyarthritis: results from the Norfolk Arthritis Register. Arthritis Care Res (Hoboken). 2013;65(1):122–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  78. Westhoff G, Rau R, Znk A. Radiographic joint damage in early rheumatoid arthritis is highly dependent on body mass index. Arthritis Rheum. 2007;56(11):3575–82.

    Article  CAS  PubMed  Google Scholar 

  79. • Wolfe F, Michaud K. Effect of body mass index on mortality and clinical status in rheumatoid arthritis. Arthritis Care Res (Hoboken). 2012;64(10):1471–9. A good article analyzing the relationship of obesity in RA patients with mortality, raising an existing controversy.

    Article  PubMed  Google Scholar 

  80. Gómez-Vaquero C, Nolla JM, Fiter J, et al. Nutritional status in patients with rheumatoid arthritis. Joint Bone Spine. 2001;68(5):403–9.

    Article  PubMed  Google Scholar 

  81. Giles JT, Ling SM, Ferrucci L, et al. Abnormal body composition phenotypes in older rheumatoid arthritis patients: association with disease characteristics and pharmacotherapies. Arthritis Rheum. 2008;59(6):807–15.

    Article  PubMed Central  PubMed  Google Scholar 

  82. Ibn Yacoub Y, Amine B, Laatiris A, et al. Prevalence of overweight in Moroccan patients with rheumatoid arthritis and its relationships with disease features. Clin Rheumatol. 2012;31(3):479–82.

    Article  PubMed  Google Scholar 

  83. Ide MR, Gonzalez-Gay MA, Yano KC, et al. Functional capacity in rheumatoid arthritis patients: comparison between Spanish and Brazilian sample. Rheumatol Int. 2011;31(2):221–6.

    Article  PubMed  Google Scholar 

  84. Dao HH, Do QT, Sakamoto J. Increased frequency of metabolic syndrome among Vietnamese women with early rheumatoid arthritis: a cross-sectional study. Arthritis Res Ther. 2010;12(6):R218.

    Article  PubMed Central  PubMed  Google Scholar 

  85. Shiri R, Karppinen J, Leino-Arjas P, et al. The association between obesity and low back pain: a meta-analysis. Am J Epidemiol. 2010;171(2):135–54.

    Article  PubMed  Google Scholar 

  86. Heuch I, Hagen K, Heuch I, et al. The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine (Phila Pa 1976). 2010;35(7):764–8.

    Google Scholar 

  87. • Heuch I, Heuch I, Hagen K, et al. Body mass index as a risk factor for developing chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. Spine (Phila Pa 1976). 2013;38(2):133–9. This consistent prospective cohort study of a relevant issue had a large sample.

    Article  Google Scholar 

  88. Vincent HK, Seay AN, Montero C, et al. Functional pain severity and mobility in overweight older men and women with chronic low-back pain—part I. Am J Phys Med Rehabil. 2013;92(5):430–8.

    Article  PubMed  Google Scholar 

  89. Fanuele JC, Abdu WA, Hanscom B, et al. Association between obesity and functional status in patients with spine disease. Spine (Phila Pa 1976). 2002;27(3):306–12.

    Article  Google Scholar 

  90. Melissas J, Volakakis E, Hadjipavlou A. Low-back pain in morbidly obese patients and the effect of weight loss following surgery. Obes Surg. 2003;13(3):389–93.

    Article  PubMed  Google Scholar 

  91. Melissas J, Kontakis G, Volakakis E, et al. The effect of surgical weight reduction on functional status in morbidly obese patients with low back pain. Obes Surg. 2005;15(3):378–81.

    Article  PubMed  Google Scholar 

  92. Lidar Z, Behrbalk E, Regev GJ, et al. Intervertebral disc height changes after weight reduction in morbidly obese patients and its effect on quality of life and radicular and low back pain. Spine (Phila Pa 1976). 2012;37(23):1947–52.

    Article  Google Scholar 

  93. Duruöz MT, Turan Y, Gürgan A, et al. Evaluation of metabolic syndrome in patients with chronic low back pain. Rheumatol Int. 2012;32(3):663–7.

    Article  PubMed  Google Scholar 

  94. • Urquhart DM, Berry P, Wluka AE, et al. Young investigator award winner: increased fat mass is associated with high levels of low back pain intensity and disability. Spine (Phila Pa 1976). 2011;36(16):1320–5. This article discusses a relevant and original issue, the relationship between fat mass and low back pain.

    Article  Google Scholar 

  95. Sellinger JJ, Clark EA, Shulman M, et al. The moderating effect of obesity on cognitive-behavioral pain treatment outcomes. Pain Med. 2010;11(9):1381–90.

    Article  PubMed  Google Scholar 

  96. Cuesta-Vargas AI, González-Sánchez M. Obesity effect on a multimodal physiotherapy program for low back pain suffers: patient reported outcome. J Occup Med Toxicol. 2013 May 10;8(1):13.

  97. Mangwani J, Giles C, Mullins M, et al. Obesity and recovery from low back pain: a prospective study to investigate the effect of body mass index on recovery from low back pain. Ann R Coll Surg Engl. 2010;92(1):23–6.

    Article  PubMed Central  PubMed  Google Scholar 

  98. Vincent HK, Omli MR, Day T, et al. Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain. Pain Med. 2011;12(1):154–64.

    Article  PubMed  Google Scholar 

  99. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization; 2000.

    Google Scholar 

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Acknowledgments

This research received no specific grant from any funding agency in the public, commercial, or nonprofit sector. The authors are grateful to Rosanna Shand for her help in the linguistic revision of the text.

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Laura-Isabel Arranz, Magda Rafecas, and Cayetano Alegre declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Laura-Isabel Arranz.

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This article is part of the Topical Collection on Chronic Pain

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Arranz, LI., Rafecas, M. & Alegre, C. Effects of Obesity on Function and Quality of Life in Chronic Pain Conditions. Curr Rheumatol Rep 16, 390 (2014). https://doi.org/10.1007/s11926-013-0390-7

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