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- W2990731026 abstract "Objective In a paediatric chronic pain population, to determine whether higher body mass was associated with poorer functioning, mood or treatment outcome. Design Cross-sectional study with examination of treatment outcomes. Setting Tertiary specialist adolescent pain rehabilitation unit. Patients 355 adolescents with relatively severe non-malignant chronic pain. Interventions Intensive 3-week pain rehabilitation programme. Main outcome measures Objective physical measures (walk, sit-to-stand); self-reported functioning and mood Results Average body mass index (BMI) in the sample was relatively high (24.2 (SD 5.6)) with 20.5% being classified as obese. However, there were no relationships between body mass and objective physical measures, physical or social functioning, depression or anxiety (all p>0.05). There was a small relationship between higher body mass and greater pain-related fear (r=0.17, p<0.01). Treatment improved all variables (p<0.001) apart from pain intensity. There were no relationships between higher body mass and poorer treatment outcome; in fact, patients with higher BMI showed slightly greater decreases in depression (r=0.12, p<0.05) and pain-specific anxiety (r=0.18, p<0.01) during treatment. Conclusions Higher body mass does not worsen functioning, mood or treatment response in adolescents with disabling chronic pain. Childhood obesity and chronic pain are both stigmatised conditions; clinicians should avoid implying that high body mass alone is a causal factor in the struggles of a young person with chronic pain." @default.
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- W2990731026 date "2019-11-28" @default.
- W2990731026 modified "2023-09-25" @default.
- W2990731026 title "Body mass in adolescents with chronic pain: observational study" @default.
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- W2990731026 doi "https://doi.org/10.1136/archdischild-2019-317843" @default.
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