Obesity, depression and hip pain.

Schwarze, Martin; Häuser, Winfried; Schmutzer, Gabriele; Brähler, Elmar; Beckmann, Nicholas A.; Schiltenwolf, Marcus (2019). Obesity, depression and hip pain. Musculoskeletal care, 17(1), pp. 126-132. Wiley 10.1002/msc.1380

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INTRODUCTION

Up to 64% of the general population reports experiencing chronic pain, with the hip being one of the most frequent sites. An association has been shown between chronic back pain, obesity and depression. To date, a similar association has not been investigated with chronic hip pain.

METHODS

A total of 2,515 subjects were chosen as a representative cross-section of the German population. Each was provided with a questionnaire that included the Regional Pain Scale, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), Beck Depression Inventory-Primary Care and Winkler social class index. Participant height and weight values were obtained from self-reports. Using logistic regression methodology, we analysed the association between hip pain, obesity and increased depression scores.

RESULTS

A total of 124 (4.9%) subjects reported chronic hip pain and an additional 39 (1.5%) reported chronic hip pain that was disabling. Hip pain affected 1-5 sites (oligolocular) in 47% of cases, and was widespread (6-19 sites) in 50%. Obesity and increased values on the depression scale were associated with an increased likelihood of chronic hip pain (odds ratio [OR] 2.55 and 8.53, respectively) compared with subjects without pain. Increased values on the depression scale (OR 28.22) increased the likelihood of experiencing disabling chronic hip pain in comparison with pain free individuals.

CONCLUSIONS

Hip pain is rarely the sole site of pain. Obesity and increased values on the depression scale are associated with chronic hip pain. Increased values on the depression scale are associated with disabling chronic hip pain.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
UniBE Contributor:	Beckmann, Nicholas Andreas
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1557-0681
Publisher:	Wiley
Language:	English
Submitter:	Kathrin Aeschlimann
Date Deposited:	05 Nov 2019 14:54
Last Modified:	05 Dec 2022 15:31
Publisher DOI:	10.1002/msc.1380
PubMed ID:	30623588
Uncontrolled Keywords:	depression hip pain obesity pain widespread pain
URI:	https://boris.unibe.ch/id/eprint/134352