Robin M Masheb1,2, Lesley D Lutes3, Hyungjin Myra Kim4,5, Robert G Holleman4, David E Goodrich4, Carol A Janney4, Susan Kirsh6, Diana M Higgins7,8, Caroline R Richardson4,9, Laura J Damschroder4. 1. VA Connecticut Healthcare System, West Haven, Connecticut, USA. 2. Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA. 3. Department of Psychology, East Carolina University, Greenville, North Carolina, USA. 4. VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA. 5. Center for Statistical Consultation and Research, University of Michigan, Ann Arbor, Michigan, USA. 6. Office of Primary Care, VA Central Office, Washington, DC, and Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA. 7. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA. 8. VA Boston Healthcare System, Boston, Massachusetts, USA. 9. Department of Family Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Abstract
OBJECTIVE: To determine whether the presence or severity of pain is predictive of suboptimal weight loss outcomes in behavioral weight management programs. METHODS: This is a secondary data analysis comparing weight loss among participants with overweight/obesity who participated in a 12-month randomized controlled trial. Of the 481 participants randomized, 394 (81.9%) hadavailable pain data and were categorized by Pain Type (back pain, arthritis pain, both, or neither) and Pain Severity (no pain, moderate pain, or severe pain). Dietary and physical activity outcomes were also explored. RESULTS: High rates of moderate and severe (80.2%), and back and arthritis (72.6%), pain were observed. Linear mixed models showed significant differences in % weight loss among Pain Severity, but not Pain Type, groups. Patients with severe pain lost significantly less weight (-0.1 kg, 95% CI = -1.5, -1.2) compared to those with either moderate or no pain (-1.9 kg, 95% CI = -2.5, -1.3; -2.1 kg, 95% CI = -3.3, -1.0, respectively). Patients with arthritis pain lost a significant amount of weight despite only minor improvements in walking distance. CONCLUSIONS:Pain severity, but not pain type, is predictive of suboptimal weight loss outcomes.
RCT Entities:
OBJECTIVE: To determine whether the presence or severity of pain is predictive of suboptimal weight loss outcomes in behavioral weight management programs. METHODS: This is a secondary data analysis comparing weight loss among participants with overweight/obesity who participated in a 12-month randomized controlled trial. Of the 481 participants randomized, 394 (81.9%) had available pain data and were categorized by Pain Type (back pain, arthritis pain, both, or neither) and Pain Severity (no pain, moderate pain, or severe pain). Dietary and physical activity outcomes were also explored. RESULTS: High rates of moderate and severe (80.2%), and back and arthritis (72.6%), pain were observed. Linear mixed models showed significant differences in % weight loss among Pain Severity, but not Pain Type, groups. Patients with severe pain lost significantly less weight (-0.1 kg, 95% CI = -1.5, -1.2) compared to those with either moderate or no pain (-1.9 kg, 95% CI = -2.5, -1.3; -2.1 kg, 95% CI = -3.3, -1.0, respectively). Patients with arthritis pain lost a significant amount of weight despite only minor improvements in walking distance. CONCLUSIONS:Pain severity, but not pain type, is predictive of suboptimal weight loss outcomes.
Authors: Lesley D Lutes; Laura J Damschroder; Robin Masheb; Hyungjin Myra Kim; Leah Gillon; Robert G Holleman; David E Goodrich; Julie C Lowery; Carol Janney; Susan Kirsh; Caroline R Richardson Journal: J Gen Intern Med Date: 2017-04 Impact factor: 5.128
Authors: Gail A Kerver; Dale S Bond; Ross D Crosby; Li Cao; Scott G Engel; James E Mitchell; Kristine J Steffen Journal: Surg Obes Relat Dis Date: 2021-09-03 Impact factor: 4.734
Authors: Dale S Bond; J Graham Thomas; Richard B Lipton; Julie Roth; Jelena M Pavlovic; Lucille Rathier; Kevin C O'Leary; E Whitney Evans; Rena R Wing Journal: Obesity (Silver Spring) Date: 2017-11-27 Impact factor: 5.002
Authors: Claudia H Marck; Alysha M De Livera; Tracey J Weiland; Pia L Jelinek; Sandra L Neate; Chelsea R Brown; Keryn L Taylor; Fary Khan; George A Jelinek Journal: Front Neurol Date: 2017-09-05 Impact factor: 4.003