The association between baseline persistent pain and weight change in patients attending a specialist weight management service

Cormac G. Ryan, Arutchelvam Vijayaraman, Victoria Denny, Alison Ogier, Louisa Ells, Shaun Wellburn, Lesley Cooper, Denis J. Martin, Greg Atkinson

Research output: Contribution to journalArticle

Abstract

OBJECTIVE
To quantify the influence of baseline pain levels on weight change at one-year follow-up in patients attending a National Health Service specialist weight management programme.

METHODS
We compared one-year follow-up weight (body mass) change between patient sub-groups of none-to-mild, moderate, and severe pain at baseline. A mean sub-group difference in weight change of ≥5kg was considered clinically relevant.

RESULTS
Of the 141 complete cases, n = 43 (30.5%) reported none-to-mild pain, n = 44 (31.2%) reported moderate pain, and n = 54 (38.3%) reported severe pain. Covariate-adjusted mean weight loss (95%CI) was similar for those with none-to-mild (8.1kg (4.2 to 12.0kg)) and moderate pain (8.3kg (4.9 to 11.7kg). The mean weight loss of 3.0kg (-0.4 to 6.4kg) for the severe pain group was 5.1kg (-0.6 to 10.7, p = 0.08) lower than the none-to-mild pain group and 5.3kg (0.4 to 10.2kg, p = 0.03) lower than the moderate pain group.

CONCLUSIONS
Patients with severe pain upon entry to a specialist weight management service in England achieve a smaller mean weight loss at one-year follow-up than those with none-to-moderate pain. The magnitude of the difference in mean weight loss was clinically relevant, highlighting the importance of addressing severe persistent pain in obese patients undertaking weight management programmes.
Original languageEnglish
Article numbere0179227
JournalPLoS ONE
Volume12
Issue number6
DOIs
Publication statusPublished - 12 Jun 2017
Externally publishedYes

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weight control
pain
Weights and Measures
Pain
Weight Loss
weight loss
weight control programs
Health
Body Weight Changes
National Health Programs
England
health services

Cite this

Ryan, C. G., Vijayaraman, A., Denny, V., Ogier, A., Ells, L., Wellburn, S., ... Atkinson, G. (2017). The association between baseline persistent pain and weight change in patients attending a specialist weight management service. PLoS ONE, 12(6), [e0179227]. https://doi.org/10.1371/journal.pone.0179227
Ryan, Cormac G. ; Vijayaraman, Arutchelvam ; Denny, Victoria ; Ogier, Alison ; Ells, Louisa ; Wellburn, Shaun ; Cooper, Lesley ; Martin, Denis J. ; Atkinson, Greg. / The association between baseline persistent pain and weight change in patients attending a specialist weight management service. In: PLoS ONE. 2017 ; Vol. 12, No. 6.
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abstract = "OBJECTIVETo quantify the influence of baseline pain levels on weight change at one-year follow-up in patients attending a National Health Service specialist weight management programme.METHODSWe compared one-year follow-up weight (body mass) change between patient sub-groups of none-to-mild, moderate, and severe pain at baseline. A mean sub-group difference in weight change of ≥5kg was considered clinically relevant.RESULTSOf the 141 complete cases, n = 43 (30.5{\%}) reported none-to-mild pain, n = 44 (31.2{\%}) reported moderate pain, and n = 54 (38.3{\%}) reported severe pain. Covariate-adjusted mean weight loss (95{\%}CI) was similar for those with none-to-mild (8.1kg (4.2 to 12.0kg)) and moderate pain (8.3kg (4.9 to 11.7kg). The mean weight loss of 3.0kg (-0.4 to 6.4kg) for the severe pain group was 5.1kg (-0.6 to 10.7, p = 0.08) lower than the none-to-mild pain group and 5.3kg (0.4 to 10.2kg, p = 0.03) lower than the moderate pain group.CONCLUSIONSPatients with severe pain upon entry to a specialist weight management service in England achieve a smaller mean weight loss at one-year follow-up than those with none-to-moderate pain. The magnitude of the difference in mean weight loss was clinically relevant, highlighting the importance of addressing severe persistent pain in obese patients undertaking weight management programmes.",
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Ryan, CG, Vijayaraman, A, Denny, V, Ogier, A, Ells, L, Wellburn, S, Cooper, L, Martin, DJ & Atkinson, G 2017, 'The association between baseline persistent pain and weight change in patients attending a specialist weight management service' PLoS ONE, vol. 12, no. 6, e0179227. https://doi.org/10.1371/journal.pone.0179227

The association between baseline persistent pain and weight change in patients attending a specialist weight management service. / Ryan, Cormac G.; Vijayaraman, Arutchelvam; Denny, Victoria; Ogier, Alison; Ells, Louisa; Wellburn, Shaun; Cooper, Lesley; Martin, Denis J.; Atkinson, Greg.

In: PLoS ONE, Vol. 12, No. 6, e0179227, 12.06.2017.

Research output: Contribution to journalArticle

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AU - Vijayaraman, Arutchelvam

AU - Denny, Victoria

AU - Ogier, Alison

AU - Ells, Louisa

AU - Wellburn, Shaun

AU - Cooper, Lesley

AU - Martin, Denis J.

AU - Atkinson, Greg

PY - 2017/6/12

Y1 - 2017/6/12

N2 - OBJECTIVETo quantify the influence of baseline pain levels on weight change at one-year follow-up in patients attending a National Health Service specialist weight management programme.METHODSWe compared one-year follow-up weight (body mass) change between patient sub-groups of none-to-mild, moderate, and severe pain at baseline. A mean sub-group difference in weight change of ≥5kg was considered clinically relevant.RESULTSOf the 141 complete cases, n = 43 (30.5%) reported none-to-mild pain, n = 44 (31.2%) reported moderate pain, and n = 54 (38.3%) reported severe pain. Covariate-adjusted mean weight loss (95%CI) was similar for those with none-to-mild (8.1kg (4.2 to 12.0kg)) and moderate pain (8.3kg (4.9 to 11.7kg). The mean weight loss of 3.0kg (-0.4 to 6.4kg) for the severe pain group was 5.1kg (-0.6 to 10.7, p = 0.08) lower than the none-to-mild pain group and 5.3kg (0.4 to 10.2kg, p = 0.03) lower than the moderate pain group.CONCLUSIONSPatients with severe pain upon entry to a specialist weight management service in England achieve a smaller mean weight loss at one-year follow-up than those with none-to-moderate pain. The magnitude of the difference in mean weight loss was clinically relevant, highlighting the importance of addressing severe persistent pain in obese patients undertaking weight management programmes.

AB - OBJECTIVETo quantify the influence of baseline pain levels on weight change at one-year follow-up in patients attending a National Health Service specialist weight management programme.METHODSWe compared one-year follow-up weight (body mass) change between patient sub-groups of none-to-mild, moderate, and severe pain at baseline. A mean sub-group difference in weight change of ≥5kg was considered clinically relevant.RESULTSOf the 141 complete cases, n = 43 (30.5%) reported none-to-mild pain, n = 44 (31.2%) reported moderate pain, and n = 54 (38.3%) reported severe pain. Covariate-adjusted mean weight loss (95%CI) was similar for those with none-to-mild (8.1kg (4.2 to 12.0kg)) and moderate pain (8.3kg (4.9 to 11.7kg). The mean weight loss of 3.0kg (-0.4 to 6.4kg) for the severe pain group was 5.1kg (-0.6 to 10.7, p = 0.08) lower than the none-to-mild pain group and 5.3kg (0.4 to 10.2kg, p = 0.03) lower than the moderate pain group.CONCLUSIONSPatients with severe pain upon entry to a specialist weight management service in England achieve a smaller mean weight loss at one-year follow-up than those with none-to-moderate pain. The magnitude of the difference in mean weight loss was clinically relevant, highlighting the importance of addressing severe persistent pain in obese patients undertaking weight management programmes.

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