Standing time and daily proportion of sedentary time are associated with pain-related disability in a one month accelerometer measurement in adults with overweight or obesity
Norha, J., Hautala, A. J., Sjöros, T., Laine, S., Garthwaite, T., Knuuti, J., Löyttyniemi, E., Vähä-Ypyä, H., Sievänen, H., Vasankari, T., & Heinonen, I. H. A. (2022). Standing time and daily proportion of sedentary time are associated with pain-related disability in a one month accelerometer measurement in adults with overweight or obesity. Scandinavian Journal of Pain, 22(2), 317-324. https://doi.org/10.1515/sjpain-2021-0108
Published inScandinavian Journal of Pain
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Objectives The association between the subjective experience of pain-related disability (PRD) and device-measured physical activity (PA) and sedentary behavior (SB) in overweight and obese adults is not well known. The aim of this study was to investigate the associations of pain markers with accelerometer-measured SB duration and different intensities of PA among physically inactive middle-aged adults with overweight or obesity. Methods This cross-sectional analysis included 72 subjects (27 men) with mean age of 57.9 (SD 6.7) years and mean BMI of 31.6 (SD 4.1) kg/m2. SB and standing time (ST), breaks in sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) were measured for four consecutive weeks (mean 25 days, SD 4) with a hip-worn triaxial accelerometer. Headache, musculoskeletal pain, back pain, and PRD were assessed by visual analog scales (VAS) and using the Oswestry disability index (ODI). RAND-36 questionnaire was applied to assess health-related quality of life. The associations were studied by linear models. Results ST was positively and SB proportion was negatively associated with PRD when adjusted for age, sex, BMI, accelerometry duration, MVPA, pain medication use, and general health perceptions assessed by RAND-36. No associations were found between ST and back pain. SB or different PA intensities were not associated with pain experience at specific sites. Conclusions Longer daily ST, but not LPA or MVPA is associated with higher level of PRD. Correspondingly, higher proportion of SB is associated with lower level of PRD. This suggests that individuals with PRD prefer to stand, possibly to cope with pain. These results may highlight the importance of habitual standing behaviors in coping with experienced PRD in adults with overweight or obesity. ...
PublisherWalter de Gruyter GmbH
ISSN Search the Publication Forum1877-8860
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Additional information about fundingAcademy of Finland, Grant number: 324243 Finnish Cultural Foundation, Grant number: 190988, 181019 Juho Vainio Foundation, Grant number: 202010203 Hospital District of Southwest, Grant number: 13282 Yrjö Jahnsson Foundation, Grant number: 20187112 Turku University Foundation, Grant number: 5-755 Finnish Diabetes Research Foundation, Grant number: 180021
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