The Link Between Musculoskeletal Pain, Lifestyle Behaviors, Exercise Self-Efficacy, and Quality of Life in Overweight and Obese Individuals

Details

• Personal Author:
  Chin WSY ; Faghri PD ; Huedo-Medina TB ; Chin WSY ; Faghri PD ; Huedo-Medina TB
• Description:
  Objective: To determine the extent musculoskeletal (MS) pain in the low back and knee (weight-bearing (WB) joints), shoulder and wrist (non-weight bearing joints), and exercise self-efficacy mediates associations between overweight and obesity levels based on BMI (4 levels: overweight, obese class I, II, or III), physical function, emotional role, social interference, and physical activity (PA) levels. Design: Cross-sectional study. Setting: Four long-term nursing home facilities in the Northeast U.S. Participants: 99 overweight or obese (BMI > 25) nursing home employees. Interventions: Self-reported survey administered to employees who met inclusion and exclusion criteria. Main Outcome Measure(s): General health status, physical function, emotional role, Exercise Self-Efficacy Scale (ESE), physical activity (PA), and frequency of pain at each joint. Results: Reported pain frequency were 66.3%, 54.4%, 42.2%, and 24.1% for lower back, knee, shoulder, and wrist, respectively. Higher obesity levels were associated with lower physical function (r=-0.109, p=0.284). PA decreased with higher obesity levels (r=-0.248, p<0.05), particularly in moderate PA (r=-0.293, p<0.05). Obesity was associated with a lower ESE (r=-0.239, p<0.05). Wrist pain significantly mediated the effect of obesity on moderate physical function, emotional role, and ESE. ESE was a significant mediator between obesity and moderate and vigorous PA. Conclusions: Overweight and obese nursing home employees are at higher risk for developing musculoskeletal disorders due to high demand, low control jobs, and the associated biomedical compromises while working. To increase the effectiveness of weight loss interventions for this population, the mediating effects of MS pain with higher levels of obesity should be considered. [Description provided by NIOSH]
• Subjects:
  Accident Prevention Accidents Behavior Engineering Mining Occupational Health Safety
• Keywords:
  Author Keywords: Overweight Body Weight Cross Sectional Studies Exercise Self-efficacy Intervention Knee Injuries Low Back Pain MSD Musculoskeletal Disorders Musculoskeletal Pain Obesity Physical Exercise Physical Function Quality Of Life Risk Assessment Total Worker Health TWH

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• ISSN:
  2329-9096
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Connecticut ; Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Volume:
  3
• NIOSHTIC Number:
  nn:20051063
• Citation:
  Int J Phys Med Rehabil 2015 Jan; 3:255
• Contact Point Address:
  Pouran D Faghri, Health Promotion Sciences, Department of Allied Health Sciences, Director for University of Connecticut Center for Environmental Heath and Health Promotion, USA
• Email:
  pouran.faghri@uconn.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Healthcare and Social Assistance ; Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  International Journal of Physical Medicine & Rehabilitation
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1aef4dba5988dc2e9803d9ed649558f3b41dbddb2396d3d13db1118c1900b8f41c7b12278f55756b751e8306b91d9cf7db1bb4e4ce19c7efd345973ecb93641c
• Download URL:
  https://stacks.cdc.gov/view/cdc/211194/cdc_211194_DS1.pdf
• File Type:
  [PDF - 427.01 KB ]