Relationship Between Body Mass Index, Fat Mass and Muscle Mass Withmusculoskeletal Pain In Community Residents

Young-Il Seo¹, Hyun Ah Kim², Nam H. Cho³ and Jong Jin Yoo⁴, ¹Division of Rheumatology, Department of Internal Medicine, Hallym university sacred heart hospital, Kyunggi, South Korea, ²Department of internal medicine, Hallym University Sacred Heart Hospital, Kyunggi, South Korea, ³Department of preventive medicine, Ajou University School of medicine, Suwon, South Korea, ⁴Internal Medicine, Armed Forces Capital Hospital Seongnam Republic of Korea, Seongnam si, South Korea

Meeting: 2013 ACR/ARHP Annual Meeting

Keywords: body mass, obesity and pain

Session Information

Title: Fibromyalgia, Soft Tissue Disorders and Pain II

Session Type: Abstract Submissions (ACR)

Background/Purpose: The association between parameters related to obesity like
fat mass,fat/muscle mass ratio and metabolic syndrome and
musculoskeletal pain has scarcily been assessed. The objective of the
present study was to evaluate the relationship between fat mass,
muscle mass, fat/muscle mass ratio and metabolic syndrome and
musculoskeletal pain including widespread pain in community residents.

Methods: . In the Korean Health and Genome Study, 1530 participants
completed pain questionnaire and underwent dual x-ray absorptiometry
calculating body composition. Widespread pain was defined as pain
above the waist, below the waist, on both sides of the body and in the
axial region. Three other categories of pain in these analyses were
pain in two or more regions that did not meet the criteria for
widespread pain, pain in one region, and no pain. Metabolically obese
normal weight (MONW) was defined as the presence of more than 3
features of metabolic syndrome and normal BMI. Tests for a linear
trend across categories of pain constellations were performed using
Mantel-Haenszel chi-square tests for categorical variables and the
F-statistics from linear regression models for continuous variables.

Results: BMI, fat mass, muscle mass and fat mass/muscle mass ratio were
significantly correlated with pain categories, however, the
correlation was only significant among women. The presence of
widespread pain was significantly associated with BMI, fat mass and
fat/muscle mass ratio after multivariate analysis, however, the
association was significant only among women. The prevalence of MONW
was 16.4% (12.7% in men, 19.4% in women). Compared to non-obese
subjects without metabolic syndrome features, widespread pain was more
common in subjects with MONW subjects.

Conclusion: Fat mass, fat/muscle mass ratio and metabolic syndrome as
well as BMI was significantly correlated with musculoskeletal pain.

Disclosure:

Y. I. Seo,
None;

H. A. Kim,
None;

N. H. Cho,
None;

J. J. Yoo,
None.

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