BMI influences relationships among health factors for adults with persistent pain who use prescription opioids.

Document Type

Article

Publication Date

7-1-2020

Publication Title

Nursing outlook

Keywords

Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Body Mass Index; Chronic Pain; Female; Humans; Male; Middle Aged; Obesity; Pain Management; Symptom Assessment; Young Adult

Abstract

BACKGROUND: Long-term use of prescription opioids for pain results in negative health outcomes. Overweight and pain are related, and adults with either condition commonly report poor sleep quality, high levels of depression, low levels of self-efficacy, and high pain interference and intensity. Insufficient research exists regarding how weight may influence pain outcomes in the context of common symptoms.

PURPOSE: To investigate how body mass index (BMI) influences relationships between health factors and pain outcomes among adults with pain prescribed opioids.

METHODS: The sample included 226 adults. Linear regression models tested relationships among variables and outcomes of pain intensity and pain interference.

FINDINGS: BMI significantly strengthened relationships between health factors and pain interference but not pain intensity.

DISCUSSION: Adults with persistent pain suffer worsened pain interference in the context of increased weight status. Nurses should consider addressing BMI as part of a holistic pain management care plan.

Clinical Institute

Digestive Health

Department

Nursing

Department

Nutrition

Department

Pharmacy

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