No Strong Temporal Relationship Between Obesity and Multisite Pain – Results From a Population-Based 20-Year Follow-Up Study.

No strong temporal relationship between obesity and multisite pain – results from a population-based 20-year follow-up study.

Eur J Pain. 2013 Jun 3;
Magnusson K, Osterås N, Mowinckel P, Natvig B, Hagen KB

BACKGROUND: Multisite pain and obesity are cross-sectionally related and are common conditions that may influence each other through socio-demographic, lifestyle and/or health-related factors. The aim of the present study was to examine the cross-sectional and prospective associations between overweight/obesity and multisite pain in a general population. METHODS: In a 20-year population-based prospective cohort study, persons aged 20-62 years in 1990 participated in postal surveys in 1990, 1994, 2004 and 2010 (n?=?855). Multisite pain was defined as reporting???2 number of pain sites (NPS) on the Standardized Nordic Questionnaire. Overweight was defined as body mass index (BMI) 25-30?kg/m(2) and obesity as BMI ??30?kg/m(2) . To exploit all measurement times, generalized estimating equation analyses adjusting for age, sex, educational and occupational status, smoking, sleep quality, mental distress and physical activity were employed. RESULTS: The mean age was 41 years at baseline and 57% were women. Overweight/obesity and NPS were significantly associated cross-sectionally. Being overweight/obese was associated with reporting future NPS???2 [overweight: odds ratio (OR), 1.40, 95% confidence interval (CI), 1.12-1.75, obese: OR, 1.54, 95% CI, 1.04-2.28]. Having NPS???2 was not associated with becoming overweight, but increased the OR for future obesity (OR 1.27, 95% CI, 1.02, 1.59). Smoking was a confounder in this relationship. CONCLUSIONS: Being overweight or obese was associated with future multisite pain, although the magnitude of the association was small and the dose-response relationship observed in cross-sectional analyses disappeared in prospective analyses. There was less evidence that having multisite pain was a predictor of future overweight/obesity. HubMed – rehab


Poor Catch-up Growth in Late Adolescent Boys with Eating Disorders, Weight Loss and Stunting of Growth.

Eur Eat Disord Rev. 2013 Jun 4;
Swenne I

OBJECTIVE: The study aims to investigate the catch-up growth of boys presenting with an eating disorder (ED) and a stunting of growth. METHOD: Weight gain and growth of 46 boys with ED were followed up for 1-3?years. RESULTS: A total of 13 boys who had not started their pubertal growth spurt at presentation started catch-up growth immediately following nutritional rehabilitation and weight gain. After 3?years, they had returned to their premorbid growth curve. Thirty-three boys who had started their pubertal growth spurt prior to presentation never caught up in height but continued to catch down despite weight gain. After 3?years, they had lost 0.64?±?0.55 height standard deviation scores corresponding to approximately 4.5?cm of potential height. CONCLUSIONS: In prepubertal boys with EDs, catch-up growth is possible. Pubertal boys are at a disadvantage in that catch-up growth may not occur despite weight gain. Copyright © 2013 John Wiley & Sons, Ltd and Eating Disorders Association. HubMed – rehab


‘I am still a bit unsure how much of a heart attack it really was!’ Patients presenting with non ST elevation myocardial infarction lack understanding about their illness and have less motivation for secondary prevention.

Eur J Cardiovasc Nurs. 2013 Jun 3;
Dullaghan L, Lusk L, McGeough M, Donnelly P, Herity N, Fitzsimons D

Background:There are considerable differences in the type of treatments offered to patients presenting with acute myocardial infarction (AMI), in terms of the speed and urgency with which they are admitted, treated and discharged from hospital. The impact of these different treatment experiences on patients’ illness perception and motivation for behavioural changes is unknown.Aim:The aim of this study was to explore and compare patients’ illness perception and motivation for behavioural change following myocardial infarction (MI) treated by different methods.Methods:Semi-structured, domiciliary interviews (n=15) based on the common sense model of self regulation, were conducted with three groups of MI patients within four weeks of diagnosis: (a) primary percutaneous coronary intervention (PPCI) (n=5); (b) thrombolysis (n=5); (c) non ST elevation MI (NSTEMI) (n=5). Framework analysis was used to identify and compare themes between groups.Results:Patients presenting with a ST-elevation MI (STEMI) receiving either PPCI or thrombolysis had similar perceptions of their illness as a serious, life-threatening event and were determined to make lifestyle changes. In contrast, patients with a NSTEMI experienced uncertainty about symptoms and diagnosis, causing misconceptions about the severity of their condition and less determination for lifestyle changes.Conclusion:Patients with NSTEMI in this study expressed very different perceptions of their illness compared to those experiencing STEMI. Patients’ clinical presentation and treatment experience during an AMI can impact on their illness perception, motivation for behavioural change and uptake of cardiac rehabilitation. Nurses should consider the patients’ illness experience and perception when planning secondary prevention interventions. HubMed – rehab


Effectiveness of theory-based invitations to improve attendance at cardiac rehabilitation: A randomized controlled trial.

Eur J Cardiovasc Nurs. 2013 Jun 3;
Mosleh SM, Bond CM, Lee AJ, Kiger A, Campbell NC

Background:Despite well-established evidence of benefit from cardiac rehabilitation, typically fewer than 35% of eligible patients attend.Objective:The purpose of this study was to evaluate whether theory-based invitations increase attendance at cardiac rehabilitation.Method:The study was a randomized controlled trial (RCT) with two by two factorial design. A total of 375 participants with acute myocardial infarction or coronary revascularization was recruited from medical and surgical cardiac wards at Aberdeen Royal Infirmary (ARI). They were randomly assigned to receive either the standard invitation letter or a letter with wording based on the ‘theory of planned behavior (TPB)’ and the ‘common sense model of illness perception’, and either a supportive leaflet with motivational messages or not. The primary outcome was one or more attendances at cardiac rehabilitation.Results:The theory-based letter increased attendance at cardiac rehabilitation compared to the standard letter (84% versus 74%, odds ratio (OR) 2.93, 95% confidence interval (CI) 1.54-5.56), independent of age, gender, working status, hypertension, identity and TPB constructs. The number needed to treat (NNT) was 9 (95% CI 7-12). The motivational leaflet had no significant effect on attendance at rehabilitation (OR 1.02, 95% CI 0.57-1.83).Conclusions:The use of theory-based wording in invitation letters is a simple method to improve attendance at cardiac rehabilitation. Our letter, reproduced in this paper, could provide a template for practitioners and researchers. HubMed – rehab