Impact of Obesity on Mechanical and Inflammatory Neck Pain in Young Adult Males, Non- Pregnant Women and Pregnant Women | ||
| Minia Journal of Medical Research | ||
| Article 8, Volume 30, Issue 4, October 2019, Pages 40-51 PDF (308.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221614 | ||
| Authors | ||
| Ashraf E. Amer1; Taghrid M. Abdelwahab1; Hany M. Ali1; Alsaeed E. Askar2; Hossam I. Abdelhamid3; Abdullah M. Gaafar4 | ||
| 1Department of Rheumatology and rehabilitation, Alazhar University, Cairo, Egypt | ||
| 2Department of Gynecology and obstetrics, Alazhar University, Cairo, Egypt | ||
| 3Department of Radiology, Alazhar University, Cairo, Egypt | ||
| 4Department of Clinical pathology, Alazhar University, Cairo, Egypt | ||
| Abstract | ||
| Background; Obesity and musculoskeletal pain have significant correlation, but there is paucity of studies assessing the correlation of neck pain with obesity, in reference to gender or pregnancy. Aim of the study; The aim of this was to assess the impact of obesity on mechanical and inflammatory neck pain in young adult males, non- pregnant and pregnant females. Methods; Sixty patients, ages (twenty- thirty) with disease duration of three- six years complaining of mechanical and inflammatory neck pain. Thirty patients are obese and the other thirty patients are non- obese were recruited in the study. They were divided into four equal groups and subjected for measurement of CRP, leptin and cervical MRI. Patients with previous history of trauma or neck surgery were excluded from the study. Results; The demographic data, clinical, laboratory and treatment characteristics of our study groups were presented in Table 1. The average age in group I to IV was 30.60±3.20, 30.46±2.94, 30.80±3.46 and 30.60±3.66 years respectively, where age was not found to affect either the occurrence of obesity or neck pain in both the obese or non- obese individuals. As regards of the weight, BMI, and waist circumference obesity was found to be of high significance with the occurrence of neck pain; either the mechanical or the inflammatory (P ≤0.001) when compared to the non-obese, whereas obesity has no significant effect on both types of neck pain (P >0.05). Pain was found to be significantly correlated to obesity in mechanical neck pain but not in inflammatory type (P <0.05). CRP was significantly high in all groups (P ≤0.001). Leptin was significantly correlated to neck pain in the nonobese individuals (P <0.05). The positive MRI findings were significantly correlated to obesity in the inflammatory neck pain (P <0.05). Conclusion; Based on our results, we concluded that there is a positive relationship between obesity and neck pain when compared to the non-obese. However, gender or pregnancy was found not to affect the occurrence of obesity or neck pain, yet the pain was aggravated in obese as compared to non-obese, females compared to males and pregnant to nonpregnant. | ||
| Keywords | ||
| Obesity; BMI; Mechanical; Inflammatory; Neck Pain; gender; pregnancy; leptin; CRP; Seronegative spndyloarthropathy; Ankylosing spondylitis; reactive arthritis neck pain.” | ||
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