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Easing the Ache: How Exercise and BMI Influence Chronic Pain

Written by Andrew Le, MD

UpdatedApril 21, 2024

Chronic musculoskeletal pain in the back and neck is a major cause of discomfort and disability, creating a significant burden on healthcare systems worldwide. A comprehensive study conducted in Norway aimed to shed light on the roles of physical exercise and body mass index (BMI) in the development of this persistent pain. The findings from the Nord-Trøndelag Health Study provide valuable insights potentially impacting public health recommendations.

Initially submitted on December 21, 2010, and accepted for publication on February 28, 2011, the research included approximately 30,000 adults free from pain at the study's outset in the mid-1980s. By following these individuals into the mid-1990s, the study found notable associations between a person's level of physical activity, their body weight, and the risk of developing chronic musculoskeletal pain in areas such as the low back and neck/shoulders.

Key Results from the Study:

  • Hours of physical exercise each week were linearly and inversely associated with the risk of chronic pain in both areas examined. This trend existed for both sexes.
  • Those categorized as obese had about a 20% increased risk of developing chronic pain in these regions compared to their normal-weight counterparts.
  • Moderate amounts of exercise (1 or more hours per week) appeared to reduce the heightened risk of chronic pain brought on by a higher BMI.

The takeaway from this study is twofold: maintaining a healthy level of physical activity and managing body weight are both crucial in reducing the probability of enduring chronic pain in the low back and neck/shoulders. By supporting initiatives that promote regular exercise and a healthy weight, society can potentially alleviate the personal and economic impacts of musculoskeletal disorders.

The study is robust owing to its large sample size, prospective design, and stringent methodological practices, including standardized measurements and accounting for potential confounders. However, it's crucial to remember that changes in exercise habits or body weight during the study period were not tracked, which could influence the outcomes.

The research publication's authors, Tom Ivar Lund Nilsen, Andreas Holtermann, and Paul J. Mork, believe their findings underscore the importance of integrating physical activity into daily life and addressing the rising rates of obesity to combat musculoskeletal pain. The full study results are detailed in the article "Physical Exercise, Body Mass Index, and Risk of Chronic Pain in the Low Back and Neck/Shoulders: Longitudinal Data From the Nord-Trøndelag Health Study," available in the American Journal of Epidemiology.

This article is crafted to disseminate these important findings to the public and to encourage actions that support well-being and pain-free living. For further information, refer to the original study here.

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References

Nilsen, T. I., Holtermann, A., & Mork, P. J. (2011). Physical Exercise, Body Mass Index, and Risk of Chronic Pain in the Low Back and Neck/Shoulders: Longitudinal Data From the Nord-Trøndelag Health Study. *American Journal of Epidemiology*, 174(3), 267-273. https://doi.org/10.1093/aje/kwr087