Body fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniAmérica Descomplica Centro Universitário-
Autor(es): dc.contributorQueen Mary University of London-
Autor(es): dc.contributorCascavel Educational Center-
Autor(es): dc.contributorLa Trobe University-
Autor(es): dc.creatorFerreira, Amanda Schenatto-
Autor(es): dc.creatorLack, Simon-
Autor(es): dc.creatorTaborda, Bianca-
Autor(es): dc.creatorPazzinatto, Marcella Ferraz-
Autor(es): dc.creatorAzevedo, Fábio Mícolis de-
Autor(es): dc.creatorSilva, Danilo de Oliveira-
Data de aceite: dc.date.accessioned2025-08-21T22:13:46Z-
Data de disponibilização: dc.date.available2025-08-21T22:13:46Z-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2022-07-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.bjpt.2022.100430-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/240521-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/240521-
Descrição: dc.descriptionBackground: Young adults with patellofemoral pain (PFP) have a high prevalence of being overweight or obese, which is associated with impaired lower limb function and muscle weakness. However, the impact of being overweight or obese on pain sensitivity has not been explored. Objectives: We investigated the association between body fat, skeletal muscle mass, and body mass index (BMI) with pressure hyperalgesia and self-reported pain in young adults with PFP. Methods: 114 adults with PFP (24 ± 5 years old, 62% women) were recruited. Demographics and self-reported pain (current and worst knee pain intensity in the previous month - 0–100 mm visual analog scale) were recorded. Body fat and skeletal muscle mass were measured using bioelectrical impedance. Pressure hyperalgesia was measured using a handheld algometer (pressure pain threshold) at three sites: center of patella of the painful knee, ipsilateral tibialis anterior, and contralateral upper limb. The association between body fat, skeletal muscle mass, and BMI with pressure hyperalgesia and self-reported pain were investigated using partial correlations and hierarchical regression models (adjusted for sex, bilateral pain, and symptoms duration). Results: Higher body fat and lower skeletal muscle mass were associated with local, spread, and widespread pressure hyperalgesia (ΔR2=0.09 to 0.17, p ≤ 0.001; ΔR2=0.14 to 0.26, p<0.001, respectively), and higher current self-reported pain (ΔR2=0.10, p<0.001; ΔR2=0.06, p = 0.007, respectively). Higher BMI was associated with higher current self-reported pain (ΔR2=0.10, p = 0.001), but not with any measures of pressure hyperalgesia (p>0.05). Conclusion: Higher body fat and lower skeletal muscle mass help to explain local, spread, and widespread pressure hyperalgesia, and self-reported pain in people with PFP. BMI only helps to explain self-reported pain. These factors should be considered when assessing people with PFP and developing their management plan, but caution should be taken as the strength of association was generally low.-
Descrição: dc.descriptionDepartment of Physical Therapy School of Science and Technology Universidade Estadual Paulista (UNESP), SP-
Descrição: dc.descriptionDepartment of Physical Therapy UniAmérica Descomplica Centro Universitário-
Descrição: dc.descriptionCentre for Sports and Exercise Medicine School of Medicine and Dentistry Queen Mary University of London-
Descrição: dc.descriptionPhysical Therapy Department Cascavel Educational Center-
Descrição: dc.descriptionLa Trobe Sport and Exercise Medicine Research Centre School of Allied Health Human Services and Sport La Trobe University-
Descrição: dc.descriptionDepartment of Physical Therapy School of Science and Technology Universidade Estadual Paulista (UNESP), SP-
Idioma: dc.languageen-
Relação: dc.relationBrazilian Journal of Physical Therapy-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBody composition-
Palavras-chave: dc.subjectPain measurement-
Palavras-chave: dc.subjectPatellofemoral pain syndrome-
Palavras-chave: dc.subjectPressure pain threshold-
Título: dc.titleBody fat and skeletal muscle mass, but not body mass index, are associated with pressure hyperalgesia in young adults with patellofemoral pain-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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