Depression, Obesity Associated With Chronic Hip Pain

The association between chronic and disabling hip pain, and obesity and depression was examined.

Investigators observed an association between chronic hip pain, obesity, and depression, according to study data published in Musculoskeletal Care.

Investigators performed a cross-sectional study with 2515 adult participants in Germany. Each participant completed a number of clinical questionnaires, including the Regional Pain Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, the Beck Depression Inventory–Primary Care and the Winkler social class index. Participant height and weight values were obtained from self-reports. Logistic regression was performed to analyze the association between hip pain, obesity, and depression scores.

A total of 124 (4.94%) patients reported chronic hip pain, and an additional 39 (1.55%) reported disabling chronic hip pain. Hip pain affected between 1 and 5 sites in 47% of cases and was widespread (6-19 sites) in 50% of cases. Obesity (odds ratio [OR], 2.55; 95% CI, 1.42-4.60) and elevated depression scores (OR, 8.53; 95% CI, 5.09-14.28) were independent predictors of chronic hip pain when compared with the corresponding values for pain-free patients. When comparing data from patients without pain with data from those with disabling chronic hip pain, investigators found that while age (OR, 1.09; 95% CI, 1.06-1.12) and depressive disorder (OR, 28.22; 95% CI, 12.98-61.33) were independent predictors of pain, obesity was not.

Obesity and depressive symptoms were associated with chronic pain, with depression in particular predictive of disabling chronic hip pain. These data may be useful to clinicians in titrating care for patients with chronic pain and the aforementioned risk factors.

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Schwarze M, Häuser W, Schmutzer G, Brähler E, Beckmann NA, Schiltenwolf M. Obesity, depression and hip pain [published online January 8, 2019]. Musculoskeletal Care. doi:10.1002/msc.1380

This article originally appeared on Psychiatry Advisor