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Table 3 Multinomial logistic regression of severity of pain by BMI

From: Two colliding epidemics – obesity is independently associated with chronic pain interfering with activities of daily living in adults 18 years and over; a cross-sectional, population-based study

 

Unadjusted

 

Adjusted*

 

OR (95 % CI)

P value

OR (95 % CI)

P value

No pain (reference)

Have pain, no interference to a little bit with day-to-day activities

BMI

 Normal/underweight

1.00

 

1.00

 

 Overweight

1.13 (0.85–1.52)

0.395

1.04 (0.77–1.40)

0.803

 Obese

1.40 (1.02–1.94)

0.040

1.30 (0.94–1.81)

0.115

Sex

 Male

1.00

 

1.00

 

 Female

1.34 (1.05–1.71)

0.020

1.38 (1.06–1.79)

0.016

Age group

 18 to 24

1.00

 

1.00

 

 25 to 34

1.68 (1.03–2.75)

0.039

1.68 (0.96–2.95)

0.070

 45 to 64

2.20 (1.36–3.54)

0.001

2.10 (1.23–3.61)

0.007

 65+

2.79 (1.72–4.54)

<0.001

2.71 (1.58–4.64)

<0.001

Area of residence (rurality)

 SA Country

1.00

 

1.00

 

 Metropolitan Adelaide

1.17 (0.87–1.59)

0.296

1.33 (0.94–1.87)

0.105

Educational attainment

 Degree or higher

1.00

 

1.00

 

 Up to secondary

1.18 (0.84–1.68)

0.341

1.12 (0.76–1.65)

0.565

 Trade, Apprenticeship, Certificate, Diploma

1.38 (0.96–1.97)

0.079

1.35 (0.92–1.96)

0.120

Country of birth

 Australia

1.00

 

1.00

 

 UK/Ireland

1.33 (0.94–1.86)

0.105

1.03 (0.72–1.47)

0.890

 Other

1.11 (0.78–1.58)

0.574

0.85 (0.59–1.24)

0.402

Have pain, interfere moderately to extremely with day-to-day activities

BMI

 Normal/underweight

1.00

 

1.00

 

 Overweight

1.50 (1.07–2.11)

0.018

1.34 (0.93–1.92)

0.114

 Obese

2.61 (1.84–3.71)

<0.001

2.25 (1.57–3.23)

<0.001

Sex

 Male

1.00

 

1.00

 

 Female

1.12 (0.86–1.46)

0.392

1.11 (0.83–1.48)

0.475

Age group

 18 to 24

1.00

 

1.00

 

 25 to 34

1.62 (0.95–2.76)

0.075

1.30 (0.72–2.35)

0.382

 45 to 64

2.70 (1.62–4.51)

<0.001

1.94 (1.10–3.41)

0.022

 65+

3.59 (2.10–6.14)

<0.001

2.69 (1.45–4.97)

0.002

Area of residence (rurality)

 SA Country

1.00

 

1.00

 

 Metropolitan Adelaide

0.81 (0.59–1.11)

0.194

0.95 (0.66–1.36)

0.771

Educational attainment

 Degree or higher

1.00

 

1.00

 

 Up to secondary

1.90 (1.23–2.95)

0.004

1.87 (1.15–3.01)

0.011

 Trade, Apprenticeship, Certificate, Diploma

2.39 (1.52–3.75)

<0.001

2.17 (1.35–3.51)

0.001

Country of birth

 Australia

1.00

 

1.00

 

 UK/Ireland

1.53 (1.06–2.21)

0.022

1.30 (0.89–1.92)

0.178

 Other

1.27 (0.90–1.80)

0.181

1.16 (0.80–1.68)

0.445

  1. The adjusted multinominal logistic regression model demonstrates a strong association between obesity and pain interfering either moderately or extremely with activities of daily living (OR 2.25; 95 % CI 1.57-3.23; p < 0.001). When reviewing the association between obesity and pain with minimal to no interference of activities of daily living no association was identified
  2. BMI Body mass index, OR odds ratio, CI confidence interval
  3. *Adjusted by sex, age, area of residence and educational attainment