Obesity

Work‐restricting musculoskeletal pain after bariatric surgery or usual obesity care in the Swedish Obese Subjects study

Obesity (Silver Spring)Published Nonrandomized prospective controlled study

Authors' conclusion

Bariatric surgery was associated with better recovery from pain, primarily in weight-bearing joints, as well as with prevention of pain development in the knee and ankle compared with matched controls receiving usual obesity care.

Study context

Population
Participants of the Swedish Obese Subjects (SOS) study
Participants
2,007 vs 2,040
Exposure
Bariatric surgery vs usual obesity care
  • Bariatric surgeryn = 2,007
  • Usual obesity caren = 2,040reference
Outcome
Recovery from, and incidence of, work-restricting musculoskeletal pain (self-reported pain in neck and shoulders, back, hips, knees and ankles)
Follow-up
Baseline and 1, 2, 3, 4, 6, 8, 10, 15 and 20 years
Methodological detailsmatched control group
  • Matched control group

Main finding

As reported in the abstract

short (1-4 years) and long term (up to 20 years)
  • Bariatric surgery associated with better recovery from baseline work-restricting knee and ankle pain in the short (1-4 years) and long term (up to 20 years) vs matched controls
  • Bariatric surgery associated with better recovery from back and hip pain in the short term
  • In participants without baseline pain, bariatric surgery associated with lower incidence of new knee and ankle pain in the short and long term

Observational data: associations, not effects.

Original publication

Work‐restricting musculoskeletal pain after bariatric surgery or usual obesity care in the Swedish Obese Subjects study. Obesity (Silver Spring). Published 29 August 2024. doi:10.1002/oby.24128

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