Original Research Article
Year: 2016 | Month: December | Volume: 6 | Issue: 12 | Pages: 248-258
Prevalence and Predictors of Chronic Musculoskeletal Pain in the Population of Punjab
Harjot Dhillon1, Shallu Khullar1, Gurpreet Kaur1, Ritu Sharma1, Kanchan Mehta1, JPS Walia3, Monica Singh1,2, Puneetpal Singh1
1Department of Human Genetics, Punjabi University, Patiala.
2Division of Pain Genetics, Molecular Genetics Lab, Dept of Human Genetics, Punjabi University, Patiala.
3Department of Orthopedics, Government Rajindra Medical College and Hospital, Patiala.
Corresponding Author: Puneetpal Singh
ABSTRACT
The information about prevalence and associated risk factors of musculoskeletal pain remains to be examined in the population of Punjab, India, the present cross sectional study examined 493 subjects from tertiary health care hospitals of Punjab to examine the prevalence and predictors of chronic musculoskeletal pain. Musculoskeletal disorders and associated chronic pain was assessed by Nordic Musculoskeletal Questionnaire (NMQ) and Numerical rating Scale (NRS). Depression, cognition and sleep quality was examined using Patients Health Questionnaire-9 (PHQ-9), Mini Mental State Examination (MMSE) and Pittsburgh Sleep Quality Index (PSQI) respectively. The prevalence of mild, moderate and severe pain was observed to be 15.41, 20.69 and 21.10percent in women, which is 1.59 to 1.87folds higher (P<0.05) than men.In univariate testing, chronic pain was observed to be strongly associated with BMI >23 kg/m2,low income group, sedentary life style, low density lipoprotein (LDL) >100 mg/dl, triglycerides (TG) >150 mg/dl, statin use, depression and poor sleep quality (P< 0.05). In multivariate logistic regression model, risk factors like sedentary life style, BMI >23kg/m2, depression and poor sleep quality emerged as independent predictors of chronic musculoskeletal pain. The present study revealed that higher prevalence of pain in musculoskeletal disorders is evident in the population of Punjab, especially in women and majority of these patients remain undiagnosed for significant concomitants.
Key words: Musculoskeletal disorders; chronic pain; risk factors; predictors; Punjab.