University of Oulu

Norha, J., Hautala, A., Sjöros, T., Laine, S., Garthwaite, T., Knuuti, J., Löyttyniemi, E., Vähä-Ypyä, H., Sievänen, H., Vasankari, T. & Heinonen, I. (2022). Standing time and daily proportion of sedentary time are associated with pain-related disability in a one month accelerometer measurement in adults with overweight or obesity. Scandinavian Journal of Pain, 22(2), 317-324.

Standing time and daily proportion of sedentary time are associated with pain-related disability in a one month accelerometer measurement in adults with overweight or obesity

Saved in:
Author: Norha, Jooa1,2; Hautala, Arto J.1,3; Sjöros, Tanja2;
Organizations: 1Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
2Turku PET Centre, University of Turku and Turku University Hospital, Turku, Finland
3Cardiovascular Research Group, Division of Cardiology, Oulu University Hospital, University of Oulu, Oulu, Finland
4Department of Biostatistics, University of Turku, Turku, Finland
5The UKK Institute for Health Promotion Research, Tampere, Finland
6Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
7Rydberg Laboratory of Applied Sciences, University of Halmstad, Halmstad, Sweden
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link:
Language: English
Published: De Gruyter, 2022
Publish Date: 2023-06-15


Objectives: The association between the subjective experience of pain-related disability (PRD) and device-measured physical activity (PA) and sedentary behavior (SB) in overweight and obese adults is not well known. The aim of this study was to investigate the associations of pain markers with accelerometer-measured SB duration and different intensities of PA among physically inactive middle-aged adults with overweight or obesity.

Methods: This cross-sectional analysis included 72 subjects (27 men) with mean age of 57.9 (SD 6.7) years and mean BMI of 31.6 (SD 4.1) kg/m². SB and standing time (ST), breaks in sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) were measured for four consecutive weeks (mean 25 days, SD 4) with a hip-worn triaxial accelerometer. Headache, musculoskeletal pain, back pain, and PRD were assessed by visual analog scales (VAS) and using the Oswestry disability index (ODI). RAND-36 questionnaire was applied to assess health-related quality of life. The associations were studied by linear models.

Results: ST was positively and SB proportion was negatively associated with PRD when adjusted for age, sex, BMI, accelerometry duration, MVPA, pain medication use, and general health perceptions assessed by RAND-36. No associations were found between ST and back pain. SB or different PA intensities were not associated with pain experience at specific sites.

Conclusions: Longer daily ST, but not LPA or MVPA is associated with higher level of PRD. Correspondingly, higher proportion of SB is associated with lower level of PRD. This suggests that individuals with PRD prefer to stand, possibly to cope with pain. These results may highlight the importance of habitual standing behaviors in coping with experienced PRD in adults with overweight or obesity.

see all

Series: Scandinavian journal of pain
ISSN: 1877-8860
ISSN-E: 1877-8879
ISSN-L: 1877-8860
Volume: 22
Issue: 2
Pages: 317 - 324
DOI: 10.1515/sjpain-2021-0108
Type of Publication: A1 Journal article – refereed
Field of Science: 217 Medical engineering
3111 Biomedicine
Funding: The study was financially supported by grants from Academy of Finland (324243), the Finnish Cultural Foundation (181019, 190988), the Juho Vainio Foundation (202010203), the Hospital District of Southwest Finland (13282), the Yrjö Jahnsson Foundation (20187112), the Turku University Foundation (5-755) and the Finnish Diabetes Research Foundation (180021). None of the funding bodies took part in the design of the study and collection, analysis, and interpretation of data or in writing the manuscript.
Copyright information: © 2021 Walter de Gruyter GmbH, Berlin/Boston.