title: Association of body mass index with joint pain among community-dwelling women in Japan.
abstract: OBJECTIVE
  To investigate the impact of obesity on joint pain, we examined the association of body mass index (BMI) with joint pain.
  
  
  METHODS
  351 community-dwelling Japanese women aged 40-85 years were asked about joint pain at specific joints, and height and weight were measured. Logistic regression analysis was used to evaluate BMI and other potential predictors of joint pain.
  
  
  RESULTS
  BMI was positively associated with knee pain, but not with pain at other specific joints, after adjusting for age. The association of BMI with knee pain remained significant after adjustment for an additional covariate (physical activity). We also examined the associations of age, BMI, and regular physical activity with joint pain at any site, in the arm, in the leg, or in the back. Independently of age and regular physical activity, BMI was positively associated with joint pain in the leg, but not with pain at any site, in the arm or in the back. No significant association of physical activity with joint pain at any site, in the arm, in the leg or in the back was found.
  
  
  CONCLUSIONS
  Knee pain was associated with greater BMI. This finding supports previous longitudinal studies, suggesting that some knee pain could be prevented by avoidance of excess weight, if the association is causative. However, the association was not very strong; thus, it is likely that many cases of knee pain cannot be avoided by weight reduction only, and may require other interventions.
authors.affiliation: Department of Public Health, Nagasaki University School of Medicine, Nagasaki, Japan. kiyoshi@net.nagasaki-u.ac.jp
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Aoyagi
authors.forename: Philip D
authors.initials: PD
authors.lastname: Ross
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Okano
authors.forename: Takuo
authors.initials: T
authors.lastname: Hayashi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Moji
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kusano
authors.forename: Tai-ichiro
authors.initials: T
authors.lastname: Takemoto
mesh_terms: D000368:Aged; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D007592:Joint Diseases / Q000453:epidemiology*; D007719:Knee Joint; D009043:Motor Activity; D009765:Obesity / Q000453:epidemiology*; D010045:Outpatients / Q000706:statistics & numerical data; D010146:Pain / Q000453:epidemiology*; D015995:Prevalence