Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis

Joyce Beatriz da Silva, Maria Beatriz Cardoso Ferreira, Carla Barbosa Nonino, Omero Benedicto Poli‐Neto, Antônio Alberto Nogueira, Francisco José Cândido dos Reis, Júlio César Rosa e Silva
Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020 · vol. 42(08) , pp. 486–492 · doi:10.1055/s-0040-1713912 · PMID:32898913 · PMC10309219 · W3084309964
article OA: gold CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study found that women with chronic pelvic pain from endometriosis had higher pain intensity compared to other causes, but no differences in body composition or anthropometry.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This case-control study evaluated body composition (% body fat and anthropometric markers) and clinical pain intensity in 91 women aged 18–49 with chronic pelvic pain (CPP), comparing 46 with CPP secondary to endometriosis versus 45 with CPP from other causes. After undergoing evaluation with BMI, waist/abdomen/hip measures and bioimpedance to estimate % body fat, pain intensity was measured with a visual analog scale (VAS), and anxiety/depression symptoms were assessed using the Hospital Anxiety and Depression scale (HAD). The endometriosis group reported higher mean VAS pain scores (7.2 ± 2.06) than the other-cause CPP group (5.93 ± 2.64; p = 0.03), while age, BMI, % body fat, and waist-to-hip ratio did not differ between groups. The paper relates to endometriosis by studying women with CPP secondary to endometriosis and directly comparing their body composition and pain intensity to women with CPP from other causes.

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Abstract

Abstract Objective To determine the average body composition (percentage of body fat), the anthropometric markers, and the intensity of clinical pain in women with a clinical diagnosis of chronic pelvic pain (CPP) secondary to endometriosis. Methods A case-control study performed with 91 women, 46 of whom with CPP secondary to endometriosis and 45 of whom with CPP secondary to other causes. They underwent an evaluation of the anthropometric parameters by means of the body mass index (BMI), the perimeters (waist, abdomen, hip), and the percentage of body fat (%BF), which were assessed on a body composition monitor by bioimpedance; the intensity of the clinical pain was evaluated using the visual analog scale (VAS), and the symptoms of anxiety and depression, using the hospital's anxiety and depression scale (HAD). Results The groups did not differ in terms of mean age, BMI, %BF or regarding the available waist-to-hip ratio (WHR). The mean intensity of the clinical pain by the VAS was of 7.2 ± 2.06 in the group with CPP secondary to endometriosis, and of 5.93 ± 2.64 in the group with CPP secondary to other causes (p = 0.03), revealing significant differences between the groups. Conclusion We concluded that, despite the difference in the pain score assessed between the two groups, there was no difference regarding body composition and anthropometry.

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Outcome instruments

VAS-pain

Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Body Composition Chronic Pain Chronic Pain Endometriosis Endometriosis Endometriosis Pelvic Pain Pelvic Pain Adult Anxiety Body Composition Body Mass Index Case-Control Studies Depression Female Humans Middle Aged Pain Measurement

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References (35)

Cited by (6)

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