Measurement of pain and anthropometric parameters in women with chronic pelvic pain

Maria Beatriz Cardoso Ferreira, Andréia Moreira de Souza Mitidieri, Joyce Beatriz da Silva, Ana Paula Moreira da Silva, Ana Paula da Silva, Carolina Pazin, Omero Benedicto Poli‐Neto, Antônio Alberto Nogueira, Francisco José Cândido dos Reis, Júlio César Rosa e Silva
In: Journal of Evaluation in Clinical Practice · 2014 · vol. 21(1) , pp. 21–27 · doi:10.1111/jep.12221 · PMID:25040704 · W1592022627
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Abstract

RATIONALE, AIMS AND OBJECTIVES: To analyse anthropometric parameters, clinical pain and experimental pain in women with chronic pelvic pain (CPP). METHODS: Ninety-one women with a clinical diagnosis of CPP, mean age of 40.03 ± 9.97 years, submitted to anthropometric evaluation based on body mass index (BMI) and percent body fat (%BF) using bioimpedance body composition monitor; pain intensity was determined by visual analogue scale (VAS), numerical categorical scale (NCS) and McGill Pain Questionnaire; experimental pain was determined by transcutaneous electrical nerve stimulation (TENS), and anxiety and depression symptoms were determined by the Hospital Anxiety and Depression scale. RESULTS: A total of 54.8% of the women showed %BF >32 risk of disease associated with obesity. Regarding the anthropometric data, a statistically significant difference was observed between groups for both BMI and %BF (P<0.0001). In the analysis of pain intensity by the VAS, NCS and total McGill, there was no significant difference between the groups, and experimental pain by TENS revealed significant difference only between the normal weight and overweight groups (P=0.0154). The results of anxiety symptoms were above the cut-off point in all groups, with no significant difference between them (P=0.3710). The depression symptoms were below the cut-off point in the normal weight group and above the cut-off point in the overweight and obese groups, 9.469(4.501) and 9.741(4.848), respectively, with no significant difference between them (P=0.6476). CONCLUSION: Evaluation of anthropometric parameters and pain measurements can be applied in clinical practice, making a contribution to the diagnosis and influencing the choice of a more effective treatment for women with CPP.

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Outcome instruments

VAS-pain

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chronic_pelvic_pain

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