Impact of Obesity on Mechanical and Inflammatory Neck Pain in Young Adult Males, Non- Pregnant Women and Pregnant Women

Amer, Ashraf E.; Abdelwahab, Taghrid M.; Ali, Hany M.; Askar, Alsaeed E.; Abdelhamid, Hossam I.; Gaafar, Abdullah M.

doi:10.21608/mjmr.2022.221614

Impact of Obesity on Mechanical and Inflammatory Neck Pain in Young Adult Males, Non- Pregnant Women and Pregnant Women

Document Type : Original Article

Authors

¹ Department of Rheumatology and rehabilitation, Alazhar University, Cairo, Egypt

² Department of Gynecology and obstetrics, Alazhar University, Cairo, Egypt

³ Department of Radiology, Alazhar University, Cairo, Egypt

⁴ Department of Clinical pathology, Alazhar University, Cairo, Egypt

10.21608/mjmr.2022.221614

Abstract

Background; Obesity and musculoskeletal pain have significant correlation, but there is paucity of
studies assessing the correlation of neck pain with obesity, in reference to gender or pregnancy. Aim
of the study; The aim of this was to assess the impact of obesity on mechanical and inflammatory
neck pain in young adult males, non- pregnant and pregnant females. Methods; Sixty patients, ages
(twenty- thirty) with disease duration of three- six years complaining of mechanical and inflammatory
neck pain. Thirty patients are obese and the other thirty patients are non- obese were recruited in the
study. They were divided into four equal groups and subjected for measurement of CRP, leptin and
cervical MRI. Patients with previous history of trauma or neck surgery were excluded from the study.
Results; The demographic data, clinical, laboratory and treatment characteristics of our study groups
were presented in Table 1. The average age in group I to IV was 30.60±3.20, 30.46±2.94, 30.80±3.46
and 30.60±3.66 years respectively, where age was not found to affect either the occurrence of obesity
or neck pain in both the obese or non- obese individuals. As regards of the weight, BMI, and waist
circumference obesity was found to be of high significance with the occurrence of neck pain; either
the mechanical or the inflammatory (P ≤0.001) when compared to the non-obese, whereas obesity has
no significant effect on both types of neck pain (P >0.05). Pain was found to be significantly
correlated to obesity in mechanical neck pain but not in inflammatory type (P <0.05). CRP was
significantly high in all groups (P ≤0.001). Leptin was significantly correlated to neck pain in the nonobese individuals (P <0.05). The positive MRI findings were significantly correlated to obesity in the
inflammatory neck pain (P <0.05). Conclusion; Based on our results, we concluded that there is a
positive relationship between obesity and neck pain when compared to the non-obese. However,
gender or pregnancy was found not to affect the occurrence of obesity or neck pain, yet the pain was
aggravated in obese as compared to non-obese, females compared to males and pregnant to nonpregnant.

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