{"doi":"10.1093/pm/pnaa043","title":"The Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study","abstract":"OBJECTIVE: To examine the relationship between body mass index (BMI) and pain intensity among veterans with musculoskeletal disorder diagnoses (MSDs; nontraumatic joint disorder; osteoarthritis; low back, back, and neck pain). SETTING: Administrative and electronic health record data from the Veterans Health Administration (VHA). SUBJECTS: A national cohort of US military veterans with MSDs in VHA care during 2001-2012 (N = 1,759,338). METHODS: These cross-sectional data were analyzed using hurdle negative binomial models of pain intensity as a function of BMI, adjusted for comorbidities and demographics. RESULTS: The sample had a mean age of 59.4, 95% were male, 77% were white/Non-Hispanic, 79% were overweight or obese, and 42% reported no pain at index MSD diagnosis. Overall, there was a J-shaped relationship between BMI and pain (nadir = 27 kg/m2), with the severely obese (BMI ≥ 40 kg/m2) being most likely to report any pain (OR vs normal weight = 1.23, 95% confidence interval = 1.21-1.26). The association between BMI and pain varied by MSD, with a stronger relationship in the osteoarthritis group and a less pronounced relationship in the back and low back pain groups. CONCLUSIONS: There was a high prevalence of overweight/obesity among veterans with MSD. High levels of BMI (>27 kg/m2) were associated with increased odds of pain, most markedly among veterans with osteoarthritis.","journal":"Bidebarrieta: Revista de humanidades y ciencias sociales de Bilbao","year":2020,"id":101367,"datarank":0.49983067652628066,"base_score":3.332204510175204,"endowment":3.332204510175204,"self_citation_contribution":0.49983067652628066,"citation_network_contribution":0.0,"self_endowment_contribution":0.49983067652628066,"citer_contribution":0.0,"corpus_percentile":61.6,"corpus_rank":4962,"citation_count":27,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.7971,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":377018,"name":"Eugenia Buta","orcid":"0000-0001-8478-4233","position":1,"is_corresponding":false},{"id":377016,"name":"Alicia A. Heapy","orcid":"0000-0003-1284-8263","position":2,"is_corresponding":false},{"id":377017,"name":"Mary Driscoll","orcid":"0000-0003-3492-0924","position":3,"is_corresponding":false},{"id":431791,"name":"Robert D. Kerns","orcid":"0000-0002-3834-973X","position":4,"is_corresponding":false},{"id":301060,"name":"Robin M. Masheb","orcid":"0000-0002-6799-6012","position":5,"is_corresponding":false},{"id":270187,"name":"William C. Becker","orcid":"0000-0002-0788-1467","position":6,"is_corresponding":false},{"id":449648,"name":"Leslie R. M. Hausmann","orcid":"0000-0002-3909-6009","position":7,"is_corresponding":false},{"id":266605,"name":"Matthew J. Bair","orcid":"0000-0002-6374-1370","position":8,"is_corresponding":false},{"id":496203,"name":"Laura D. Wandner","orcid":"0000-0002-5668-7812","position":9,"is_corresponding":false},{"id":496204,"name":"E. Amy Janke","orcid":"0000-0003-3661-3733","position":10,"is_corresponding":false},{"id":263472,"name":"Cynthia Brandt","orcid":"0000-0001-8179-1796","position":11,"is_corresponding":false},{"id":348853,"name":"Joseph L. Goulet","orcid":"0000-0002-0842-804X","position":12,"is_corresponding":false},{"id":377024,"name":"Diana M. Higgins","orcid":"0000-0002-6885-266X","position":0,"is_corresponding":true}],"reference_count":42,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T22:39:38.259162Z","pmid":"32186722","pmcid":"PMC7778330","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}