Abstract

Western societies are facing a clear increase in the rate of obesity and overweight which are responsible for musculoskeletal pain. Some of the substances described in the environment of myofascial trigger points (MTrPs) are the same as those found in the skeletal muscle of obese people, such as cytokines. Furthermore, elevated neuromuscular neurotransmission has been associated with MTrPs. The main objective of this study is to assess whether obesity or overweight may be a facilitator of myofascial pain. The experiments were performed on male Swiss mice. One experimental group was given a typical “cafeteria” diet and another group a commercial high-fat diet for six weeks. Intramuscular adipocytes were assessed with Sudan III. The functional study was performed with electromyographic recording to determine the plaque noise and intracellular recording of miniature endplate potentials (MEPPs). The intake of a cafeteria diet showed the presence of more adipocytes in muscle tissue, but not with the fat-supplemented diet. Both experimental groups showed an increase in the plaque noise and an increase in the frequency of MEPPs that lasted several weeks after interrupting diets. In summary, the supply of a hypercaloric diet for six weeks in mice increases spontaneous neurotransmission, thus facilitating the development of MTrPs.

Highlights

  • At present, Western societies are having a clear increase in the rate of obesity and overweight [1].From 1975 to 2016, the global obesity rate has tripled [2]

  • The two groups supplemented with the hypercaloric diets (CAD and High-fat diet (HFD)) increased their weight over the values of the control group (Table 2)

  • At the end of the exposure, at 6 weeks, the group of mice subjected to a cafeteria diet increased their body weight by 52% more than the controls and the group of mice subjected to a high-fat diet increased their weight by 45% over the weight of the controls

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Summary

Introduction

Western societies are having a clear increase in the rate of obesity and overweight [1].From 1975 to 2016, the global obesity rate has tripled [2]. Western societies are having a clear increase in the rate of obesity and overweight [1]. By 2030, over 38% of the world’s adult population will be overweight and 20% will be obese [3]. Obesity and overweight are considered an epidemic related to the development of various pathologies such as diabetes, cardiovascular disease, metabolic syndrome and musculoskeletal pain [3]. The association between overweight and musculoskeletal pain has been attributed to an increase in the mechanical stress caused by overweight in load bearing joints. The literature shows an association between pain and overweight in joints that do not support load [3,5,6,7,8,9]. Associations between overweight and symptomatic osteoarthritis of the hand [5], shoulder and neck pain [6], the number of episodes and intensity of migraine attacks [7,8], even with neuropathic pain [9] have

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