Abstract

Patients with chronic pain commonly believe their pain is related to the weather. Scientific evidence to support their beliefs is inconclusive, in part due to difficulties in getting a large dataset of patients frequently recording their pain symptoms during a variety of weather conditions. Smartphones allow the opportunity to collect data to overcome these difficulties. Our study Cloudy with a Chance of Pain analysed daily data from 2658 patients collected over a 15-month period. The analysis demonstrated significant yet modest relationships between pain and relative humidity, pressure and wind speed, with correlations remaining even when accounting for mood and physical activity. This research highlights how citizen-science experiments can collect large datasets on real-world populations to address long-standing health questions. These results will act as a starting point for a future system for patients to better manage their health through pain forecasts.

Highlights

  • Weather has been thought to affect symptoms in patients with chronic disease since the time of Hippocrates over 2000 years ago.[1]

  • This study has demonstrated that higher relative humidity and wind speed, and lower atmospheric pressure, were associated with increased pain severity in people with long-term pain conditions

  • The most significant contribution was from relative humidity

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Summary

Introduction

Weather has been thought to affect symptoms in patients with chronic disease since the time of Hippocrates over 2000 years ago.[1]. Studies have failed to reach consensus in part due to their small sample sizes or short durations (commonly fewer than 100 participants or one month or less); by considering a limited range of weather conditions; and heterogeneity in study design (e.g. the populations studied, methods for assessing pain, assumptions to determine the weather exposure, and statistical analysis techniques).[5,6,7,8,9,10,11] Resolving this question requires collection of high-quality symptom and weather data on large numbers of individuals Such data need to include other factors potentially linked to daily pain variation and weather, such as mood and amount of physical activity. Collecting this kind of multi-faceted data in large populations over long periods of time, has been difficult

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