{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:40:01Z","timestamp":1772984401033,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Obesity increases the risk of musculoskeletal conditions, but retrospective studies have suggested that individuals with joint hypermobility experience more joint pain after metabolic and bariatric surgery and weight loss. Joint hypermobility is the ability of one or more joints to move beyond the normal range of motion. This study prospectively investigated postoperative joint pain and its association with joint hypermobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A survey including the 5\u2010Part Questionnaire (5PQ) and a self\u2010developed joint pain questionnaire was completed prior to and 1\u00a0year after metabolic and bariatric surgery. Participants were categorized as having hypermobility based on the 5PQ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010four participants completed both surveys; 15 reported hypermobility postoperatively, 59 did not. The two groups were similar in age, sex, pre\u2010operative and postoperative weight, BMI, and weight loss. In the group without hypermobility, pain frequency significantly decreased in the neck, lumbar spine, hips, knees, ankles, and feet\/toes, and they reported fewer painful body parts postoperatively. The hypermobility group did not report significant changes in pain frequency or number of painful joints. However, total pain frequency was not different between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Weight loss after metabolic and bariatric surgery was associated with reduced joint pain only in patients without hypermobility. Participants with hypermobility tended to maintain pain in load\u2010bearing joints, suggesting that joint hypermobility limits pain improvement. Targeted monitoring and muscle\u2010strengthening interventions may benefit this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>The trial was registered in \u201cFoU in Sweden\u201d (Research and Development in Sweden) on May 1, 2015 (registration number: 202221) and in Clinical Trials June 8, 2018 (NCT03641027)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70115","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:17:57Z","timestamp":1768375077000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Joint Pain Outcomes After Metabolic and Bariatric Surgery in Patients With and Without Hypermobility"],"prefix":"10.1002","volume":"12","author":[{"given":"Elke","family":"Schubert\u2010Hjalmarsson","sequence":"first","affiliation":[{"name":"Department of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology  Gothenburg Sweden"},{"name":"Department of Physiotherapy Queen Silvia Children's Hospital Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lizette","family":"Albertsson","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebba","family":"Englund","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0207-4105","authenticated-orcid":false,"given":"Monika Fagevik","family":"Ols\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology  Gothenburg Sweden"},{"name":"Department of Physiotherapy Sahgrenska University Hospital  G\u00f6teborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Centrum f\u00f6r epidemiologi och samh\u00e4llsmedicin \u201cF\u00f6rekomsten Av L\u00e5ngvarig Sm\u00e4rta I Stockholms L\u00e4n \u201d (May 2025) https:\/\/www.folkhalsoguiden.se\/49b333\/globalassets\/verksamheter\/folkhalsoguiden\u2010gemensam\/ces\u2010material\u2010from\u2010okt23\/ces\u2010rapporter\/rapport\u20102025.3\u2010forekomsten\u2010av\u2010langvarig\u2010smarta\u2010i\u2010stockholms\u2010lan.pdf."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.971997"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2011.397"},{"key":"e_1_2_11_5_1","unstructured":"Folkh\u00e4lsomyndigheten \u201cStatistik om \u00f6vervikt och obesitas \u201d Updated March 2025 accessed October 06 2025 https:\/\/www.folkhalsomyndigheten.se\/livsvillkor\u2010levnadsvanor\/mat\u2010fysisk\u2010aktivitet\u2010overvikt\u2010och\u2010obesitas\/overvikt\u2010och\u2010obesitas\/statistik\u2010om\u2010overvikt\u2010och\u2010obesitas\/."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.31593"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2021.08.025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.26.5.419"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.32.5.413"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.c.31539"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2003.08.001"},{"issue":"4","key":"e_1_2_11_12_1","first-page":"804","article-title":"Epidemiology of General Joint Hypermobility and Basis for the Proposed Criteria for Benign Joint Hypermobility Syndrome: Review of the Literature","volume":"34","author":"Remvig L.","year":"2007","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2017.01.018"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010020\u20103067\u20101"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2024.104625"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.70000"}],"container-title":["Obesity Science &amp; 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