Pain medicine

24-h movement behaviors and the association of chronic pain with venous thromboembolism risk

J Clin AnesthPublished Prospective cohort study

Authors' conclusion

CP was associated with an increased risk of VTE. In participants with MCP, 24-h movement behaviors showed a potential association that may contribute to this relationship.

Study context

Population
UK Biobank participants88,675 accelerometer sub-cohort
Participants
453,289 participants
Exposure
Limited or multisite chronic pain vs pain-free
Outcome
Incident VTE
Methodological detailspopulation-based, UK Biobank
  • Population-based
  • UK Biobank

Main finding

As reported in the abstract

Each group vs pain-freeHazard ratio (95% CI)P value
LCP
1.13(1.08–1.19)
P < 0.001
MCP
1.32(1.24–1.41)
P < 0.001

Observational data: associations, not effects.

Further findings

Venous thromboembolism (VTE) risk with reallocating 1 h/day from sleep (multisite chronic pain (MCP) participants)

HR (95% CI)
Sleep to LIPAExploratory · hypothetical reallocation models0.87 (0.76–0.99)
Sleep to MVPAExploratory · hypothetical reallocation models0.59 (0.35–0.98)

Mediation of MCP-VTE association by 24-h movement behaviors (accelerometer sub-cohort)

Indirect effect HR
1.03 [1.01-1.05]
Total effect HR
1.25 [1.02-1.48]
Proportion mediated
12.8%
  • Exploratory

Original publication

24-h movement behaviors and the association of chronic pain with venous thromboembolism risk. J Clin Anesth. Published 5 May 2026. doi:10.1016/j.jclinane.2026.112227

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