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Inter-individual Variation in Pain Sensitivity among Healthy Young Indian Adults- a pilot study
1Department of Physiology, St John's Medical College, Bangalore - 560034, India.
Kathmandu University Medical Journal (KUMJ)
|October 6, 2023
Summary
This study explored pain sensitivity in Indian adults using the cold pressor test. Males exhibited higher pain thresholds and tolerance than females, and a family history of hypertension correlated with increased pain unpleasantness.
Area of Science:
- Pain perception research
- Human physiology
- Clinical pain assessment
Background:
- Individual variability in pain perception presents clinical challenges.
- Limited data exists on pain sensitivity parameters in the Indian population.
- Understanding pain perception is crucial for effective pain management.
Purpose of the Study:
- To characterize pain sensitivity (threshold, tolerance, unpleasantness) in healthy Indian adults.
- To investigate the influence of gender on pain perception.
- To examine the relationship between pain sensitivity, vascular reactivity, and parental hypertension history.
Main Methods:
- Utilized the cold pressor test with cold water immersion (30-50°C) on 150 healthy adults (75 males, 75 females).
- Measured pain threshold, pain tolerance, pain unpleasantness, and vascular reactivity (changes in blood pressure and pulse rate).
- Collected data on parental history of hypertension.
Main Results:
- Established normative values for pain threshold, tolerance, and unpleasantness in the study cohort.
- Identified significant gender differences: males demonstrated higher pain threshold and tolerance than females.
- Observed correlations between pain sensitivity parameters and vascular reactivity; higher pain unpleasantness was noted in individuals with a parental history of hypertension.
Conclusions:
- Pain sensitivity exhibits considerable inter-individual variation even within a narrow demographic range.
- Gender significantly influences pain threshold and tolerance.
- Vascular responses to cold stimuli and subjective pain perception are influenced by genetic predisposition (parental hypertension).
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