Pain symptoms and physical performance in older adults: cross-sectional findings from the International Mobility in Aging Study (IMIAS).

Autor: da Silva Júnior EG; Graduate Program in Physiotherapy, Physical Therapy Department, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil., Dos Santos Gomes C; Physiotherapy Department, University of Pernambuco, BR 203, Km 02, Petrolina, Brazil., Neto NJ; Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, General Cordeiro de Faria Street, Natal, Brazil., de Souza Barbosa JF; Laboratory of Physical Therapy and Collective Health, Physical Therapy Department, Federal University of Pernambuco, Jornalista Aníbal Fernandes Avenue, Recife, Brazil., Curcio CL; Faculty of Health Sciences, University of Caldas, Miguel Arango Soto Building, Manizales, Colombia., Ahmed T; School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada., Auais M; School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada., Maciel ÁCC; Physical Therapy Department, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil., Guerra RO; Graduate Program in Physiotherapy, Physical Therapy Department, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil. ricardo.guerra@ufrn.br.
Jazyk: angličtina
Zdroj: European geriatric medicine [Eur Geriatr Med] 2024 Feb; Vol. 15 (1), pp. 47-55. Date of Electronic Publication: 2023 Nov 22.
DOI: 10.1007/s41999-023-00889-5
Abstrakt: Purpose: To analyze the associations between pain and physical performance in different aging contexts.
Methods: Data from 1725 older adults from Canada, Brazil, Colombia, and Albania from the 2014 wave of the IMIAS were used to assess the associations between Back Pain (BP) or Lower Limb Pain (LLP) and physical performance by the Short Physical Performance Battery (SPPB). Three binary logistic regression models adjusted for sex, age, study site, education, income sufficiency, BMI, depressive symptoms, and chronic conditions were used to estimate the associations between LLP or BP and SPPB. The SPPB was classified into good performance (8 points or more) and poor physical performance (< 8 points).
Results: The mean age of the older men was 71.2 (± 3.0) and the mean age of the women was 71.2 (± 2.8) years. Older men (72.8%, p < 0.05) and women (86.1%, p-value < 0.05) from Albania had the highest frequencies of self-reported general pain. Older women in Colombia had the highest frequencies of LLP or BP (33.5%, p-value < 0.05). In the fully adjusted logistic regression model, LLP or BP was significantly associated with poor SPPB (OR = 0.48, 0.35 to 0.66 95% CI, p < 0.01).
Conclusions: Pain symptoms are associated with reduced physical performance in older people, even when adjusted for other clinical and sociodemographic factors. Protocols for aiming to increase the level of physical activity to manage pain should be incorporated into health care strategies.
(© 2023. The Author(s), under exclusive licence to European Geriatric Medicine Society.)
Databáze: MEDLINE
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