Chronic pain in long-lived elderly: prevalence, characteristics, measurements and correlation with serum vitamin D level

Santos, Fânia Cristina; Moraes, Niele Silva de; Pastore, Adriana; Cendoroglo, Maysa Seabra

doi:10.5935/1806-0013.20150034

Cited by 16 publications

(18 citation statements)

References 23 publications

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“…Ferreira et al 21 emphasized that CD can significantly affect the well-being and QoL of the individuals. Moreover, moderate and severe pain tend to be disabling, affecting the QoL, reducing social interaction and compromising daily leisure activities of the elderly population 22 . Therefore, we can say that pain interferes with the perception that each person has of its life.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in the elderly with and without chronic pain

Ferretti

Castanha

Padoan

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: In the last decade, the elderly population has grown worldwide, both in developed and developing countries. Together with the aging process, the prevalence of chronic diseases and consequently the presence of pain are common and may have a strong impact on the quality of life of the elderly. The objective of this study was to evaluate the quality of life of elderly patients with and without chronic pain and to compare the quality of life with the number of chronic pathologies, pain intensity and age range METHODS: A quantitative, descriptive cross-sectional study carried out in a city in the West of the state of Santa Catarina with a sample of 385 senior people living in the urban area. The instruments of analysis were: the Mental State Mini Exam; the general data questionnaire adapted from Morais, Rodrigues e Gerhardt; The WHOQOL-OLD questionnaire, and a visual numerical scale. For the intergroup comparison, the Mann-Whitney test was used, and Pearson's correlation was used in the correlations. RESULTS: It was observed the predominance of pain of moderate intensity. Old people with chronic pain have a lower quality of life index than the group without pain regardless the gender, and those who have chronic pain and age above 71 years have a lower quality of life index. CONCLUSION: The presence of chronic pain, number of diseases, pain intensity, female gender and age group above 71 years negatively influenced the quality of life of the elderly studied.

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Section: Discussionmentioning

confidence: 99%

Quality of life in the elderly with and without chronic pain

Ferretti

Castanha

Padoan

et al. 2018

Brazilian Journal of Pain

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“…We identified 3,534 articles through our database searches with 2 articles identified through hand-searching the reference lists of included studies (43,44) (Fig. 1.).…”

Section: Description Of Studiesmentioning

confidence: 99%

Is Vitamin D Supplementation Effective for Low Back Pain? A Systematic Review and Meta-Analysis

Zadro

2018

Pain Phys

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Background: Low back pain (LBP) is the leading cause of years lived with disability worldwide. Current intervention strategies are failing to reduce the enormous global burden of LBP and are prompting researchers to investigate alternative management strategies, such as vitamin D supplementation. Vitamin D supplementation appears to down regulate pro-inflammatory cytokines which lead to pain and up regulate anti-inflammatory cytokines that reduce inflammation. These mechanisms might explain the increasing interest in the use of vitamin D supplementation for LBP. Objectives: To determine whether vitamin D supplementation improves pain more than a control intervention for individuals with LBP. Study Design: This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Methods: We performed searches in numerous electronic databases combining key words relating to “vitamin D” and “LBP” until March 2017. Studies were included if they investigated vitamin D supplementation in participants with LBP, provided there was a comparison intervention. There was no restriction on the type of LBP, the intervention parameters investigated, or the type of clinical trial (e.g., randomized, non-randomized). Two reviewers independently performed the selection of studies, extracted data, rated the methodological quality of the included studies, and evaluated the overall quality of the evidence using the Grading of Recommendations Assessment, Delevopment, and Evaulation (GRADE) approach. Results: After screening 3,534 articles, 8 clinical trials were included in this systematic review. There is very low quality evidence (based on the GRADE approach) that vitamin D supplementation is not more effective than any intervention (including placebo, no intervention, and other conservative/ pharmacological interventions) (continuous pain measures [0–100]: mean difference [MD] = -2.65, 95% confidence interval [CI]: -10.42 to 5.12, P = 0.504, n = 5; self-reported reduction in pain: pooled odds ratio [OR] = 1.07, 95% CI: 0.35 to 3.26, P = 0.906, n = 5) or placebo/no intervention for individuals with LBP (continuous pain measures: MD = 1.29, 95% CI: -3.81 to 6.39, P = 0.620, n = 4; self-reported reduction in pain: pooled OR = 1.53, 95% CI: 0.38 to 6.20, P = 0.550, n = 4), where ‘n’ is the number of studies included in the meta-analysis. These results did not change when we stratified the meta-analyses by the type of vitamin supplementation (vitamin D3 vs. alfacalcidol) or the type of LBP (non-specific vs. LBP resulting from osteoporosis or vertebral fractures). Limitations: The overall quality of evidence was “very low” due to the poor methodological quality and small sample sizes of the included studies. Conclusions: Vitamin D supplementation is not more effective than placebo, no intervention, or other conservative/pharmacological interventions for LBP (based on very low quality evidence). These results are consistent, regardless of the type of LBP or vitamin D supplementation. Until well-designed and adequately powered clinical trials suggest otherwise, the prescription of vitamin D for LBP cannot be recommended. PROSPERO Registration No: CRD42016046874. www.crd.york.ac.uk/PROSPERO/display_record. asp?ID = CRD42016046874 Key words: Vitamin D, low back pain, chronic low back pain, alfacalcidol, osteoporosis, vertebral fractures, serum 25-hydroxyvitamin D, systematic review

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“…In addition to the frailty syndrome, pain is one of the main factors affecting quality of life and routine activities of older individuals (7) . Chronic pain in elderly is a public health issue, as it involves high demand for health services, requiring accurate assessment of health status and diagnosis by health professionals (8) , particularly when pain is reported by elderly caregivers.…”

Section: Introductionmentioning

confidence: 99%

Dor crônica de idosos cuidadores em diferentes níveis de fragilidade

Morais

Terassi

Inouye

et al. 2016

Rev. Gaúcha Enferm.

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Objective: To determine whether there are differences in the intensity of chronic pain of elderly caregivers who are frail, pre-frail and non-frail. Methods: Quantitative, descriptive and cross-sectional study. The subjects were 187 elderly caregivers evaluated with a Multidimensional Pain Assessment Scale and the Fried Frailty Phenotype Assessment Components. Descriptive and comparative analyzes, Pearson's chi-square test and Kruskal-Wallis test were used. Results: 24.1% of the caregivers were frail, 55.1% pre-frail and 20.9% non-frail. The only socio-demographic variable that differed between the three groups was age (p=0.03). Mean pain intensity values were as follows: frail elderly (6.98), pre-frail (6.38) and non-frail (5.85). However, these differences were not significant (p=0.150). Conclusions:The present study did not find a significant difference in the intensity of chronic pain in elderly. Nevertheless, it is essential that health professionals and health care public policies give special attention to older caregivers. Keywords: Caregivers. Frail elderly. Chronic pain. RESUMO Objetivo:Verificar se existe diferença na intensidade da dor crônica de idosos cuidadores frágeis, pré-frágeis e não frágeis. Métodos: Estudo quantitativo, descritivo, transversal. Foram avaliados 187 idosos, utilizando-se a Escala Multidimensional de Avaliação da Dor e o fenótipo dos cinco componentes da fragilidade. Realizaram-se análises descritivas e comparativas, Teste de QuiQuadrado de Pearson e Teste de Kruskal-Wallis. Resultados: 24,1% dos cuidadores eram frágeis, 55,1%, pré-frágeis e 20,9%, não-frágeis. A única variável sociodemográfica diferente entre os três grupos foi a idade (p=0,03). A intensidade média da dor de idosos frágeis foi 6,98, de pré-frágeis, 6,38 e de não frágeis, 5,85. Porém, essas diferenças não foram significativas (p=0,150). Conclusões: Não foi possível verificar diferença significativa na intensidade da dor crônica de idosos cuidadores, no entanto, é primordial que haja uma maior atenção dos profissionais de saúde e políticas públicas de atenção à saúde voltadas ao idoso cuidador. Palavras-chave: Cuidadores. Idoso fragilizado. Dor crônica. RESUMEN Objetivo:Determinar si existen diferencias en la intensidad del dolor crónico de los cuidadores de edad avanzada que son frágiles, prefrágiles y no frágiles. Métodos: Estudio cuantitativo, descriptivo y transversal. Se evaluaron 187 cuidadores de ancianos utilizando Escala Multidimensional de Evaluación del Dolor y el fenotipo de los cinco componentes de la fragilidad. Los análisis descriptivos y comparativos, se utilizaron, prueba de chi-cuadrado de Pearson y la prueba de Kruskal-Wallis. Resultados: El 24,1% de los cuidadores era frágil, el 55,1% de prefrágil y el 20,9% no frágil. La única variable sociodemográfica que fue diferente entre los tres grupos fueron la edad (p=0,03). La intensidad media del dolor de los ancianos frágiles era 6,98, el prefrágil 6.38, y no frágil 5,85. Sin embargo, estas diferencias no fueron significativas (p=0,150). Co...

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Chronic pain in long-lived elderly: prevalence, characteristics, measurements and correlation with serum vitamin D level

Cited by 16 publications

References 23 publications

Quality of life in the elderly with and without chronic pain

Quality of life in the elderly with and without chronic pain

Is Vitamin D Supplementation Effective for Low Back Pain? A Systematic Review and Meta-Analysis

Dor crônica de idosos cuidadores em diferentes níveis de fragilidade

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