A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Women

Marshall, Lynn M.; Litwack-Harrison, Stephanie; Cawthon, Peggy M.; Kado, Deborah M.; Deyo, Richard A.; Makris, Una E.; Carlson, Hans; Nevitt, Michael C.

doi:10.1093/gerona/glv225

Cited by 62 publications

(57 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two recent systematic reviews and meta‐analyses have demonstrated a link between pain and falls, and prospective studies included in the reviews provided evidence that pain is associated with an increased risk of falls in the older population . This has been further supported by recent findings from prospective studies . In addition, the associations appear to be more pronounced with an increasing number of painful sites .…”

Section: Introductionmentioning

confidence: 64%

See 1 more Smart Citation

Pain at Multiple Sites Is Associated With Prevalent and Incident Fractures in Older Adults

Pan

Tian

Aitken

et al. 2019

Journal of Bone and Mineral Research

View full text Add to dashboard Cite

Musculoskeletal pain is common and typically occurs at multiple sites. Pain has been shown to be associated with falls risk; however, whether an increased risk for falls associated with multisite pain (MSP) translates into an increased risk of fractures has not been investigated. This study aimed to examine the association of number of painful sites with prevalent and incident fractures. Data from a longitudinal population‐based study of older adults (mean age 63 years) were utilized. Follow‐up was performed at 2.6, 5.1, and 10.7 years later, respectively. Presence/absence of pain at the neck, back, hands, shoulders, hips, knees, and feet was assessed by questionnaire at baseline. Participants were classified into three groups according to the total number of painful sites: zero to two, three to four, and five to seven. Fractures were self‐reported at each time point. BMD was measured by DXA. Falls risk was calculated based on the Short‐Form Physiological Profile Assessment. Log‐binomial regression was used for the analyses. There were 450 fractures at baseline and 154 new fractures reported during a mean follow‐up period of 10.7 years (range 9.2 to 12.5 years). In multivariable analyses, number of painful sites was associated with prevalent fractures at any and nonvertebral site. Furthermore, participants with five to seven painful sites had an increased risk of incident fractures at any site (RR 1.69; 95% CI, 1.13 to 2.53); major site, including the femur, radius, ulnar, vertebral, rib, and humerus (RR 2.17; 95% CI 1.12 to 4.22); and vertebral site (RR 6.44, 95% CI, 1.64 to 25.33) compared with those with pain at zero to two sites. These associations remained statistically significant after further adjustment for falls risk and BMD. Pain at multiple sites was associated with incident fracture risk in a dose‐response manner, suggesting that widespread pain is an independent contributor to fracture risk. The potential for pain management in fracture prevention warrants further exploration. © 2019 American Society for Bone and Mineral Research.

show abstract

Section: Introductionmentioning

confidence: 64%

“…MSP has been shown to be associated with multiple health outcomes, including physical and psychological domains and is being recommended as a geriatric syndrome . A link between pain and risk of falls has been documented in prior as well as recent studies. Further, risk for falls was more pronounced with increasing number of painful sites .…”

Section: Discussionmentioning

confidence: 97%

Pain at Multiple Sites Is Associated With Prevalent and Incident Fractures in Older Adults

Pan

Tian

Aitken

et al. 2019

Journal of Bone and Mineral Research

View full text Add to dashboard Cite

show abstract

“…Given that poor balance control is a risk factor for falls in the geriatric population, [30] our findings of increased step width during gait may begin to explain why other studies have consistently demonstrated that older adults with CLBP are at increased risk for falling as compared to pain-free elders. [31–33] These findings of greater step width in the CLBP population may indicate that more thorough assessment and treatment of balance is required in the geriatric CLBP population.…”

Section: Discussionmentioning

confidence: 99%

Altered spatiotemporal characteristics of gait in older adults with chronic low back pain

et al. 2017

View full text Add to dashboard Cite

Previous studies in older adults have identified that chronic low back pain (CLBP) is associated with slower gait speed. Given that slower gait speed is a predictor of greater morbidity and mortality among older adults, it is important to understand the underlying spatiotemporal characteristics of gait among older adults with CLBP. The purposes of this study were to determine (1) if there are differences in spatiotemporal parameters of gait between older adults with and without CLBP during self-selected and fast walking and (2) whether any of these gait characteristics are correlated with performance of a challenging walking task, e.g. stair negotiation. Spatiotemporal characteristics of gait were evaluated using a computerized walkway in 54 community-dwelling older adults with CLBP and 54 age- and sex-matched healthy controls. Older adults with CLBP walked slower than their pain-free peers during self-selected and fast walking. After controlling for body mass index and gait speed, step width was significantly greater in the CLBP group during the fast walking condition. Within the CLBP group, step width and double limb support time are significantly correlated with stair ascent/descent times. From a clinical perspective, these gait characteristics, which may be indicative of balance performance, may need to be addressed to improve overall gait speed, as well as stair-climbing performance. Future longitudinal studies confirming our findings are needed, as well as investigations focused on developing interventions to improve gait speed and decrease subsequent risk of mobility decline.

show abstract

“…In the study by Blyth et al () performed with a community sample, it was determined that the incidence of falls was higher among older adults who reported pain, similar to the results of our study. Similarly, in the studies by Patel et al (), Stubbs et al (), Mitchell et al (), and Marshall et al (), it was revealed that pain that was severe and on various sites was associated with falls. Only a weak correlation was found between falls and pain in a number of other studies (Bekibele & Gureje, ; Lazkani et al, ; Leveille et al, ; Muraki et al, ).…”

Section: Discussionmentioning

confidence: 68%

“…Despite the presence of several plausible mechanisms for the contribution of pain in falls, few studies have investigated the relationship between pain and falls among older adults (Bekibele & Gureje, ; Blyth, Cumming, Mitchell, & Wang, ; Leveille et al, ; Muraki et al, ; Patel et al, ; Stubbs et al, ). If pain is a risk factor for falls, this represents a potentially important point of intervention for falls prevention (Marshall et al, ; Mitchell et al, ).…”

Section: Introductionmentioning

confidence: 99%

Incidence of falls among community‐dwelling older adults in Turkey and its relationship with pain and insomnia

Altintaş

Aslan

2019

Int J of Nursing Practice

View full text Add to dashboard Cite

Aim The aim of this study was to determine the incidence of falls among community‐dwelling older adults and the impact of pain and insomnia on falls. Methods This cross‐sectional study recruited 659 older adults. Pain was assessed by the Geriatric Pain Measure, and insomnia was assessed by the Insomnia Severity Index. The history of falls was assessed within the last 12 months. Risk factors for falls were determined using logistic regression analysis. Results The incidence of falls within the last year was 37.2%. Based on the analyses, pain and insomnia were found to be risk factors for falls. Conclusion In this study, falls were observed as a common problem among community‐dwelling older adults, and pain and insomnia were determined as risk factors for falls. Therefore, pain and insomnia should be addressed when prevention of falls among community‐dwelling older adults are planned by health care professionals including nurses.

show abstract

A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Women

Abstract: Older community-dwelling women with a recent history of back pain are at increased risk for falls.

Cited by 62 publications

References 62 publications

Pain at Multiple Sites Is Associated With Prevalent and Incident Fractures in Older Adults

Pain at Multiple Sites Is Associated With Prevalent and Incident Fractures in Older Adults

Altered spatiotemporal characteristics of gait in older adults with chronic low back pain

Incidence of falls among community‐dwelling older adults in Turkey and its relationship with pain and insomnia

Contact Info

Product

Resources

About