Activity-induced pain as a predictor of physical activity behavior among individuals with chronic pain: the role of physical activity enjoyment

LaRowe, Lisa R.; Williams, David M.

doi:10.1007/s10865-022-00318-1

Cited by 3 publications

(1 citation statement)

References 69 publications

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“…12 Moreover, adults aged ≥50 report high levels of pain during activity, which may lead to greater sedentary behavior and lower levels of physical activity. 15,16 Older adults also experience unique barriers to pain management, such as high rates of multimorbidity, 2,13,14 which may further impact the extent of benefit they receive from a mind-body intervention. Alternatively, given that older adults tend to be more sedentary, 17,18 they may have a greater potential (compared to younger adults) for improvement in physical activity and may derive greater benefit from reducing sedentary behavior.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Mind-Body Program for Chronic Pain in Older versus Younger Adults

LaRowe,

Bakhshaie,

Vranceanu

et al. 2023

JPR

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Improving physical function is key to decreasing the burden of chronic pain across the lifespan. Although mind-body interventions show promise in increasing physical function in chronic pain, very little is known about whether older and younger adults derive similar benefit. Indeed, older adults experience higher rates of chronic pain and greater impacts of pain on physical function compared to younger adults. Therefore, additional work is needed to determine the extent of benefit older versus younger adults receive from a mind-body intervention. Here, we examined age differences in the effects of two mind-body and walking programs on pain and multimodal physical function. Participants and Methods: Participants were 82 individuals with heterogenous chronic musculoskeletal pain (66% female, 57% aged ≥50 years) who participated in a feasibility randomized controlled trial of two mind-body interventions. They completed selfreported (WHODAS 2.0), performance-based (6-minute walk test), and objective (accelerometer-measured step count) measures of physical function, as well as self-report measures of pain intensity, before and after the intervention. Results: Results indicated that adults aged ≥50 (vs adults aged <50) demonstrated greater improvements in performance-based physical function (6-minute walk test) and reductions in pain during activity. No age differences in the effects of the intervention on self-reported or objectively measured physical function were observed. Conclusion: Collectively, these findings suggest that older adults can achieve equivalent or greater benefits from mind-body programs for chronic pain, despite facing unique challenges to chronic pain management (eg, multimorbidity, greater sedentary behavior).

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