Associations between pain and physical activity among older adults

Niederstrasser, Nils Georg; Attridge, Nina

doi:10.1371/journal.pone.0263356

Cited by 29 publications

(22 citation statements)

References 41 publications

(57 reference statements)

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“…are consistent with findings in other populations of older adults where physical activity participation has been associated with lower pain (Niederstrasser & Attridge, 2022) and medication consumption (Bertoldi et al, 2006) as well as higher function (World Health Organization, 2022), QoL (Marquez et al, 2020) and self-efficacy (Perkins et al, 2008). Our 'more' active group had a lower rate of comorbidities and medication consumption compared with the 'less' active group.…”

Section: Discussionsupporting

confidence: 89%

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study

Bell,

Pazzinatto,

Wallis

et al. 2023

Musculoskeletal Care

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ObjectivesTo investigate whether participants with knee osteoarthritis classified as ‘more’ or ‘less’ physically active at baseline differ in characteristics and/or outcomes at baseline and at 3 and 12 months following the commencement of an education and exercise‐therapy program.MethodsProspective cohort study using the GLA:D® Australia registry. The University of California, Los Angeles Physical Activity Scale (UCLA) participant data dichotomised as ‘more’ (≥7) or ‘less’ active (≤6). Groups were compared using chi‐square (obesity [baseline only], comorbidity prevalence, medication consumption, fear of damage from physical activity); and linear mixed model regression (12‐item Injury Osteoarthritis Outcome Score [KOOS‐12], pain [visual analogue scale], health‐related quality of life [QoL] [EQ‐5D‐5L]) statistics, adjusted for age, sex and baseline physical activity at 3 and 12 months.ResultsWe included 1059 participants (70% female). At baseline, 267 (25%) were classified as ‘more’ active, increasing to 29% and 30% at 3 and 12 months, respectively. At baseline, compared to the ‘less’ active group, the ‘more’ active group had a lower proportion of participants who were obese (‘more’ = 21% vs. ‘less’ = 44%), had comorbidities (58% vs. 74%) and consumed medications (71% vs. 85%); lower pain intensity (37 vs. 47); and higher KOOS‐12 (59 vs. 50), and health‐related QoL (0.738 vs. 0.665) scores. When accounting for age, sex and baseline physical activity, improvements seen in knee‐related burden and health‐related QoL were not different between groups at 3 or 12 months. Compared to the ‘less’ active group, the proportion of participants not consuming medication remained higher in the ‘more’ active group at 3 (‘more’ 45% vs. ‘less’ 28%) and 12 months (43% vs. 32%).Conclusion‘More’ active people with knee osteoarthritis were less likely to be obese, had fewer comorbidities, lower medication consumption, knee‐related burden and pain intensity, and higher health‐related QoL than ‘less’ active participants at all timepoints.

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Section: Discussionsupporting

confidence: 89%

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study

Bell,

Pazzinatto,

Wallis

et al. 2023

Musculoskeletal Care

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“…These results suggest that continued physical activity may have counteracted age-related decline in physical performance. Accordingly, continued physical activity could have contributed to the positive, long-term outcome for pain and disability as higher levels of physical activity are associated with less pain [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Chronic low back pain: a prospective study with 4 to 15 years follow-up after a multidisciplinary biopsychosocial rehabilitation program

Ochsenkuehn

Crispin

Weigl³

2022

BMC Musculoskelet Disord

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Background Multidisciplinary biopsychosocial rehabilitation (MBR) in patients with chronic low back pain (CLBP) is superior to less intensive treatments for at least one year, but the long-term course of the disease is largely unknown. The primary aim of this study was to describe the long-term course of an MBR in relation to pain, disability, and quality of life from the beginning of an MBR to between 4 to 15 years after participation. The secondary aim was to explore the long-term course of an MBR in relation to physiological outcomes of functioning. Methods This was a observational study conducted at a university hospital. The cohort consisted of participants of a 3-week, CLBP-specific MBR program between August 2001 and January 2013. The North American Spine Society questionnaire (NASS) pain and disability scale was the primary patient -reported outcome measure (PROM). The NASS neurogenic symptoms scale and the Short-Form 36 (SF-36) health survey were secondary PROMs. Patients were assessed before entry to the MBR (T0), at entry (T1), at discharge (T2) and 4 to 15 years after discharge (T3). Effects were quantified by effect size (ES). Score differences were tested for significance using parametric or non-parametric tests and linear mixed models. Results Of 299 consecutive patients from the MBR program, 229 could be contacted. Of these, 84 declined participation, five did not meet the inclusion criteria, and 26 had incomplete data. Thus, 114 patients were included. The mean follow-up time was 9.2 years. At T3, patients exhibited beneficial effects for NASS pain and disability with a moderate ES (ES = 0.63; p < 0.001). The NASS neurogenic symptoms scale was stable. The SF-36 scales showed an improvement in the bodily pain domain (ES = 1.02; p < 0.001), but no significant changes for physical functioning, physical role, general health, vitality, social functioning, emotional role, or mental health. The physical health component summary was improved (ES = 0.40, p = 0.002), and the mental health summary was unchanged. The linear mixed model analysis confirmed improvements in pain and disability between T1 and T3 (p = 0.010). Conclusions The results of this study suggest that there is a long-term benefit of MBR participation in patients with CLBP.

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“…The results of the study found that physical activity had a beneficial influence on musculoskeletal pain complaints in a sample of elderly people living in the UK, both cross-sectional and longitudinal design. 16 There is a difference in the risk level of suffering from OA between women and men where women have a higher risk of suffering from OA compared to men. The potential to suffer from more severe levels of OA is also present in women.…”

Section: Discussionmentioning

confidence: 99%

Joint complaints in the elderly during the COVID-19

Napitupulu

Juwita

Manik

2022

Int J Community Med Public Health

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Background: COVID-19 has an impact on the lack of physical activity of the elderly so that it can cause complaints in the joints such as: pain, swelling, and limited movement. This study aim of the study was to find out the prevalence joint complaints in the elderly during the COVID-19.Method: Research is descriptive with a quantitative approach on 150 elderly people in Cililitan Village, East Jakarta, Indonesia, where data collection is carried out by community health worker (CHW) who have been trained. Primary data collection through a questionnaire containing six questions about complaints of pain, swelling, and motion limitation in the joints: neck, shoulders, elbows, pelvis, ankles, fingers, toes, waist, wrists, and knees.Results: Joint disorders occurred by the elderly, 133 elderly (89%) had two joint problems, followed 8 elderly (5%) had problems in one joint, and as many as 9 elderly (6%) had three joint disorders. Joint complaints in the knee joint are 44%, pain in the pelvic joint 25.3%, and pain in the fingers of the hand 24%. The second complaint of swelling occurs in the knee joints by 8%, followed by the fingers and pelvic joints, which is 5.3%. The third complaint is limited movement in the knee joint 58.6%, fingers 30%, and toes 22%.Conclusions: All respondents had joint complaints during the COVID-19 mainly occurring in the knee joints, fingers, toes, and pelvis.

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Associations between pain and physical activity among older adults

Cited by 29 publications

References 41 publications

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study

Chronic low back pain: a prospective study with 4 to 15 years follow-up after a multidisciplinary biopsychosocial rehabilitation program

Joint complaints in the elderly during the COVID-19

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Associations between pain and physical activity among older adults

Cited by 29 publications

References 41 publications

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D® Australia prospective cohort study

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D® Australia prospective cohort study

Chronic low back pain: a prospective study with 4 to 15 years follow-up after a multidisciplinary biopsychosocial rehabilitation program

Joint complaints in the elderly during the COVID-19

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Product

Resources

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Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study

Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise‐therapy in people with knee osteoarthritis: A GLA:D^® Australia prospective cohort study