Impacts of persistent general and site‐specific pain on activities of daily living and physical performance: A prospective analysis of the English Longitudinal Study of Ageing

Yiengprugsawan, Vasoontara; Steptoe, Andrew

doi:10.1111/ggi.13304

Cited by 18 publications

(28 citation statements)

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“…We measured pain using participant self-report using the questions, “Are you often troubled with pain?” and, if so, “How bad is the pain most of the time?” (with options of mild, moderate, or severe). In line with previous research, we specifically focused on pain that was classed as moderate or severe, 35 and an index was created of whether participants reported such pain at any point across the 10 years (our chronic pain incidence index). Participants were additionally asked to specify where they felt their pain occurred: all over versus a specific common site (back, hips, or knees) versus other.…”

Section: Methodsmentioning

confidence: 99%

“…Prevalence figures vary, but broadly suggest that around one-half to two-thirds of adults aged ≥50 years are affected (>4 times the number of those 18-25 years of age affected), and incidence rates are as high as 5.4% per year 7, 15 , 24 . Pain is one of the most widely cited symptoms of underlying disability in older adults and is linked with impaired physical capacity for basic and instrumental activities of daily living, poorer mobility, and falls 18, 24 , 35 . Pain is also associated with psychological outcomes, including fatigue, poor quality of life, and a heightened risk of depression 10, 17.…”

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confidence: 99%

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Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

Fancourt

Steptoe

2018

The Journal of Pain

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Chronic pain is recognized as a major challenge as people age. Yet, despite growing research on chronic pain management, there is little research into chronic pain prevention. Thus there is a clear need to identify multimodal activities that could be encouraged among older adults as part of a healthy lifestyle to decrease the incidence risk of chronic pain. Using data from the English Longitudinal Study of Ageing we tracked 2,631 adults aged ≥50 years who were free from chronic pain at baseline across a decade and explore whether physical or psychosocial factors reduced the risk of developing chronic pain. In relation to physical factors, engaging in vigorous weekly activity was protective against the development of chronic pain (odds ratio 0.74, standard error 0.07, 95% confidence interval 0.62-0.89) when controlling for all identified socioeconomic, health, and social confounders. However, no effects were found for moderate weekly activity. In relation to psychosocial factors, cultural engagement was also protective against the development of chronic pain (odds ratio 0.75, standard error 0.07, 95% confidence interval 0.63-0.91), but community group participation was not. These findings extend previous work showing that physical activity and psychosocial factors such as positive affect are key factors in the long-term success of chronic pain self-management. Future interventional studies for chronic pain are encouraged. PERSPECTIVE: This article explores whether physical and psychosocial activities could reduce the risk of developing chronic pain in older age. These results could potentially help clinicians to recommend multimodal activities as part of a broader healthy lifestyle for those aged ≥50 years to reduce the incidence rate of chronic pain.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

Fancourt

Steptoe

2018

The Journal of Pain

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“…The findings of the current study showed that patients had become dependent in their personal activities because of pain. The findings of a study by Yiengprugsawan and Stepto on an elderly group showed that there was a relationship between activities of daily living and pain (31). Also, in the study of Yiengprugsawan et al aimed at determining the relationship between daily living and lower back pain, the findings showed that pain affects the rate of daily living (32).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Lifestyle with Chronic Pain and Pain Acceptance in Elderly with Stroke

2018

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Background: Changing lifestyle can be effective in preventing pain and facilitates the process of chronic pain and its side effects. Pain acceptance is an important and valuable concept related to the manner of a person, reaction, and compatibility with chronic pain. Objectives: The current study was conducted to determine lifestyle with chronic pain and pain acceptance in patients with stroke in Ilam city in 2018. Methods: This was a descriptive cross-sectional study conducted in 2018 on 200 patients, who were hospitalized at Shaheed Mostafa Hospital of Ilam city due to stroke. According to the goals of the study, demographic specifications, the questionnaire of lifestyle with chronic pain, and the questionnaire of chronic pain acceptance were used. The obtained data of this study were analyzed using descriptive statistics (mean, standard deviation, and the table of frequency distribution) and inferential statistical tests (independent t and analysis of variance (ANOVA)). Results: According to the findings, the mean (SD) of pain acceptance was 16.22 (1.99) and that of lifestyle with chronic pain was 21.83 (3.91). Also, the maximum score in lifestyle with chronic pain and chronic pain acceptance was respectively 32 and 22. Also, there was no significant relationship between lifestyle and chronic pain and pain acceptance in elderly with stroke (P = 0.22). Conclusions: According to the findings, mean (SD) scores of lifestyle with chronic pain and the rate of pain acceptance were not desired, therefore, nurses need to make improvements through nursing interventions.

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“…A community-based survey targeting >4000 participants in Japan demonstrated that the number of people with these types of pain increases with age ( 4 ). Such pain is associated with daily activity impairment as well as loss of work productivity, which significantly impacts quality of life (QOL) ( 1 , 5 ). In a survey of Japanese adults and the UK Biobank study, greater pain severity and higher number of pain sites were associated with higher presenteeism ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…Another study demonstrated that the total incremental cost of health care due to pain was $635 billion in the United States ( 8 ). Current care for LBP, such as nonsteroidal anti-inflammatory drugs, only offers temporary relief with limited effectiveness and poses a high risk of gastrointestinal side effects ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

ʟ-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

Sasahara

Yamamoto

Takeshita

et al. 2020

The Journal of Nutrition

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Background Multisite pain, including low-back and knee pain, is a major health issue that greatly decreases quality of life. Objectives This study analyzed the effects of l-serine, which provides necessary components for nerve function, and EPA, which exerts anti-inflammatory properties, on pain scores of adults with pain in at least the low back and knee for ≥3 mo. Methods This was a randomized, double-blind, placebo-controlled, parallel-group study. The Japan Low Back Pain Evaluation Questionnaire (JLEQ) and Japanese Knee Osteoarthritis Measure (JKOM) were applied as primary outcomes. The Brief Pain Inventory (BPI) and safety evaluation were secondary outcomes. We enrolled 120 participants aged ≥20 y (36 men and 84 women: mean ± SD age = 40.8 ± 10.9 y). The participants were randomly allocated to either the active group (daily ingestion of 594 mg l-serine and 149 mg EPA) or placebo group. The study period consisted of 8-wk dosing and 4-wk posttreatment observation. ANCOVA between groups for each time point was conducted using the baseline scores as covariates. Results The JLEQ scores (active compared with placebo: 14.2 ± 11.2 compared with 19.0 ± 10.2) at week 8 were lower in the active group (P < 0.001). The JKOM scores at week 4 (11.7 ± 9.0 compared with 13.9 ± 7.9), week 8 (10.4 ± 7.9 compared with 13.1 ± 7.1), and week 12 (10.3 ± 7.4 compared with 13.8 ± 7.5) were lower in the active group (P ≤ 0.04). Additionally, the active group had 11–27% better scores compared with the placebo group for BPI1 (worst pain), BPI3 (average pain), and BPI5D (pain during moving) at week 4 (P ≤ 0.028) and week 8 (P ≤ 0.019), respectively, and BPI5D was 23% better in the active group at week 12 (P = 0.007). No adverse events were observed. Conclusions l-Serine and EPA were effective for pain relief in adults with low-back and knee pain after multiplicity adjustment. This trial was registered at the University Hospital Medical Information Network Clinical Trials Registry as UMIN000035056.

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Impacts of persistent general and site‐specific pain on activities of daily living and physical performance: A prospective analysis of the English Longitudinal Study of Ageing

Abstract: Our data confirm the longitudinal impacts of persistent pain among older adults. The findings highlight the value of monitoring and management of both general and site-specific pain in order to promote sustained independence at older ages. Geriatr Gerontol Int 2018; 18: 1051-1057.

Cited by 18 publications

References 20 publications

Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

The Relationship Between Lifestyle with Chronic Pain and Pain Acceptance in Elderly with Stroke

ʟ-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

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