Relationship Between Physical Activity and Chronic Musculoskeletal Pain Among Community-Dwelling Japanese Adults

Kamada, Masao; Kitayuguchi, Jun; Lee, I-Min; Hamano, Tsuyoshi; Imamura, Fumiaki; Inoue, Shigeru; Miyachi, Motohiko; Shiwaku, Kuninori

doi:10.2188/jea.je20140025

Cited by 29 publications

(31 citation statements)

References 52 publications

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“…Indeed, physical activity was significantly associated with the NPS in all groups. Although the efficacy of physical activity in reducing pain is somewhat controversial [42,43], its preventive effect on pain is generally accepted [44,45]; in this respect, our results are consistent with previous reports. The NPS was associated with depressive symptoms.…”

Section: Discussionsupporting

confidence: 93%

The Trajectories of the Number of Pain Sites and Their Associated Factors in Older Adults: Results from the Korean Longitudinal Study of Ageing

2018

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Background: The aging of the population will result in an increase in demand for pain management. Pain adversely affects physical and mental functioning in older adults and accounts for a considerable proportion of all medical expenses. Objectives: This study was performed to investigate the patterns of changes in the trajectories of the number of pain sites in older adults and the factors that affect these patterns according to gender. Methods: Data were extracted for subjects that participated in the Korean Longitudinal Study of Ageing from 2006 to 2014. The study population consisted of 2,839 individuals (1,190 men and 1,649 women) ≥60 years old. A group-based trajectory model was used to determine the optimal number of subgroups and the trajectories of the number of pain sites according to gender. A multinomial regression analysis was conducted to identify factors that affect the probability of inclusion in each trajectory group. Results: The trajectories of the number of pain sites were consistent in both genders. Almost all women had one or more pain symptom, and a greater number of pain sites than men. Older age, longest-duration occupation requiring manual labor, lack of physical activity, depressive symptoms, and poor self-rated health were associated with a greater number of pain sites in both genders. A lower level of education, married status, and experience of injury were associated with the number of pain sites in men but not in women, while household income and chronic diseases were associated with the number of pain sites only in women. Conclusions: The pain status at the early stage is predictive of future pain. In this study, we identified gender differences in the trends of the number of pain sites and associated factors. Further comprehensive studies on pain intensity and duration are required.

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Section: Discussionsupporting

confidence: 93%

The Trajectories of the Number of Pain Sites and Their Associated Factors in Older Adults: Results from the Korean Longitudinal Study of Ageing

2018

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“…This study demonstrates similar results to these studies. On the other hand, Kamada et al [ 10 ] did not find a clear relationship between PA and LBP. It is believed that since this study evaluated PA using a questionnaire, PA was not ascertained accurately.…”

Section: Discussionmentioning

confidence: 93%

Association between objectively measured physical activity and body mass index with low back pain: a large-scale cross-sectional study of Japanese men

et al. 2018

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BackgroundThe relationship between the combination of physical activity (PA) and body mass index (BMI) with low back pain (LBP) is unclear. The present study offers a cross-sectional assessment of how combinations of PA and BMI are related to LBP in Japanese men.MethodsParticipants were 4022 Japanese men (mean age = 47) who underwent regular clinical examinations. PA was measured using a uniaxial accelerometer and divided into tertiles (PAhigh, PAmiddle, PAlow). A self-administered questionnaire was used to report on persistent LBP experience, drinking and smoking habits, and any existing lifestyle diseases. After covariance adjustment, a logistic regression model was used to assess how combinations of PA and BMI are related to persistent LBP.Results428 of the participants had persistent LBP. A clear negative dose-response relationship was found between PA levels and persistent LBP (P for linearity = 0.012). Regarding BMI, odd ratios were shown to be higher in the overweight/obese category (BMI ≥ 25 kg/m2) than for the normal weight category (BMI < 25 kg/m2). When the PAhigh was taken as the reference in the normal weight category, odds ratios for PAlow and PAmiddle in the normal weight category were shown to be high. Moreover, in the overweight/obese category, odd ratios for every fitness level were also high as for the normal weight category.ConclusionThe present study showed that both PA and BMI are related to persistent LBP. Also, the prevalence of persistent LBP became higher when PAlow and high BMI are combined rather than the group of PAhigh and low BMI combination.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5253-8) contains supplementary material, which is available to authorized users.

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“…It can also be considered that no harm was observed. Both too little and too much PA have been suggested as potential risks for musculoskeletal pain [ 46 , 47 ]. Monitoring musculoskeletal disorders is important to assess the potential harm of PA intervention.…”

Section: Discussionmentioning

confidence: 99%

Community-wide promotion of physical activity in middle-aged and older Japanese: a 3-year evaluation of a cluster randomized trial

Kamada

Kitayuguchi²,

Abe³

et al. 2015

Int J Behav Nutr Phys Act

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BackgroundPromotion of physical activity (PA) is a key strategy to prevent non-communicable diseases. However, evidence on the effectiveness of community-wide interventions (CWIs) for promoting PA is limited.PurposeTo evaluate the effectiveness of a 3-year CWI for promoting PA in middle-aged and older adults compared with usual public health services. This study is an extension to an original 1-year investigation study.DesignCluster randomized controlled trial with community as unit of randomization and individual as unit of analysis.Setting/participants12 communities in Unnan, Japan were randomly allocated to the intervention (9) or the control (3). Additionally intervention communities were randomly allocated to aerobic activity promotion (Group A), flexibility and muscle-strengthening activities promotion (Group FM), or aerobic, flexibility, and muscle-strengthening activities promotion (Group AFM), each consisting of three communities. Randomly-sampled 4414 residents aged 40 to 79 years responded to the baseline survey (74 %), and were analyzed in 2013–2014.InterventionA 3-year CWI based on social marketing, to promote PA from 2009 to 2012.Main outcome measuresThe primary outcome was a change in regular aerobic, flexibility, and/or muscle-strengthening activities, defined by (1) engaging in 150 mins/week or more of walking, (2) engaging in daily flexibility activity, or (3) engaging 2 or more days/week in muscle-strengthening activities, evaluated at the individual level. Secondary outcomes were changes in specific types of PA and musculoskeletal pain. Outcomes were measured at baseline and at 1 and 3 years (2009, 2010, and 2012).ResultsThe CWI did not significantly increase the proportion of adults who reached recommended levels of aerobic, flexibility, and/or muscle-strengthening activities (adjusted change difference = 1.6 % [95 % CI: −3.5, 6.6]). In the subgroup analysis, compared to the controls, adults doing flexibility activity daily significantly increased in Group FM (6.3 % [95 % CI: 1.9, 10.7]). In Group A and AFM for PA outcomes and in all groups for pain outcomes, there was no significant change compared to controls.ConclusionsThe CWI did not achieve significant increase in the proportion of adults who reached recommended PA levels. However, it might be effective in promoting flexibility activity in middle-aged and older Japanese.Trial registrationUMIN-CTR UMIN000002683.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-015-0242-0) contains supplementary material, which is available to authorized users.

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Relationship Between Physical Activity and Chronic Musculoskeletal Pain Among Community-Dwelling Japanese Adults

Cited by 29 publications

References 52 publications

The Trajectories of the Number of Pain Sites and Their Associated Factors in Older Adults: Results from the Korean Longitudinal Study of Ageing

The Trajectories of the Number of Pain Sites and Their Associated Factors in Older Adults: Results from the Korean Longitudinal Study of Ageing

Association between objectively measured physical activity and body mass index with low back pain: a large-scale cross-sectional study of Japanese men

Community-wide promotion of physical activity in middle-aged and older Japanese: a 3-year evaluation of a cluster randomized trial

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