The impact of body composition, pain and resilience on physical activity, physical function and physical performance at 2 months post hip fracture

Resnick, Barbara; Hebel, J. Richard; Gruber‐Baldini, Ann L.; Hicks, Gregory E.; Hochberg, Marc C.; Orwig, Denise; Eastlack, Marty; Magaziner, Jay

doi:10.1016/j.archger.2018.01.010

Cited by 31 publications

(27 citation statements)

References 47 publications

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“…It is commonly agreed, however, that resilience contributes to well-being and quality of life when confronting adversities and hence may be a key resource for aging well. Some previous studies have shown that higher levels of resilience are associated with higher levels of physical activity (Perna et al 2012 ; Resnick et al 2018 ) and social participation (Levasseur et al 2017 ). However, it is unclear whether resilience contributes to active aging among people facing mobility impairments.…”

Section: Introductionmentioning

confidence: 98%

Psychological resilience and active aging among older people with mobility limitations

et al. 2020

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Active aging refers to striving for well-being through preferred activity and may be restricted with declining mobility. We investigated whether psychological resilience, i.e., the ability to tolerate hardship, can aid older people in being active despite mobility limitations. Participants were 961 community-dwelling persons aged 75, 80, or 85 years living in Jyväskylä, Central Finland. Mobility limitations were indicated as self-reported difficulty in walking 2 km. Categories were no difficulty (reference), difficulty, and unable to walk. Resilience was assessed with the 10-item Connor–Davidson Resilience Scale and active aging with the University of Jyvaskyla Active Aging scale. Data were analyzed with OLS regression analyses, which were stratified by age. In all age-groups, having difficulties walking or being unable to walk 2 km was associated with lower active aging scores. Resilience moderated this association especially among the 75-year-olds, but not among the 85-year-olds: The higher the resilience score, the higher the active aging score among those reporting no or some walking difficulties. Those unable to walk 2 km had lower active aging scores irrespective of resilience level. Psychological resilience may alleviate the negative effects of early phase walking difficulties on active aging but may be insufficient to compensate for more severe walking limitations that restrict not only function but also autonomy.

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Section: Introductionmentioning

confidence: 98%

Psychological resilience and active aging among older people with mobility limitations

et al. 2020

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“…Furthermore, individuals may have different responses to pain such as resilience and/or beliefs about pain that may affect how they respond to pain stimulus irrespective of race. 26,27 Individuals may experience similar chronic pain but their physical responses to the pain may differ based on how they perceive their pain or even how long they have lived with the pain.…”

Section: Discussionmentioning

confidence: 99%

The association of pain, race and slow gait speed in older adults

et al. 2018

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Gait speed is an important indicator of mobility and quality of life in older adults. Pain is related to gait speed; however, it is unknown if this relationship varies by race in a population based national sample. The aim of this study was to examine if the association between slow gait speed and pain differed between 7,025 older African Americans and non Hispanic Whites in the National Health and Aging Trends Study. Those with pain in the last month had higher odds of slow gait speed (odds ratio = 1.38, 95% confidence interval = 1.10 - 1.73) than those without pain. The relationship between pain and slow gait speed did not vary by race (interaction p = 0.6). This is important because it points to the underlying racial disparities in pain and gait speed being factors such as disparate opportunities and living conditions, and healthcare rather than attributes intrinsic to race.

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“…associations between fat mass and pain [50,[52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67], nine studies examined adiposity within a specific muscle [68][69][70][71][72][73][74][75], five studies did not specify a site of pain [76][77][78][79], two studies only examined multisite pain [80,81], and three studies examined pain in children [82][83][84].…”

Section: Plos Onementioning

confidence: 99%

Is adiposity associated with back and lower limb pain? A systematic review

et al. 2021

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Background Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposity and its distribution and back and lower limb pain. Methods A systematic search of electronic databases was conducted to identify studies that examined the association between anthropometric and/or direct measures of adiposity and site specific musculoskeletal pain. Risk of bias was assessed and a best evidence synthesis was performed. Results A total of 56 studies were identified which examined 4 pain regions, including the lower back (36 studies), hip (two studies), knee (13 studies) and foot (eight studies). 31(55%) studies were assessed as having low to moderate risk of bias. 17(30%) studies were cohort in design. The best evidence synthesis provided evidence of a relationship between central adiposity and low back and knee pain, but not hip or foot pain. There was also evidence of a longitudinal relationship between adiposity and the presence of back, knee and foot pain, as well as incident and increasing foot pain. Conclusions This systematic review provides evidence of an association between both body fat and its central distribution and low back and knee pain, and a longitudinal relationship between adiposity and back, knee and foot pain. These results highlight the potential for targeting adiposity in the development of novel treatments at these sites.

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The impact of body composition, pain and resilience on physical activity, physical function and physical performance at 2 months post hip fracture

Cited by 31 publications

References 47 publications

Psychological resilience and active aging among older people with mobility limitations

Psychological resilience and active aging among older people with mobility limitations

The association of pain, race and slow gait speed in older adults

Is adiposity associated with back and lower limb pain? A systematic review

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