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Factors associated with chronic musculoskeletal pain in Japanese community-dwelling older adults: A cross-sectional study.

Abstract Identifying older adults with chronic musculoskeletal pain (CMP) earlier is urgent because CMP is reportedly associated with deterioration in physical function, poor psychological status, and low physical activity level. The objective of this study was to identify factors that were most strongly associated with CMP in Japanese community-dwelling older adults.Using a cross-sectional design, we assessed 263 older adults (mean age = 79.1 ± 5.9 years, 85.9% women) who participated in community exercise classes. Participants' physical function, psychological status, and activity levels were evaluated as outcome measures using a variety of tests and instruments. These assessments were conducted prior to beginning the exercise intervention program and compared participants with and without CMP. Additionally, relevant participant characteristics were collected and analyzed. In this study, CMP was defined as the presence of related symptoms within the past month that continued for at least 6 months and corresponded to a numerical rating scale of at least 5 or more at the site of maximum pain.A total of 143 (54.4%) participants met the criteria for CMP, and a high number of them had chronic lower back pain (64.3%). Outcome measures for the CMP group were significantly worse than for the non-CMP group (P < .05). Logistic regression analysis revealed that the Pain Catastrophizing Scale helplessness domain scores (odds ratio: 1.20, 95% confidence interval: 1.09-1.32) with an estimated value of 10 points was the factor most significantly associated with the presence of CMP.These findings suggest that assessment of the helplessness associated with pain-related catastrophizing is important for identification and the creation of interventions for older adults with CMP.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28591044
OWN - NLM
STAT- MEDLINE
DA  - 20170607
DCOM- 20170706
LR  - 20170706
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 23
DP  - 2017 Jun
TI  - Factors associated with chronic musculoskeletal pain in Japanese
      community-dwelling older adults: A cross-sectional study.
PG  - e7069
LID - 10.1097/MD.0000000000007069 [doi]
AB  - Identifying older adults with chronic musculoskeletal pain (CMP) earlier is
      urgent because CMP is reportedly associated with deterioration in physical
      function, poor psychological status, and low physical activity level. The
      objective of this study was to identify factors that were most strongly
      associated with CMP in Japanese community-dwelling older adults.Using a
      cross-sectional design, we assessed 263 older adults (mean age = 79.1 +/- 5.9
      years, 85.9% women) who participated in community exercise classes. Participants'
      physical function, psychological status, and activity levels were evaluated as
      outcome measures using a variety of tests and instruments. These assessments were
      conducted prior to beginning the exercise intervention program and compared
      participants with and without CMP. Additionally, relevant participant
      characteristics were collected and analyzed. In this study, CMP was defined as
      the presence of related symptoms within the past month that continued for at
      least 6 months and corresponded to a numerical rating scale of at least 5 or more
      at the site of maximum pain.A total of 143 (54.4%) participants met the criteria 
      for CMP, and a high number of them had chronic lower back pain (64.3%). Outcome
      measures for the CMP group were significantly worse than for the non-CMP group (P
      &lt; .05). Logistic regression analysis revealed that the Pain Catastrophizing Scale
      helplessness domain scores (odds ratio: 1.20, 95% confidence interval: 1.09-1.32)
      with an estimated value of 10 points was the factor most significantly associated
      with the presence of CMP.These findings suggest that assessment of the
      helplessness associated with pain-related catastrophizing is important for
      identification and the creation of interventions for older adults with CMP.
FAU - Hirase, Tatsuya
AU  - Hirase T
AD  - aDepartment of Physical Therapy Science, Nagasaki University Graduate School of
      Biomedical Sciences bDepartment of Locomotive Rehabilitation Science, Nagasaki
      University Graduate School of Biomedical Sciences, Sakamoto cDepartment of
      Rehabilitation, Nagasaki Memorial Hospital, Hukahori, Nagasaki, Japan.
FAU - Kataoka, Hideki
AU  - Kataoka H
FAU - Inokuchi, Shigeru
AU  - Inokuchi S
FAU - Nakano, Jiro
AU  - Nakano J
FAU - Sakamoto, Junya
AU  - Sakamoto J
FAU - Okita, Minoru
AU  - Okita M
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Area Under Curve
MH  - Catastrophization
MH  - Chronic Pain/epidemiology/*psychology/*therapy
MH  - Cross-Sectional Studies
MH  - Exercise Therapy
MH  - Female
MH  - Humans
MH  - Japan
MH  - Logistic Models
MH  - Low Back Pain/epidemiology/*psychology/*therapy
MH  - Male
MH  - Musculoskeletal Pain/epidemiology/*psychology/*therapy
MH  - Pain Measurement
MH  - ROC Curve
MH  - Treatment Outcome
PMC - PMC5466222
EDAT- 2017/06/08 06:00
MHDA- 2017/07/07 06:00
CRDT- 2017/06/08 06:00
AID - 10.1097/MD.0000000000007069 [doi]
AID - 00005792-201706090-00020 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(23):e7069. doi: 10.1097/MD.0000000000007069.