Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study
Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study
复制标题
DOI：
10.1186/s12877-016-0224-3
复制
发表时间：
2016-02-24
期刊：
影响因子：
4.1
通讯作者：
Jakobsson, Ulf
中科院分区：
文献类型：
--
作者：
Larsson, Caroline;Hansson, Eva Ekvall;Jakobsson, Ulf
背景：探讨老年人的体力活动水平；分析疼痛特征和恐惧回避信念对报告慢性疼痛的老年人体力活动的预测作用。方法：在基线和12个月后，通过问卷调查，测量人口统计学、疼痛特征(持续时间、强度)、体力活动、运动恐惧症(过度害怕运动/(再)伤害)、自我效能感和自评健康。结果：在1141名老年人(平均年龄74.4岁，65-103岁，53.5%的女性)中，31.1%的慢性疼痛患者足够活跃(Grimby的体力活动评分为4)，而非慢性疼痛患者的这一比例为56.9%。年龄低(OR=0.93，95%CI=0.88~0.99)、运动恐惧症低(OR=0.95，95%CI=0.91~0.99)和基线活动水平高(OR=10.0，95%CI=4.98~20.67)显著预示慢性疼痛患者的体力活动水平较高。我们的发现表明，与疼痛特征相比，恐惧回避在预测未来身体活动水平方面发挥着更重要的作用。因此，当旨在增加患有慢性疼痛的老年人的体力活动时，我们的发现是重要的。
Background: To explore the level of physical activity in a population based sample of older adults; to analyze the influence of pain characteristics and fear-avoidance beliefs as predictors of physical activity among older adults reporting chronic pain.Methods: Demographics, pain characteristics (duration, intensity), physical activity, kinesiophobia (excessive fear of movement/(re) injury), self-efficacy and self-rated health were measured with questionnaires at baseline and 12-months later. Logistic regression analyses were done to identify associations at baseline and predictors of physical activity 12-months later during follow-up.Results: Of the 1141 older adults (mean age 74.4 range 65-103 years, 53.5 % women) included in the study, 31.1 % of those with chronic pain were sufficiently active (scoring >= 4 on Grimby's physical activity scale) compared to 56.9 % of those without chronic pain. Lower age (OR = 0.93, 95 % CI = 0.88-0.99), low kinesiophobia OR = 0.95, 95 % CI = 0.91-0.99), and higher activity level at baseline (OR = 10.0, 95 % CI = 4.98-20.67) significantly predicted higher levels of physical activity in individuals with chronic pain.Conclusion: The level of physical activity was significantly lower among those with chronic pain and was significantly associated with kinesiophobia. Our findings suggest that fear-avoidance believes plays a more important role in predicting future physical activity levels than pain characteristics. Thus our findings are important to consider when aiming to increase physical activity in older adults that have chronic pain.