What is the relationship between physical activity and chronic pain in older adults? A systematic review and meta-analysis protocol.

What is the relationship between physical activity and chronic pain in older adults? A systematic review and meta-analysis protocol.
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DOI:
10.1136/bmjopen-2022-062566
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发表时间:
2022-11-22
期刊:
影响因子:
2.9
通讯作者:
Silveira, Erika Aparecida
Silveira, Erika Aparecida
中科院分区:
医学3区
文献类型:
--
作者:
da Silva Marques, Raphael Lucas;de Oliveira Rezende, Andrea Toledo;Junger, Ana Lucia;Noll, Matias;de Oliveira, Cesar;Silveira, Erika Aparecida

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慢性疼痛在老年人中非常普遍,可能导致功能限制,对健康和生活质量产生负面影响。身体活动是一种用于预防慢性疼痛的非药物方法,因为它促进了阻断疼痛敏感性的内源性阿片类药物的释放。因此,我们开发了一个系统的评价方案,以分析体力活动与老年人慢性疼痛的发生和强度之间的关系。系统性综述将检索PubMed、Scopus和Embase数据库。入选标准将是以原发性慢性疼痛为结局的观察性研究,包括持续性和间歇性疼痛。人群将包括来自社区、住在长期住院机构或门诊随访的老年人。对出版年份没有限制,将对以葡萄牙文、英文和西班牙文出版的文章进行分析。将量化效应或影响指标,包括OR、HR、患病率、发生率和相对风险及其95% CI。如果数据允许,将进行荟萃分析。这些结果可能有助于了解身体活动作为一种潜在的保护因素对晚年疼痛发生的影响,并促进鼓励老年人这种做法的战略预防计划和公共政策。不需要伦理批准。完成后,将通过提交同行评审期刊发表的方式传播结果。CRD 42021282898。
Chronic pain is highly prevalent in older adults and can cause functional limitations, negatively affecting health and quality of life. Physical activity is a non-pharmacological approach used to prevent chronic pain as it promotes the release of endogenous opioids that block pain sensitivity. Therefore, we developed a systematic review protocol to analyse the relationship between physical activity and the occurrence and intensity of chronic pain in older adults. The systematic review will search PubMed, Scopus and Embase databases. The inclusion criteria will be observational studies that had primary chronic pain as an outcome, including persistent and intermittent pain. The population will include older adults from the community, living in a long-stay institution, or in outpatient follow-up. There will be no restriction regarding the year of publication and articles published in Portuguese, English and Spanish will be analysed. Effect or impact measures will be quantified, including OR, HR, prevalence ratio, incidence ratio and relative risk with their 95% CIs. If the data allow, a meta-analysis will be performed. The results may help understand the impact of physical activity as a potential protection factor against the occurrence of pain later in life as well as promote strategic prevention plans and public policies that encourage this practice in older adults. Ethical approval is not required. The results will be disseminated via submission for publication to a peer-reviewed journal when complete. CRD42021282898.
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