The impact of low back pain and vigorous activity on mental and physical health outcomes in older adults with arthritis.
The impact of low back pain and vigorous activity on mental and physical health outcomes in older adults with arthritis.
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DOI：
10.3389/fpain.2022.886985
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发表时间：
2022
期刊：
影响因子：
--
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中科院分区：
文献类型：
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近50%的65岁及以上的美国人被诊断患有关节炎，估计80%的成年人患有腰痛（LBP）。关于LBP在患有关节炎的老年人中的经历及其与精神和身体健康的关系知之甚少。在这项研究中，我们研究了LBP和四个身体和精神健康状况（心理困扰，失眠，行动不便，和自我评价的健康）之间的关系，在老年人关节炎在国家健康和老龄化趋势研究（NHATS）。我们还研究了剧烈运动是否介导了LBP和这四种情况之间的关系。这项研究的数据来自NHATS的第五波到第九波。在这些浪潮中，样本量范围从3，490到2，026。本研究中的所有变量均基于自我报告。我们使用描述性分析，包括连续变量的平均值和标准差或人口统计学数据的频率和比例。我们使用结构方程模型（SEM），以检查是否剧烈活动介导的LBP与四个条件之间的关系。样本的年龄范围为65岁及以上。在背痛患者中，78.53%的患者没有活动受限。LBP与失眠（B = 0.48，p < 0.001）、自觉健康状况（B =-0.38，p < 0.0010）和心理困扰（0.67，p < 0.001）之间存在显著关系。在调整模型中，活动介导LBP与失眠、心理困扰和身体健康之间的关系。患有关节炎的老年人腰痛的存在增加了失眠，心理困扰，行动不便和自我评估健康状况较差的风险。因此，针对合并LBP可能是老年关节炎患者治疗计划的重要组成部分。此外，关节炎和LBP患者的提供者应该对心理和身体健康进行常规评估，以确保LBP得到充分解决。
Nearly 50% of Americans aged 65 and above have been diagnosed with arthritis and an estimated 80% of adults experience low back pain (LBP). Little is known about the experience of LBP in older adults with arthritis and its relationships with mental and physical health. In this study, we examined the relationships between LBP and four physical and mental health conditions (psychological distress, insomnia, mobility limitations, and self-rated health) in older adults with arthritis in the National Health and Aging Trends Study (NHATS). We also examined whether vigorous exercise mediated the relationships between LBP and these four conditions. The data from this study comes from waves five through nine of the NHATS. The sample size ranged from 3,490 to 2,026 across these waves. All variables in this study are based on self-report. We used descriptive analyses including means and standard deviations for continuous variables or frequencies and proportions for demographic data. We used structural equation modeling (SEM) to examine if vigorous activity mediated the relationship between LBP with the four conditions. The age range of the sample was 65 years of age and older. Among those with back pain 78.53% had no mobility limitations. There was a significant relationship between LBP with insomnia (B = 0.48, p < 0.001), perceived health status (B = −0.38, p < 0.0010), and psychological distress (0.67, p < 0.001). Activity mediated the relationship between LBP and insomnia, psychological distress and physical health in adjusted models. The presence of low back pain in older adults with arthritis increases the risk of insomnia, psychological distress, mobility limitations, and poorer self-rated health. Consequently, targeting comorbid LBP may be an important component of the treatment plans of older adults with arthritis. In addition, providers of patients with arthritis and LBP should conduct routine assessments of mental and physical health to ensure the LBP is being adequately addressed.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5
作者：
Goode, Adam P.;Carey, Timothy S.;Jordan, Joanne M.
通讯作者：
Jordan, Joanne M.
影响因子：
4
作者：
Bahouq, H.;Allali, F.;Hajjaj-Hassouni, N.
通讯作者：
Hajjaj-Hassouni, N.
影响因子：
3.6
作者：
Basinski, Krzysztof;Zdun-Ryzewska, Agata;Majkowicz, Mikolaj
通讯作者：
Majkowicz, Mikolaj
影响因子：
2.9
作者：
Nordstoga AL;Nilsen TIL;Vasseljen O;Unsgaard-Tøndel M;Mork PJ
通讯作者：
Mork PJ