Factors associated with chronic musculoskeletal pain in Japanese community-dwelling older adults: A cross-sectional study.
Factors associated with chronic musculoskeletal pain in Japanese community-dwelling older adults: A cross-sectional study.
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DOI：
10.1097/md.0000000000007069
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发表时间：
2017-06
期刊：
影响因子：
1.6
通讯作者：
Okita M
中科院分区：
文献类型：
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作者：
Hirase T;Kataoka H;Inokuchi S;Nakano J;Sakamoto J;Okita M
早期识别患有慢性肌肉骨骼疼痛（CMP）的老年人是紧迫的，因为据报道CMP与身体功能恶化，心理状态差和体力活动水平低有关。本研究的目的是确定与日本社区居住老年人CMP最密切相关的因素。采用横断面设计，我们评估了263名参加社区锻炼班的老年人（平均年龄= 79.1 ±5.9岁，85.9%为女性）。 参与者的身体功能、心理状态和活动水平作为结果指标使用各种测试和仪器进行评估。这些评估是在开始运动干预计划之前进行的，并比较了有和没有CMP的参与者。此外，还收集和分析了相关参与者的特征。在这项研究中，CMP定义为过去一个月内存在相关症状，持续至少6个月，并且对应于最大疼痛部位的数值评定量表至少为5或以上。共有143名（54.4%）参与者符合CMP的标准，其中许多人患有慢性下背痛（64.3%）。CMP组的结局指标明显差于非CMP组（P <0.05）。 Logistic回归分析显示，疼痛灾难化量表无助领域评分（比值比：1.20，95%置信区间：1.09-1.32），估计值为10分，是与CMP的存在最显着相关的因素。这些研究结果表明，评估与疼痛相关的灾难性无助是重要的识别和创建的干预措施，老年人与CMP。
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.