The role of pain in understanding racial/ethnic differences in the frequency of physical activity among older adults.

The role of pain in understanding racial/ethnic differences in the frequency of physical activity among older adults.
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DOI:
10.1177/0898264312469404
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发表时间:
2013-04
影响因子:
2.8
通讯作者:
Shaw BA
Shaw BA
中科院分区:
医学3区
文献类型:
--
作者:
Grubert E;Baker TA;McGeever K;Shaw BA

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评价年龄≥ 65岁的白色、黑人和西班牙裔成年人体力活动的种族/民族差异,并评估疼痛作为中介的潜在作用。分析基于2008年健康和退休研究的数据。Logistic回归用于评估种族/民族与疼痛和定期体力活动几率之间的关联。与白人相比,黑人进行轻度体力活动和中度/剧烈体力活动的几率较低,但西班牙裔则不然。疼痛严重程度和体力活动的几率之间存在分级负相关,但疼痛并不介导体力活动的种族/民族差异。与白人相比,老年黑人似乎有相对较低的身体活动率,即使没有相对较高的疼痛水平,而老年西班牙裔人的疼痛率相对较高,但可能对疼痛对身体活动的影响更具弹性。
To evaluate racial/ethnic differences in physical activity among White, Black, and Hispanic adults aged 65 years and older, and to assess the potential role of pain as a mediator. Analyses were based on data from the 2008 Health and Retirement Study. Logistic regression was used to evaluate associations between race/ethnicity and pain and the odds of regular physical activity. Compared to Whites, the odds of both light physical activity and moderate/vigorous physical activity were lower among Blacks, but not Hispanics. A graded inverse association between levels of pain severity and the odds of physical activity was found, but pain did not mediate racial/ethnic differences in physical activity. When compared to Whites, older Blacks appear to have relatively low rates of physical activity even without comparatively high levels of pain, while older Hispanics experience relatively high rates of pain, but are perhaps more resilient to the effects of pain on physical activity.
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