Sex differences in musculoskeletal pain in older adults
Sex differences in musculoskeletal pain in older adults
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DOI：
10.1016/j.pain.2005.05.002
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发表时间：
2005-08-01
期刊：
影响因子：
7.4
通讯作者：
Felson, DT
中科院分区：
文献类型：
--
作者：
Leveille, SG;Zhang, YQ;Felson, DT
关于老年人肌肉骨骼疼痛的性别差异知之甚少。有682名妇女和380名男子年龄在72岁及以上，参加了第22次两年一次的Fracket研究（1992-1993年）。参与者被要求在一个显示身体所有区域的侏儒身上识别疼痛的位置。根据区域数量对疼痛进行分类，最弥散的疼痛被分类为广泛性疼痛（背痛和双侧上肢和下肢疼痛）。在女性中，63%的人报告一个或多个区域疼痛，而男性为52%。广泛性疼痛在女性中比男性更普遍（分别为15%和5%）。在男性和女性中，疼痛与健康状况一般或较差、65岁以前的背痛史和残疾有关。仅在女性中与疼痛相关的因素包括体重指数、收缩压和抑郁症状。在男性而非女性中，疼痛与多关节放射学骨关节炎相关。总之，肌肉骨骼疼痛在老年女性中比老年男性更普遍。男性和女性在与老年肌肉骨骼疼痛相关的因素方面存在差异。需要进一步的研究来了解老年人肌肉骨骼疼痛的性别差异。(c)2005年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
Little is known about sex differences in musculoskeletal pain in older persons. There were 682 women and 380 men aged 72 years and older who participated in the 22nd biennial exam of the Framingham Study (1992-1993). Participants were asked to identify pain locations on a homunculus showing all regions of the body. Pain was categorized according to number of regions, with the most disseminated pain classified as widespread pain (back pain and upper and lower extremity pain with bilaterality). Among the women, 63% reported pain in one or more regions, compared to 52% of men. Widespread pain was more prevalent among women than men (15 versus 5%, respectively). In both men and women, pain was associated with fair or poor self-rated health, history of back pain before age 65, and disability. Factors associated with pain only in women included body mass index, systolic blood pressure, and depressive symptoms. In men but not women, pain was associated with polyarticular radiographic osteoarthritis. In conclusion, musculoskeletal pain was more prevalent and more widespread in older women than older men. Men and women differ in the factors associated with musculoskeletal pain in older ages. Further research is needed to understand sex differences in musculoskeletal pain the older population. (c) 2005 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.