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负面的心理社会因素和繁重的体力工作负荷与老年人的肌肉骨骼疼痛有关,干扰了他们的正常生活:横断面分析。

Negative psychosocial and heavy physical workloads associated with musculoskeletal pain interfering with normal life in older adults: cross-sectional analysis.

机构信息

Blekinge Institute of Technology, Gräsvik, Karlskrona, Sweden

Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden Scandinavian College of Naprapathic Manual Therapy, Kräftriket, Stockholm, Sweden.

出版信息

Scand J Public Health. 2015 Jul;43(5):453-9. doi: 10.1177/1403494815580876. Epub 2015 May 5.

Abstract

AIMS

Pain is one of the most frequent reasons for seeking health care, and is thus a public health problem. Although there is a progressive increase in pain and impaired physical function with age, few studies are performed on older adults. The aim of this study was to investigate if there are associations between musculoskeletal pain interfering with normal life in older adults and physical and psychosocial workloads through life.

METHODS

The association of heavy physical workload and negative psychosocial workload and musculoskeletal pain interfering with normal life (SF 12) was analyzed by multiple logistic regression. The model was adjusted for eight background covariates: age, gender, growing-up environment, educational level, if living alone or not, obesity, smoking, and leisure physical activity.

RESULTS

Negative psychosocial and heavy physical workloads were independently associated with musculoskeletal pain interfering with normal life (adjusted OR: 4.44, 95% CI: 2.84-6.92), and (adjusted OR: 1.88, 95% CI: 1.20-2.93), respectively. The background covariates female gender and higher education were also associated with musculoskeletal pain interfering with normal life, and physical leisure activity was inversely associated.

CONCLUSIONS

The findings suggest that negative psychosocial and heavy physical workloads are strongly associated with musculoskeletal pain interfering with normal life in older adults.

摘要

目的

疼痛是寻求医疗保健的最常见原因之一,因此也是一个公共卫生问题。尽管随着年龄的增长,疼痛和身体功能障碍会逐渐增加,但针对老年人的研究却很少。本研究的目的是调查老年人日常生活中肌肉骨骼疼痛与身体和心理社会工作量之间是否存在关联。

方法

通过多项逻辑回归分析了体力劳动负荷过重和负面心理社会工作量与日常生活中肌肉骨骼疼痛(SF-12)之间的关联。该模型调整了 8 个背景协变量:年龄、性别、成长环境、教育水平、是否独居、肥胖、吸烟和休闲体力活动。

结果

负面心理社会工作量和体力劳动负荷过重与日常生活中肌肉骨骼疼痛(调整后的 OR:4.44,95%CI:2.84-6.92)和(调整后的 OR:1.88,95%CI:1.20-2.93)独立相关。背景协变量女性和较高的教育水平也与日常生活中肌肉骨骼疼痛相关,而身体休闲活动则呈负相关。

结论

研究结果表明,负面心理社会工作量和体力劳动负荷过重与老年人日常生活中肌肉骨骼疼痛密切相关。

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