Ho Amy, Ashe Maureen C, DeLongis Anita, Graf Peter, Khan Karim M, Hoppmann Christiane A
Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
Center for Hip Health and Mobility, University of British Columbia, Vancouver, BC, Canada; Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.
Pain Res Manag. 2016;2016:1931590. doi: 10.1155/2016/1931590. Epub 2016 Mar 31.
Background. Many older adults know about the health benefits of an active lifestyle, but, frequently, pain prevents them from engaging in physical activity. The majority of older adults experience pain, a complex experience that can vary across time and is shaped by sociocultural factors like gender. Objectives. To describe the time-varying associations between daily pain and physical activity and to explore differences in these associations between women and men. Methods. One hundred and twenty-eight community-dwelling older adults aged 65 years and older were asked to report their pain levels three times daily over a 10-day period and wear an accelerometer to objectively capture their daily physical activity (step counts and minutes of moderate to vigorous physical activity). Results. Increased daily step counts and minutes of moderate to vigorous physical activity were associated with increased daily pain, especially among women. Confirming past literature and contrasting findings for daily pain reports, overall pain levels across the study period were negatively associated with minutes of moderate to vigorous physical activity. Conclusions. Findings highlight that pain is significantly associated with physical activity in old age. The nature of this association depends on the time scale that is considered and differs between women and men.
背景。许多老年人知道积极的生活方式对健康有益，但疼痛常常使他们无法参与体育活动。大多数老年人都经历过疼痛，这是一种复杂的体验，会随时间变化，并且受到性别等社会文化因素的影响。目的。描述日常疼痛与体育活动之间随时间变化的关联，并探讨男女在这些关联上的差异。方法。128名年龄在65岁及以上的社区居住老年人被要求在10天内每天报告三次疼痛程度，并佩戴加速度计以客观记录他们的日常体育活动（步数以及中度至剧烈体育活动的分钟数）。结果。每日步数增加以及中度至剧烈体育活动的分钟数增加与每日疼痛加剧相关，尤其是在女性中。证实了过去的文献并与每日疼痛报告的结果形成对比，整个研究期间的总体疼痛水平与中度至剧烈体育活动的分钟数呈负相关。结论。研究结果表明，疼痛与老年人的体育活动显著相关。这种关联的性质取决于所考虑的时间尺度，并且男女之间存在差异。
