Kostadinovic Milena, Nikolic Dejan, Cirovic Dragana, Konstantinovic Ljubica, Mitrovic-Jovanovic Milica, Radosavljevic Natasa, Kocic Mirjana, Bjegovic-Mikanovic Vesna, Santric Milicevic Milena
Clinical Center of Serbia, 11000 Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Diagnostics (Basel). 2019 Apr 26;9(2):47. doi: 10.3390/diagnostics9020047.
The aim of our study was to evaluate the association of health factors with the presence and different degrees of pain in elderly above 65 years of life.
The population-based study included 3540 individuals above 65 years of age of life from twofold stratified household sample representative for Serbia, during 2013 (the average age 73.9 ± 6.3 years; average Body Mass Index was 26.7 ± 4.4, females 56.8%, living with partner 55.5%, with primary education 55.3%, with poor wealth index 55.8% and from rural settings 46.2%). As health predictors of pain, we analyzed further health parameters: self-perceived general health, long-lasting health problems, diagnosed pulmonary disease, cardiovascular disease, musculoskeletal disease, diabetes, hyperlipidemia, hypertension and other chronic diseases. Pain domain of SF-36 version 2.0 was used for pain assessment.
Significant health predictors of pain were: self-perceived general health (OR 2.28), where bad perception of self-perceived general health in our study had greater risk of pain with higher degree of severity; long-lasting health problems (OR 1.60), where elderly with long-lasting health problems had almost twice the risk of moderate degree of pain, and above twice the risk for severe degree of pain; pulmonary disease (OR 1.38); musculoskeletal disease (OR 2.98) and other chronic diseases (OR 1.71). The presence of musculoskeletal disease increases the risk for pain, even more than double in severe versus mild degrees of pain.
Bad self-perceived general health, long-lasting health problems, pulmonary, musculoskeletal diseases, cardiovascular disease and other chronic disease were significant health-related predictors of various degrees of pain in elderly.
我们研究的目的是评估健康因素与65岁以上老年人疼痛的存在及不同程度之间的关联。
这项基于人群的研究纳入了2013年来自塞尔维亚具有双重分层代表性的家庭样本中的3540名65岁以上的个体（平均年龄73.9±6.3岁；平均体重指数为26.7±4.4，女性占56.8%，与伴侣同住占55.5%，接受小学教育占55.3%，财富指数低占55.8%，来自农村地区占46.2%）。作为疼痛的健康预测因素，我们分析了进一步的健康参数：自我感知的总体健康状况、长期健康问题、诊断出的肺部疾病、心血管疾病、肌肉骨骼疾病、糖尿病、高脂血症、高血压和其他慢性病。使用SF - 36第2.0版的疼痛领域进行疼痛评估。
疼痛的显著健康预测因素为：自我感知的总体健康状况（比值比2.28），在我们的研究中，自我感知的总体健康状况不佳的人疼痛严重程度更高的风险更大；长期健康问题（比值比1.60），有长期健康问题的老年人中度疼痛的风险几乎是两倍，重度疼痛的风险是两倍以上；肺部疾病（比值比1.38）；肌肉骨骼疾病（比值比2.98）和其他慢性病（比值比1.71）。肌肉骨骼疾病的存在会增加疼痛风险，在重度疼痛与轻度疼痛相比时，风险甚至增加一倍以上。
自我感知的总体健康状况不佳、长期健康问题、肺部、肌肉骨骼疾病、心血管疾病和其他慢性病是老年人不同程度疼痛的重要健康相关预测因素。
