Department of Physical Education and Sport, Faculty of Education and Social Sciences, Campus of Melilla, University of Granada, 52071 Melilla, Spain.
Department of Education, University of Almería, 04120 Almería, Spain.
Int J Environ Res Public Health. 2019 Sep 4;16(18):3249. doi: 10.3390/ijerph16183249.
This study (1) analyzes the differences between non-participating and participating older women in terms of clinical characteristics, pain coping strategies, health-related quality of life and physical activity (PA); (2) studies the associations between non-participants and participants, clinical characteristics, pain coping strategies, HRQoL and bodily pain and PA; and (3) determines whether catastrophizing, physical role, behavioural coping, social functioning and emotional role are significant mediators in the link between participating in a Pilates-aerobic program (or not) and bodily pain. The sample comprised 340 older women over 60 years old. Participants of the present cross-sectional study completed measures of clinical characteristics: HRQoL using the SF-36 Health Survey, pain-coping strategies using the Vanderbilt Pain Management Inventory (VPMI) and PA using the International Physical Activity Questionnaire (IPAQ). Significant differences between non-participants and participants, were found in clinical characteristics, pain-coping strategies (both, < 0.05), HRQoL ( < 0.01), and PA ( < 0.001). Moreover, catastrophizing support mediated the link between non-participants and participants and bodily pain by 95.9% of the total effect; 42.9% was mediated by PA and 39.6% was mediated by behavioural coping. These results contribute to a better understanding of the link between PA and bodily pain.
这项研究（1）分析了不参与和参与的老年女性在临床特征、疼痛应对策略、健康相关生活质量和身体活动（PA）方面的差异；（2）研究了不参与者和参与者、临床特征、疼痛应对策略、HRQoL 和身体疼痛与 PA 之间的关联；（3）确定灾难化、身体角色、行为应对、社会功能和情感角色是否是参与普拉提-有氧运动计划（或不参与）与身体疼痛之间联系的重要中介因素。样本包括 340 名 60 岁以上的老年女性。本横断面研究的参与者完成了临床特征的测量：使用 SF-36 健康调查评估 HRQoL，使用范德比尔特疼痛管理量表（VPMI）评估疼痛应对策略，使用国际身体活动问卷（IPAQ）评估 PA。不参与者和参与者在临床特征、疼痛应对策略（均<0.05）、HRQoL（<0.01）和 PA（<0.001）方面存在显著差异。此外，灾难化支持通过 95.9%的总效应介导了不参与者和参与者与身体疼痛之间的联系；42.9%通过 PA 介导，39.6%通过行为应对介导。这些结果有助于更好地理解 PA 与身体疼痛之间的联系。
