J Aging Phys Act. 2021 Oct 1;29(5):858-865. doi: 10.1123/japa.2020-0268. Epub 2021 Mar 11.
This retrospective, cross-sectional database study aimed to identify characteristics associated with self-reported frequent exercise (defined as moderate- to vigorous-intensity exercise for ≥30 min five times a week) in older U.S. (≥50 years) adults with pain in the past 4 weeks, using 2017 Medical Expenditure Panel Survey data and hierarchical logistic regression models. The variables significantly associated with frequent exercise included being male (adjusted odds ratio [AOR] = 1.507, 95% confidence interval [CI] [1.318, 1.724]); non-Hispanic (AOR = 1.282, 95% CI [1.021, 1.608]); employed (AOR = 1.274, 95% CI [1.040, 1.560]); having no chronic conditions versus ≥5 conditions (AOR = 1.576, 95% CI [1.094, 2.268]); having two chronic conditions versus ≥5 conditions (AOR = 1.547, 95% CI [1.226, 1.952]); having no limitation versus having a limitation (AOR = 1.209, 95% CI [1.015, 1.441]); having little/moderate versus quite/extreme pain (AOR = 1.358, 95% CI [1.137, 1.621]); having excellent/very good versus fair/poor physical health (AOR = 2.408, 95% CI [1.875, 3.093]); and having good versus fair/poor physical health (AOR = 1.337, 95% CI [1.087, 1.646]). These characteristics may be useful to create personalized pain management protocols that include exercise for older adults with pain.
本回顾性、横断面数据库研究旨在使用 2017 年医疗支出调查数据和分层逻辑回归模型，确定与过去 4 周内有疼痛的美国（≥50 岁）老年人群中自我报告的频繁运动（定义为每周至少 5 次、每次 30 分钟以上的中等到剧烈强度运动）相关的特征。与频繁运动显著相关的变量包括男性（调整后的优势比 [AOR] = 1.507，95%置信区间 [CI] [1.318，1.724]）；非西班牙裔（AOR = 1.282，95% CI [1.021，1.608]）；就业（AOR = 1.274，95% CI [1.040，1.560]）；与患有≥5 种慢性疾病相比，无慢性疾病（AOR = 1.576，95% CI [1.094，2.268]）；与患有≥5 种慢性疾病相比，患有两种慢性疾病（AOR = 1.547，95% CI [1.226，1.952]）；无限制与有限制（AOR = 1.209，95% CI [1.015，1.441]）；与疼痛较轻/中度相比，疼痛较严重/剧烈（AOR = 1.358，95% CI [1.137，1.621]）；与身体健康状况良好/非常好相比，身体健康状况较差/差（AOR = 2.408，95% CI [1.875，3.093]）；与身体健康状况较好/非常好相比，身体健康状况较差/差（AOR = 1.337，95% CI [1.087，1.646]）。这些特征可能有助于为有疼痛的老年人制定包括运动在内的个性化疼痛管理方案。
