Wackström Nanna, Koponen Anne M, Suominen Sakari, Tarkka Ina M, Simonsen Nina
Folkhälsan Research Center, Public Health Research Program, Helsinki, Finland.
Health Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Health Psychol Behav Med. 2020 Aug 25;8(1):362-382. doi: 10.1080/21642850.2020.1807350.
Physical activity (PA) is a key component in management of type 2 diabetes (T2D). Pain might be a barrier to PA especially among older adults with T2D, but surprisingly few studies have investigated the association between chronic pain and PA. Our aim was to evaluate the prevalence of chronic pain among older adults with T2D and to examine the association between chronic pain and PA while taking important life-contextual factors into account. Data of this register-based, cross-sectional study were collected in a survey among adults with T2D (n=2866). In the current study, only respondents aged 65-75 years were included (response rate 63%, =1386). Data were analysed by means of descriptive statistics and multivariate logistic regression analysis. In total, 64% reported chronic pain. In specific groups, e.g. women and those who were obese, the prevalence was even higher. Among respondents experiencing chronic pain, frequent pain among women and severe pain among both genders were independently associated with decreased likelihood of being physically active. Moreover, the likelihood of being physically active decreased with higher age and BMI, whereas it increased with higher autonomous motivation and feelings of energy. Among physically active respondents suffering from chronic pain, neither intensity nor frequency of pain explained engagement in exercise (as compared with incidental PA). Instead, men were more likely to exercise regularly as were those with good perceived health and higher autonomous motivation. The prevalence of chronic pain is high among older adults with T2D. This study shows that among those suffering from chronic pain, severe pain is independently and inversely associated with being physically active, as is frequent pain, but only among women. Moreover, the findings show the importance of autonomous motivation and health variables for both incidental PA and exercise among older adults with T2D experiencing chronic pain.
身体活动（PA）是2型糖尿病（T2D）管理的关键组成部分。疼痛可能是身体活动的障碍，尤其是在患有T2D的老年人中，但令人惊讶的是，很少有研究调查慢性疼痛与身体活动之间的关联。我们的目的是评估患有T2D的老年人中慢性疼痛的患病率，并在考虑重要生活背景因素的同时，研究慢性疼痛与身体活动之间的关联。这项基于登记的横断面研究的数据是在一项针对患有T2D的成年人（n = 2866）的调查中收集的。在当前研究中，仅纳入了65 - 75岁的受访者（回复率63%，n = 1386）。数据通过描述性统计和多变量逻辑回归分析进行分析。总共有64%的人报告有慢性疼痛。在特定群体中，例如女性和肥胖者，患病率甚至更高。在经历慢性疼痛的受访者中，女性的频繁疼痛和男女两性的严重疼痛都与身体活动可能性降低独立相关。此外，身体活动的可能性随着年龄和体重指数的增加而降低，而随着自主动机和精力感的提高而增加。在患有慢性疼痛的身体活动受访者中，疼痛的强度和频率均无法解释其参与运动的情况（与偶然的身体活动相比）。相反，男性、自我感觉健康良好者以及自主动机较高者更有可能定期锻炼。患有T2D的老年人中慢性疼痛的患病率很高。这项研究表明，在患有慢性疼痛的人群中，严重疼痛与身体活动呈独立的负相关，频繁疼痛也是如此，但仅在女性中。此外，研究结果表明，自主动机和健康变量对于患有慢性疼痛的T2D老年人的偶然身体活动和运动都很重要。
