School of Medicine, The University of Texas Medical Branch, Galveston, TX, USA.
Department of Occupational Therapy, The University of Texas Medical Branch, Galveston, TX, USA.
PM R. 2023 Mar;15(3):331-341. doi: 10.1002/pmrj.12805. Epub 2022 May 28.
Pain remains largely undertreated in older adults irrespective of health care setting. Mexican American adults in the United States have a high age-adjusted prevalence of obesity. However, the association of pain and obesity with physical function is understudied in this population.
To examine the association of co-occurring pain and obesity with physical function over 20 years of follow-up in a cohort of older Mexican Americans who scored ≥7 (moderate to high) in the Short Physical Performance Battery (SPPB) test and were nondisabled at baseline.
Longitudinal population-based study.
Community-dwelling older adults from Southwestern United States.
Mexican American adults age 65 years and older.
Not Applicable.
Physical function was assessed with the SPPB test (standing balance, timed 8-ft walk, and five repeated timed chair stands). Participants at baseline were divided into four groups: no pain-no obesity (n = 869), obesity only (n = 282), pain only (n = 216), and pain-obesity (n = 159). Generalized Estimating Equation models were used to estimate the odds ratio (OR) and 95% confidence interval (CI) of lower performance in physical function over 20 years as a function of pain-obesity grouping.
Participants with pain only (OR = 1.61, 95% CI = 1.34-1.95) and with co-occurring pain and obesity (OR = 2.32, 95% CI = 1.83-2.95) had significantly greater odds of physical function impairment over those with no pain-no obesity or obesity only, after controlling for all covariates.
Older Mexican American adults were at high risk for physical function impairment over time if they had pain or co-occurring pain and obesity. Early assessment and proper pain management as well as maintaining a healthy weight may reduce declines in physical function in older Mexican American adults.
无论在何种医疗保健环境下，老年人的疼痛治疗都普遍不足。在美国，墨西哥裔美国成年人的肥胖率调整后年龄较高。然而，在这一人群中，疼痛和肥胖与身体功能的关系研究较少。
在一项对参加短期身体表现电池（SPPB）测试得分≥7（中度至高度）且基线时无残疾的老年墨西哥裔美国人队列进行的 20 年随访中，研究同时存在疼痛和肥胖与身体功能的关系。
纵向基于人群的研究。
美国西南部的社区居住的老年人。
65 岁及以上的墨西哥裔美国成年人。
无。
身体功能通过 SPPB 测试（站立平衡、定时 8 英尺行走和五次重复定时坐立）进行评估。基线时的参与者分为四组：无疼痛无肥胖（n=869）、肥胖（n=282）、仅疼痛（n=216）和疼痛肥胖（n=159）。使用广义估计方程模型来估计在 20 年内身体功能表现下降的几率比（OR）和 95%置信区间（CI），作为疼痛肥胖分组的函数。
仅患有疼痛的患者（OR=1.61，95%CI=1.34-1.95）和同时患有疼痛和肥胖的患者（OR=2.32，95%CI=1.83-2.95）与无疼痛无肥胖或肥胖的患者相比，身体功能受损的几率明显更高，调整所有协变量后。
如果老年墨西哥裔美国成年人患有疼痛或同时患有疼痛和肥胖，他们随着时间的推移身体功能受损的风险很高。早期评估和适当的疼痛管理以及保持健康的体重可能会减少老年墨西哥裔美国成年人身体功能的下降。
