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老年人身体活动与疼痛之间的双向关联:一项生态瞬时评估研究。

Bidirectional Associations Between Physical Activity and Pain Among Older Adults: An Ecological Momentary Assessment Study.

作者信息

Davis Tyler J, Hevel Derek J, Dunton Genevieve F, Maher Jaclyn P

机构信息

Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC,USA.

Department of Preventive Medicine, University of Southern California, Los Angeles, CA,USA.

出版信息

J Aging Phys Act. 2022 Aug 22;31(2):240-248. doi: 10.1123/japa.2022-0014. Print 2023 Apr 1.

Abstract

This paper examines the within-day, bidirectional associations between physical activity and self-reported pain among older adults. Older adults (N = 104; range: 60-98 years) participated in a 10-day Ecological Momentary Assessment (EMA) study. Participants received six EMA prompts/day with a single item assessing pain. Participants wore an activPAL monitor measuring step counts. At the within-person level, on occasions when participants took more steps than usual in the 30 min before the EMA prompt, they were more likely to experience pain at the prompt (β^02=0.0003, p < .03). At the between-person level, greater step counts in the 30 min before the EMA prompt, on average, were associated with less pain on occasions when pain was experienced (β^01=-0.0005, p < .04). Pain was not related to subsequent stepping. Bidirectional associations between physical activity and pain were not documented, but physical activity did appear to be related to subsequent pain.

摘要

本文研究了老年人身体活动与自我报告疼痛之间的日内双向关联。老年人(N = 104;年龄范围:60 - 98岁)参与了一项为期10天的生态瞬时评估(EMA)研究。参与者每天收到6次EMA提示,每次提示包含一个评估疼痛的单项。参与者佩戴一个activPAL监测器来测量步数。在个体层面,在EMA提示前30分钟内参与者比平时走更多步数的情况下,他们在提示时更有可能经历疼痛(β^02 = 0.0003,p < 0.03)。在个体间层面,平均而言,EMA提示前30分钟内步数越多,在经历疼痛的情况下疼痛程度越低(β^01 = -0.0005,p < 0.04)。疼痛与随后的步数无关。未记录到身体活动与疼痛之间的双向关联,但身体活动似乎确实与随后的疼痛有关。

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