Graduate Program in Physiotherapy, Physical Therapy Department, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil.
Physiotherapy Department, University of Pernambuco, BR 203, Km 02, Petrolina, Brazil.
Eur Geriatr Med. 2024 Feb;15(1):47-55. doi: 10.1007/s41999-023-00889-5. Epub 2023 Nov 22.
To analyze the associations between pain and physical performance in different aging contexts.
Data from 1725 older adults from Canada, Brazil, Colombia, and Albania from the 2014 wave of the IMIAS were used to assess the associations between Back Pain (BP) or Lower Limb Pain (LLP) and physical performance by the Short Physical Performance Battery (SPPB). Three binary logistic regression models adjusted for sex, age, study site, education, income sufficiency, BMI, depressive symptoms, and chronic conditions were used to estimate the associations between LLP or BP and SPPB. The SPPB was classified into good performance (8 points or more) and poor physical performance (< 8 points).
The mean age of the older men was 71.2 (± 3.0) and the mean age of the women was 71.2 (± 2.8) years. Older men (72.8%, p < 0.05) and women (86.1%, p-value < 0.05) from Albania had the highest frequencies of self-reported general pain. Older women in Colombia had the highest frequencies of LLP or BP (33.5%, p-value < 0.05). In the fully adjusted logistic regression model, LLP or BP was significantly associated with poor SPPB (OR = 0.48, 0.35 to 0.66 95% CI, p < 0.01).
Pain symptoms are associated with reduced physical performance in older people, even when adjusted for other clinical and sociodemographic factors. Protocols for aiming to increase the level of physical activity to manage pain should be incorporated into health care strategies.
分析不同老龄化背景下疼痛与身体表现之间的关联。
使用来自加拿大、巴西、哥伦比亚和阿尔巴尼亚的 1725 名老年人的 IMIAS2014 年数据，通过简易体能状况测试（SPPB）评估背痛（BP）或下肢痛（LLP）与身体表现之间的关联。使用三个二元逻辑回归模型调整性别、年龄、研究地点、教育程度、收入充足性、BMI、抑郁症状和慢性疾病，以估计 LLP 或 BP 与 SPPB 之间的关联。将 SPPB 分为表现良好（8 分或以上）和身体表现较差（<8 分）。
男性老年人的平均年龄为 71.2（±3.0）岁，女性老年人的平均年龄为 71.2（±2.8）岁。来自阿尔巴尼亚的老年男性（72.8%，p<0.05）和女性（86.1%，p 值<0.05）报告的一般疼痛频率最高。哥伦比亚的老年女性 LLP 或 BP 的频率最高（33.5%，p 值<0.05）。在完全调整的逻辑回归模型中， LLP 或 BP 与 SPPB 较差显著相关（OR=0.48，0.35 至 0.66，95%CI，p<0.01）。
疼痛症状与老年人身体表现下降有关，即使调整了其他临床和社会人口统计学因素。旨在提高身体活动水平以管理疼痛的方案应纳入医疗保健策略。
