Alrawaili Saud M, Alkhathami Khalid M, Elsehrawy Mohamed G, Obaidat Sakher M, Alhwoaimel Norah A, Alenazi Aqeel M
Department of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Department of Health Rehabilitation, Shaqra University, Shaqra, Saudi Arabia.
J Multidiscip Healthc. 2024 Mar 19;17:1241-1250. doi: 10.2147/JMDH.S449531. eCollection 2024.
This study examined the independent associations among multisite pain, pain intensity, and the risk of falls, including a history of falls in the previous 12 months and frequent falls (≥ two falls vs one or two falls) among community-dwelling older adults.
A cross-sectional design from Wave 2 of the National Social Life, Health, and Aging Project was used. Data on pain intensity and location (45 sites) over the past 4 weeks were collected. Multisite pain was categorized into four groups: none, one, two, and three or more sites. The main outcomes of falls were a history of falls and frequent falls. The covariates included age, sex, race, body mass index, education, medications, and comorbidities.
Among 3,196 participants in Wave 2, 2,697 were included because of missing key variables related to pain and fall history. The prevalence of falls and frequent falls were 30.3% (n = 817) and 12.6% (n = 339), respectively. Multisite pain at ≥ three sites (odds ratio (OR) 2.04, confidence interval (CI) [1.62, 2.57]; p < 0.001) and two sites (OR 1.72, 95% CI [1.30, 2.27]; p < 0.001) was significantly associated with an increased risk of falls. An increase in pain intensity was significantly associated with an increased risk of fall (OR 1.28, 95% CI [1.15, 1.44], p < 0.001), independent of multisite pain. Multisite pain at ≥3 sites (OR 2.19, 95% CI [1.56, 3.07], p < 0.001) and 2 sites (OR 1.54, 95% CI [1.01, 2.34], p = 0.045) was associated with an increased risk of frequent falls. An increase in pain intensity was associated with risk of frequent falls (OR 1.64, 95% CI [1.40, 1.91], p < 0.001), independent of multisite pain.
Multisite pain and pain intensity were associated with a history of falls and frequent falls among older adults, emphasizing the need for routine pain evaluation to develop fall prevention strategies in this population.
本研究探讨了多部位疼痛、疼痛强度与跌倒风险之间的独立关联，包括过去12个月内的跌倒史以及社区居住老年人中的频繁跌倒（≥2次跌倒与1次或2次跌倒）情况。
采用了来自“全国社会生活、健康与老龄化项目”第2波的横断面设计。收集了过去4周内疼痛强度和疼痛部位（45个部位）的数据。多部位疼痛被分为四组：无、1个部位、2个部位以及3个或更多部位。跌倒的主要结局为跌倒史和频繁跌倒。协变量包括年龄、性别、种族、体重指数、教育程度、药物使用情况和合并症。
在第2波的3196名参与者中，由于缺少与疼痛和跌倒史相关的关键变量，最终纳入了2697名。跌倒和频繁跌倒的患病率分别为30.3%（n = 817）和12.6%（n = 339）。3个或更多部位的多部位疼痛（比值比（OR）2.04，置信区间（CI）[1.62, 2.57]；p < 0.001）以及2个部位的多部位疼痛（OR 1.72，95% CI [1.30, 2.27]；p < 0.001）与跌倒风险增加显著相关。疼痛强度增加与跌倒风险增加显著相关（OR 1.28，95% CI [1.15, 1.44]，p < 0.001），且独立于多部位疼痛。3个或更多部位的多部位疼痛（OR 2.19，95% CI [1.56, 3.07]，p < 0.001）以及2个部位的多部位疼痛（OR 1.54，95% CI [1.01, 2.34]，p = 0.045）与频繁跌倒风险增加相关。疼痛强度增加与频繁跌倒风险相关（OR 1.64，95% CI [1.40, 1.91]，p < 0.001），且独立于多部位疼痛。
多部位疼痛和疼痛强度与老年人的跌倒史和频繁跌倒相关，强调了在该人群中进行常规疼痛评估以制定跌倒预防策略的必要性。
