Department of Sociology and Criminology, Kent State University, Kent, OH 44242, USA.
Center for Healthy Aging, Pennsylvania State University, University Park, PA 16802, USA.
Geriatr Nurs. 2024 Sep-Oct;59:463-470. doi: 10.1016/j.gerinurse.2024.08.003. Epub 2024 Aug 14.
This study examined the separate and combined associations of cognitive impairment and body pain with functional and mobility disabilities (FMDs) among older women and men in India. Multivariable linear regression models were applied using data from the Longitudinal Aging Study in India (2017-18) comprising 31,464 adults aged 60+. Older adults with cognitive impairment and pain reported higher levels of FMDs than peers without any pain and cognitive impairment. The likelihood of FMDs was significantly greater among older Indians enduring both cognitive impairment and pain (p < 0.05). Moreover, the association between cognitive impairment and functional disability was noticeably stronger in older women, particularly those with frequent pain, while the link between cognitive impairment and mobility disability was more pronounced in men with pain. Integrated cognitive rehabilitation and pain management programs, along with guided physical therapy, gender-specific support groups, and community-based health promotion activities, should be considered to reduce FMDs in older Indians.
本研究考察了认知障碍和身体疼痛对印度老年男女功能和移动障碍（FMD）的单独和联合影响。该研究使用了来自印度纵向老龄化研究（2017-18 年）的数据，其中包括 31464 名 60 岁以上的成年人。患有认知障碍和疼痛的老年人比没有任何疼痛和认知障碍的同龄人报告了更高水平的 FMD。同时患有认知障碍和疼痛的印度老年人发生 FMD 的可能性显著更高（p < 0.05）。此外，认知障碍与功能障碍之间的关联在女性中更为明显，尤其是那些经常疼痛的女性，而认知障碍与移动障碍之间的关联在疼痛男性中更为明显。应考虑综合认知康复和疼痛管理计划，以及指导物理治疗、性别特定的支持小组和基于社区的健康促进活动，以减少印度老年人的 FMD。
