Núñez-Cortés Rodrigo, Cruz-Montecinos Carlos, López-Bueno Rubén, Andersen Lars Louis, Calatayud Joaquín
Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile.
Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile.
Musculoskelet Sci Pract. 2025 Apr;76:103270. doi: 10.1016/j.msksp.2025.103270. Epub 2025 Jan 23.
Limited knowledge exists on the association between lifestyle factors and pain severity in older adults.
To assess the associations between unhealthy lifestyle variables and pain severity in the European population of older adults with pain.
Cross-sectional.
Data were retrieved from the ninth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE), a representative survey of individuals aged >50 years living in 27 European countries and Israel. Associations between lifestyle factors (sleep, smoking, diet and physical inactivity) and pain severity (mild, moderate, severe) were assessed using multivariable multinomial regression adjusted for age, sex, geographic region, education, history of chronic disease and mutually adjusted for each lifestyle.
27,528 cases were included (73.1 ± 9.76 years; 63.3% female). A significant association was observed between those who hardly ever or never engaged in activities that required a moderate level of energy and severe pain (OR: 4.35; 95% CI: 3.85 to 4.92). Sleep problems (OR: 1.83; 95% CI: 1.69 to 1.99), smoking (OR: 1.21; 95% CI: 1.13 to 1.34) and an inadequate diet (OR: 1.78: 95% CI: 1.22 to 2.61) were also significantly associated with severe pain, but with lower odds. Given the cross-sectional design, the bidirectionality of these relationships should be considered.
Physically inactive older adults were particularly more likely to experience severe pain, while other lifestyle factors were more weakly associated with pain. As these lifestyle factors are modifiable, the results may be useful in prioritising appropriate preventive measures to attenuate pain and ensure healthy ageing.
关于生活方式因素与老年人疼痛严重程度之间的关联，目前所知有限。
评估欧洲有疼痛症状的老年人群中，不健康生活方式变量与疼痛严重程度之间的关联。
横断面研究。
数据取自欧洲健康、年龄与退休调查（SHARE）的第九波调查，该调查是对居住在27个欧洲国家和以色列的50岁以上人群的代表性调查。使用多变量多项回归评估生活方式因素（睡眠、吸烟、饮食和身体活动不足）与疼痛严重程度（轻度、中度、重度）之间的关联，并对年龄、性别、地理区域、教育程度、慢性病病史进行调整，同时对每种生活方式进行相互调整。
纳入27528例（年龄73.1±9.76岁；女性占63.3%）。几乎从不或从不参与需要中等能量水平活动的人群与重度疼痛之间存在显著关联（比值比：4.35；95%置信区间：3.85至4.92）。睡眠问题（比值比：1.83；95%置信区间：1.69至1.99）、吸烟（比值比：1.21；95%置信区间：1.13至1.34）和饮食不足（比值比：1.78；95%置信区间：1.22至2.61）也与重度疼痛显著相关，但关联度较低。鉴于横断面设计，应考虑这些关系的双向性。
身体活动不足的老年人尤其更容易经历重度疼痛，而其他生活方式因素与疼痛的关联较弱。由于这些生活方式因素是可改变的，研究结果可能有助于确定适当的预防措施优先级，以减轻疼痛并确保健康老龄化。
