Torres-Castro Rodrigo, Núñez-Cortés Rodrigo, Fernandes Ana Clara Teixeira, Dávila-Oña Sofía, Solis-Navarro Lilian, Salazar-Méndez Joaquín, Blanco Isabel, Lorca Luz Alejandra, de Freitas Fregonezi Guilherme Augusto, Resqueti Vanessa Regiane
Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile.
Department of Pulmonary Medicine, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Aging Clin Exp Res. 2025 Jun 28;37(1):197. doi: 10.1007/s40520-025-03066-9.
Chronic lung diseases (CLD) frequently present comorbidities. These include musculoskeletal conditions, most notably chronic pain.
To determine whether the prevalence of pain in older adults with CLD is higher compared to the general population.
The study is based on data from the 9th wave of the SHARE database, a representative survey of people aged 50 and over in 27 European countries and Israel. Age, sex, smoking status, education, and history of comorbidities were collected. A multivariable logistic regression analysis was performed to examine the associations of CLD with pain prevalence and severity.
A total of 4,129 cases with CLD and 62,608 cases without CLD were included in the analysis. The prevalence of pain was higher in people with CLD compared to people without CLD, with a proportion of 64.8% (95%CI: 63.3-66.2) versus 44.6% (95%CI: 44.2-44.9), respectively (p < 0.001). The location of pain in persons with CLD was greatest in the back region (37.6%, 95%CI: 36.1-39.1) and knees (29%, 95%CI: 27.6-30.4), followed by other joints (24.5%, 95% CI: 23.1-25.8), hips (19.8%, 95%CI: 18.6-21.1), other parts of the body but not joints (18.8%, 95%CI: 17.6-19.9), and all over (4.7%. 95%CI: 4.1-5.4).
Older adults with CLD reported a variety of pain locations, with the back and knees being the most commonly affected regions. In addition, the prevalence and severity of pain were higher in older adults with CLD than in the general population.
慢性肺部疾病（CLD）常伴有合并症。这些合并症包括肌肉骨骼疾病，最显著的是慢性疼痛。
确定与普通人群相比，患有CLD的老年人疼痛患病率是否更高。
该研究基于SHARE数据库第9波的数据，这是一项对27个欧洲国家和以色列50岁及以上人群的代表性调查。收集了年龄、性别、吸烟状况、教育程度和合并症病史。进行多变量逻辑回归分析以检验CLD与疼痛患病率和严重程度之间的关联。
分析共纳入4129例CLD患者和62608例非CLD患者。CLD患者的疼痛患病率高于非CLD患者，分别为64.8%（95%CI：63.3 - 66.2）和44.6%（95%CI：44.2 - 44.9）（p < 0.001）。CLD患者疼痛部位最多的是背部（37.6%，95%CI：36.1 - 39.1）和膝盖（29%，95%CI：27.6 - 30.4），其次是其他关节（24.5%，95%CI：23.1 - 25.8）、臀部（19.8%，95%CI：18.6 - 21.1）、身体其他非关节部位（18.8%，95%CI：17.6 - 19.9）以及全身（4.7%，95%CI：4.1 - 5.4）。
患有CLD的老年人报告了多种疼痛部位，背部和膝盖是最常受影响的区域。此外，患有CLD的老年人疼痛的患病率和严重程度高于普通人群。
