Shunsuke Murata1,2, Takehiko Doi3, Ryuichi Sawa4, Ryo Nakamura1, Tsunenori Isa1, Aoi Ebina1, Yuki Kondo1, Yamato Tsuboi1, Kohtaroh Torizawa1, Akimasa Fukuta1, Rei Ono1. 1. Department of Community Health Sciences, Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan. 2. Japan Society for the Promotion of Science, Chiyoda, Tokyo, Japan. 3. Section for Health Promotion, Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan. 4. Department of Physical Therapy, School of Health Sciences at Narita, International University of Health and Welfare, Narita, Chiba, Japan.
Abstract
OBJECTIVE: Physical inactivity is recognized as a pandemic health problem. The association of pain with physical activity, particularly when measured objectively, in older adults is unclear. This study investigates the association of number of chronic musculoskeletal pain sites and pain severity with objectively measured physical activity in community-dwelling older adults. DESIGN: Observational study. SETTING: Community. SUBJECTS: We analyzed 267 community-dwelling older adults (mean age = 75.3 years, 67.0% women). METHODS: Number of chronic musculoskeletal pain sites and pain severity were measured using a self-reported questionnaire. Mean steps per day and mean minutes of light physical activity per day and moderate to vigorous physical activity per day were measured using an accelerometer. Linear regression models were applied to analyze the association of number of chronic musculoskeletal pain sites and pain severity with physical activity. RESULTS: The results suggest that a higher number of chronic musculoskeletal pain sites is associated with lower step count (beta = -333.5, 95% confidence interval = -655.9 to -11.0, P < 0.05) and moderate to vigorous physical activity (beta = -2.5, 95% confidence interval = -4.7 to -0.4, P < 0.05) even after adjustment for age, gender, years of schooling, obesity, alcohol habits, smoking status, number of comorbidities, recent surgery, and depressive symptoms. CONCLUSIONS: Our results suggest that the number of chronic musculoskeletal pain sites is associated with low physical activity in older adults. Therefore, low physical activity due to chronic musculoskeletal pain should not be overlooked.
OBJECTIVE: Physical inactivity is recognized as a pandemic health problem. The association of pain with physical activity, particularly when measured objectively, in older adults is unclear. This study investigates the association of number of chronic musculoskeletal pain sites and pain severity with objectively measured physical activity in community-dwelling older adults. DESIGN: Observational study. SETTING: Community. SUBJECTS: We analyzed 267 community-dwelling older adults (mean age = 75.3 years, 67.0% women). METHODS: Number of chronic musculoskeletal pain sites and pain severity were measured using a self-reported questionnaire. Mean steps per day and mean minutes of light physical activity per day and moderate to vigorous physical activity per day were measured using an accelerometer. Linear regression models were applied to analyze the association of number of chronic musculoskeletal pain sites and pain severity with physical activity. RESULTS: The results suggest that a higher number of chronic musculoskeletal pain sites is associated with lower step count (beta = -333.5, 95% confidence interval = -655.9 to -11.0, P < 0.05) and moderate to vigorous physical activity (beta = -2.5, 95% confidence interval = -4.7 to -0.4, P < 0.05) even after adjustment for age, gender, years of schooling, obesity, alcohol habits, smoking status, number of comorbidities, recent surgery, and depressive symptoms. CONCLUSIONS: Our results suggest that the number of chronic musculoskeletal pain sites is associated with low physical activity in older adults. Therefore, low physical activity due to chronic musculoskeletal pain should not be overlooked.
Authors: Gail A Kerver; Dale S Bond; Ross D Crosby; Li Cao; Scott G Engel; James E Mitchell; Kristine J Steffen Journal: Surg Obes Relat Dis Date: 2021-09-03 Impact factor: 4.734
Authors: Subas Neupane; Kristina Karstad; David M Hallman; Reiner Rugulies; Andreas Holtermann Journal: Int Arch Occup Environ Health Date: 2019-11-23 Impact factor: 3.015
Authors: Shogo Misu; Tsuyoshi Asai; Shunsuke Murata; Ryo Nakamura; Tsunenori Isa; Yamato Tsuboi; Kensuke Oshima; Shota Koyama; Ryuichi Sawa; Yoshihiro Fukumoto; Rei Ono Journal: Int J Environ Res Public Health Date: 2022-03-01 Impact factor: 3.390