Lifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients – A Longitudinal Cohort Study

Simple item page
dc.citation.volume14
dc.contributor.authorMallon T
dc.contributor.authorEisele M
dc.contributor.authorKönig H-H
dc.contributor.authorBrettschneider C
dc.contributor.authorRöhr S
dc.contributor.authorPabst A
dc.contributor.authorWeyerer S
dc.contributor.authorWerle J
dc.contributor.authorMösch E
dc.contributor.authorWeeg D
dc.contributor.authorFuchs A
dc.contributor.authorPentzek M
dc.contributor.authorHeser K
dc.contributor.authorWiese B
dc.contributor.authorKleineidam L
dc.contributor.authorWagner M
dc.contributor.authorRiedel-Heller S
dc.contributor.authorMaier W
dc.contributor.authorScherer M
dc.coverage.spatialNew Zealand
dc.date.accessioned2023-11-23T00:45:47Z
dc.date.accessioned2024-07-25T06:46:37Z
dc.date.available2019-11
dc.date.available2023-11-23T00:45:47Z
dc.date.available2024-07-25T06:46:37Z
dc.date.issued2019-11
dc.description.abstractPurpose: Dealing with the high prevalence of pain among the oldest-old (+75) is becoming a major health issue. Therefore, the aim of the study was to uncover health-related lifestyle behaviors (HLB) and age-related comorbidities which may predict, influence and prevent pain in old age. Patients and methods: In this longitudinal cohort study, data were obtained initially from 3.327 individuals aged 75+ from over 138 general practitioners (GP) during structured clinical interviews in 2003. Nine follow-ups (FU) were assessed until 2017. Available data from 736 individuals scoring in FU3 and FU7 were included in this analysis. Data were assembled in an ambulatory setting at participant’s homes. Associations were tested using a linear regression model (model 1) and ordered logistic regression model (model 2). Results: Statistical analyses revealed increased likelihood to experience pain for participants with comorbidities such as peripheral arterial disease (PAD) (coef. 13.51, P>t = 0.00) or chronic back pain (CBP) (coef. 6.64, P>t = 0.003) or higher body mass index (BMI) (coef. 0.57, P>t = 0.015) and, female gender (coef. 6.00, SE 3.0, t = 2.02, P>t = 0.044). Participants with medium education and former smokers showed significantly lower pain rating (coef. −5.05, P>t = 0.026; coef. −5.27, P>t = 0.026). Suffering from chronic back pain (OR = 2.03), osteoarthritis (OR = 1.49) or depressive symptoms (OR = 1.10) raised the odds to experience impairments in daily living due to pain. Physical activity showed no significant results. Conclusion: Chronic conditions such as PAD, or CBP, female gender and higher BMI may increase the risk of experiencing more pain while successful smoking cessation can lower pain ratings at old age. Early and consistent support through GPs should be given to older patients in order to prevent pain at old age.
dc.format.pagination1881-1888
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/31802858
dc.identifier.citationMallon T, Eisele M, König H-H, Brettschneider C, Röhr S, Pabst A, Weyerer S, Werle J, Mösch E, Weeg D, Fuchs A, Pentzek M, Heser K, Wiese B, Kleineidam L, Wagner M, Riedel-Heller S, Maier W, Scherer M. (2019). Lifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients - A Longitudinal Cohort Study.. Clin Interv Aging. 14. (pp. 1881-1888).
dc.identifier.doi10.2147/CIA.S217431
dc.identifier.eissn1178-1998
dc.identifier.elements-typejournal-article
dc.identifier.issn1176-9092
dc.identifier.pii217431
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70850
dc.languageeng
dc.publisherDove Medical Press
dc.relation.isPartOfClin Interv Aging
dc.rightsCC BY-NC 3.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/
dc.subjectchronic conditions
dc.subjecthealth-related aspects
dc.subjectlongitudinal cohort study
dc.subjectoldest-old
dc.subjectpain prevention
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectBody Mass Index
dc.subjectChronic Pain
dc.subjectCohort Studies
dc.subjectComorbidity
dc.subjectExercise
dc.subjectFemale
dc.subjectHumans
dc.subjectLife Style
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectPrevalence
dc.subjectPrimary Health Care
dc.titleLifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients – A Longitudinal Cohort Study
dc.typeJournal article
pubs.elements-id455105
pubs.organisational-groupOther
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Published version
Size:
770.43 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles