Lifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients:A Longitudinal Cohort Study
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Lifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients:A Longitudinal Cohort Study. / Mallon, Tina; Eisele, Marion; König, Hans-Helmut; Brettschneider, Christian; Röhr, Susanne; Pabst, Andreas; Weyerer, Siegfried; Werle, Jochen; Mösch, E; Weeg, Dagmar; Fuchs, A; Pentzek, Michael; Heser, K; Wiese, B; Kleineidam, Luca; Wagner, M; Riedel-Heller, Steffi; Maier, Wolfgang; Scherer, Martin.
In: CLIN INTERV AGING , Vol. 14, No. 14, 2019, p. 1881—1888.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Lifestyle Aspects As A Predictor Of Pain Among Oldest-Old Primary Care Patients:A Longitudinal Cohort Study
AU - Mallon, Tina
AU - Eisele, Marion
AU - König, Hans-Helmut
AU - Brettschneider, Christian
AU - Röhr, Susanne
AU - Pabst, Andreas
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Mösch, E
AU - Weeg, Dagmar
AU - Fuchs, A
AU - Pentzek, Michael
AU - Heser, K
AU - Wiese, B
AU - Kleineidam, Luca
AU - Wagner, M
AU - Riedel-Heller, Steffi
AU - Maier, Wolfgang
AU - Scherer, Martin
N1 - © 2019 Mallon et al.
PY - 2019
Y1 - 2019
N2 - Purpose: 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.
AB - Purpose: 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.
U2 - https://doi.org/10.2147/CIA.S217431
DO - https://doi.org/10.2147/CIA.S217431
M3 - SCORING: Journal article
VL - 14
SP - 1881—1888
JO - CLIN INTERV AGING
JF - CLIN INTERV AGING
SN - 1176-9092
IS - 14
ER -
