Correlates of a Recent History of Disabling Low Back Pain in Community-dwelling Older Persons

Machado, Luciana A. C.; Viana, Joana Ude; Silva, Sílvia L.A. da; Couto, F. G.; Mendes, Liliane; Ferreira, Paulo H.; Ferreira, Manuela L; Dias, João Marcos Domingues; Dias, Rosângela Corrêa

doi:10.1097/ajp.0000000000000564

Cited by 13 publications

(27 citation statements)

References 66 publications

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“…An approach regarding complaints of LBP at different moments was found in this systematic review. Eight studies (18-25) addressed acute LBP prevalence, and 21 studies (26-46) addressed chronic LBP prevalence; however, six studies (47-52) did not specify the prevalence period investigated.…”

Section: Resultsmentioning

confidence: 99%

“…Functional disability due to LBP was investigated in 60% of the studies, and LBP was shown to hinder functionality (18,20,21,23,27,28,30,37,39) and result in major dependence for daily living activities (24,29,48,38,52) and physical capacity (30,33,36,24,46).…”

Section: Resultsmentioning

confidence: 99%

“…The results indicate a high prevalence of LBP among elderly individuals, ranging from 21.7 to 75%. Furthermore, the prevalence of LBP is high in developed countries such as Canada (18) (75%), the United States (44) (67%), Sweden (43) (49%), China (33) (39.2%) and Japan (48) (32%). LBP occurs in 43% of both men and women, differing from the mean global prevalence, which was 31% (22).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of low back pain in the elderly population: a systematic review

Souza

Sakaguchi

Yuan

et al. 2019

Clinics

116

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The aim of this study was to estimate the prevalence of low-back pain (LBP) and to identify the level of functional disability in elderly individuals in different populations. From January 1985 to October 2018, a search was performed using the following databases: Embase, LILACS, SciELO, Scopus, Medline, and the Web of Science. The descriptors were low-back pain, back pain, lower-back pain, prevalence, and elderly in Portuguese and English. Two independent reviewers conducted a search for studies and evaluated their methodological quality. The search strategy returned 2186 titles, and 35 were included in this review. The studies evaluated 135,059 elderly individuals aged between 60 and 102 years, and the prevalence of LBP ranged from 21% to 75%. The levels of functional disability, as well as functional difficulties, activities of daily living, and physical capacity, were identified in 60% of the studies. This review indicated a high prevalence of LBP in elderly individuals and functional disability that affects factors important for independence. However, the studies used different methodologies, suggesting that more studies be conducted with scientific accuracy, methodological quality, and low risk of bias to contribute to the proposal of preventive actions for elderly populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of low back pain in the elderly population: a systematic review

Souza

Sakaguchi

Yuan

et al. 2019

Clinics

116

View full text Add to dashboard Cite

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“…Dutch longitudinal data from the Doetinchem Cohort Study, obtained from four self-reported pain measurements taken every five years with a sample of 3485 adults, aged 25-71 to 40-86 years concluded that individuals with shorter sleep period, smoking, obesity, and poor perception of mental health are more prone to pain 38 . Accordingly, the PAINEL Study, derived from the FIBRA Network Study, conducted in the city of Belo Horizonte, with 378 participants over 60 years, among the findings, found that individuals with disabling low back pain were more likely to have shorter sleep time 39 . In general, the manifestation of response to the pain of individuals may cause changes in sleep pattern and other physio-pathological processes, considering an association between pain and adequate sleep 14,27 .…”

Section: Discussionmentioning

confidence: 99%

Pain and sleeping problems in the elderly

Alves¹,

Oliveira²,

Terassi³

et al. 2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Brazil is going through changes in the sociodemographic profile leading to changes in epidemiological profile and population aging. Considering the increase of the elderly population with chronic noncommunicable disease, and the identification of chronic pain as a public health problem and its persistence associated with the worsening of the quality of sleep, the objective of this study was to identify the association between self-reported sleeping problems and the intensity of chronic pain. METHODS: A quantitative, descriptive, cross-sectional study conducted with 187 elderly people living in one of the Family Health Unit areas of the municipality and over 60 years old. A sociodemographic characterization instrument was used with one guiding question about sleeping problems (self-reported) and the Multidimensional Pain Evaluation Scale. RESULTS: Pain was described as moderate and intense, with a higher prevalence in the lumbar, iliac and knee regions, being significantly more intense (p=0.028) in the group of elderly people who have sleeping problems. CONCLUSION: The analyzes allowed to observe an association between sleeping problems and the intensity of chronic pain.

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“…[4][5][6] Pain has a profound negative impact on patients' and caregivers' lives. Unrelieved pain results in psychological suffering (depression) 7 and poor quality of life for patients. 8,9 A priority of hospice care and palliative care is to provide effective pain management for patients.…”

mentioning

confidence: 99%

Behavioral Pain Intervention for Hospice and Palliative Care Patients: An Integrative Review

Mayahara

Wilbur

Fogg

et al. 2018

Am J Hosp Palliat Care

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Despite the advances in pain management, achieving optimal pain control in hospice and palliative care is challenging. Patient/caregiver's lack of pain management knowledge, poor pain reporting, and poor adherence to pain management regimens are all associated with inadequate pain control. The purpose of this integrated review is to examine behavioral interventions designed for patients and caregivers to improve pain control in hospice and palliative care settings. Ten studies were identified through a database search. Seven of the 10 studies found significant improvement in at least 1 pain marker. Of the 7 studies that looked at changes in pain knowledge, 5 had significant improvements in at least 1 knowledge subscale. The 2 studies that looked at adherence to pain management found significant improvements. One limitation of the reviewed studies was that the delivery of them would not be efficient across all health-care settings, and, as a consequence, more technologically sophisticated delivery methods are needed. Therefore, while it is clear from the review that effective pain management interventions have been developed for hospice and palliative care patients, it is also clear that future research needs to focus on providing these same interventions through a more technologically sophisticated delivery method.

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Correlates of a Recent History of Disabling Low Back Pain in Community-dwelling Older Persons

Abstract: Our study supports the link between disabling LBP and other age-related chronic conditions in a middle-income country with a rapidly aging population.

Cited by 13 publications

References 66 publications

Prevalence of low back pain in the elderly population: a systematic review

Prevalence of low back pain in the elderly population: a systematic review

Pain and sleeping problems in the elderly

Behavioral Pain Intervention for Hospice and Palliative Care Patients: An Integrative Review

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