Epidemiology of chronic back pain among adults and elderly from Southern Brazil: a cross-sectional study

Saes-Silva, Elizabet; Vieira, Yohana Pereira; Saes, Mirelle de Oliveira; Meucci, Rodrigo Dalke; Aikawa, Priscila; Cousin, Ewerton; Silva, Letícia Maria Almeida da; Dumith, Samuel Carvalho

doi:10.1016/j.bjpt.2020.12.005

Cited by 16 publications

(12 citation statements)

References 29 publications

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“…According to a systematic review published in 2019, the prevalence of low back pain among the elderly population ranged from 21 to 75% and this pain condition led to functional disability in 60% of the studies ( de Souza et al, 2019 ). The chronic back pain occurred in 20.7% of adults or elderly from Southern Brazil and it was associated with poorer health perception, poorer quality of life, and depressive symptoms ( Saes-Silva et al, 2021 ). An overview of persistent pain in older adults showed the prevalence of osteoarthritic back pain, especially in the low back or neck (around 65%), musculoskeletal pain (around 40%), peripheral neuropathic pain (typically due to diabetes or postherpetic neuralgia, 35%), and chronic joint pain (15–25%) as reviewed by Molton and Terrill (2014) .…”

Section: Chronic Pain Burden In the Elderlymentioning

confidence: 99%

Chronic Pain in the Elderly: Mechanisms and Perspectives

Dagnino

Campos

2022

Front. Hum. Neurosci.

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Chronic pain affects a large part of the population causing functional disability, being often associated with coexisting psychological disorders, such as depression and anxiety, besides cognitive deficits, and sleep disturbance. The world elderly population has been growing over the last decades and the negative consequences of chronic pain for these individuals represent a current clinical challenge. The main painful complaints in the elderly are related to neurodegenerative and musculoskeletal conditions, peripheral vascular diseases, arthritis, and osteoarthritis, contributing toward poorly life quality, social isolation, impaired physical activity, and dependence to carry out daily activities. Organ dysfunction and other existing diseases can significantly affect the perception and responses to chronic pain in this group. It has been proposed that elderly people have an altered pain experience, with changes in pain processing mechanisms, which might be associated with the degeneration of circuits that modulate the descending inhibitory pathways of pain. Aging has also been linked to an increase in the pain threshold, a decline of painful sensations, and a decrease in pain tolerance. Still, elderly patients with chronic pain show an increased risk for dementia and cognitive impairment. The present review article is aimed to provide the state-of-art of pre-clinical and clinical research about chronic pain in elderly, emphasizing the altered mechanisms, comorbidities, challenges, and potential therapeutic alternatives.

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Section: Chronic Pain Burden In the Elderlymentioning

confidence: 99%

Chronic Pain in the Elderly: Mechanisms and Perspectives

Dagnino

Campos

2022

Front. Hum. Neurosci.

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“…Missing data were not imputed. Hence, the multivariable model for outcome measure had seven covariables: age (de Souza et al, 2019; Mander et al, 2017), BMI (Brady et al, 2019; Piovezan et al, 2019), comorbidities (Agrafiotis et al, 2019; Gore et al, 2012), depression (Fang et al, 2019; Saes-Silva et al, 2021), daytime sleepiness (Kakazu et al, 2022; Riedel & Lichstein, 2000), sex (GBD et al, 2017; Mong & Cusmano, 2016), and disability at baseline. The rationale for selecting the covariates was based on existing literature showing evidence that these covariates are associated with both sleep and disability.…”

Section: Methodsmentioning

confidence: 99%

Sleep Quality Predicts Functional Disability in Older Adults with Low Back Pain: A Longitudinal Study

et al. 2022

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Low back pain (LBP) and sleep quality are two very prevalent complaints in the older population. However, little is known about the prognostic relationship between sleep quality and disability in older adults with LBP. The aim of this study was to examine the association between sleep quality and disability in older adults with LBP. This was a longitudinal study over a 6-month period. Older adults with LBP in the last 12 weeks and who had preserved cognitive functions were recruited. The questionnaires used were the Pittsburgh Sleep Quality Index and the Roland Morris Disability Questionnaire. At baseline, we collected information on demographic/anthropometric variables, cognitive status, depression, daytime sleepiness, and comorbidities. Linear regression adjusted for potential covariates were performed. Poor sleep at baseline predicted higher disability after 6 months [β = 0.30 (CI95%:0.07 to 0.55)]. Our results support the existence of an important relationship between sleep and disability in older adults with LBP.

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“…Back pain represents a widespread public health problem in the world, with no age restriction, which affects approximately 40% of the global population throughout life, leading to being considered one of the main causes of disability in the world 1,2 . In the last 30 years, there has been a 50% increase in the years lived with disability caused by back pain, specifically in the lower back, mainly in low and middle income countries, due to limited access to qualified health care and measures to promote and prevention, such as physical activity and reduced sedentary lifestyle 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Inequalities in the management of back pain care in Brazil - National Health Survey, 2019

Saes

Saes-Silva

Duro

et al. 2023

Ciênc. saúde coletiva

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The aim was to assess the presence of socioeconomic inequalities in the management of back pain among Brazilians. Cross-sectional study with data from the National Health Survey (2019). The management of back pain care was assessed using five outcomes: regular exercise; physiotherapy; use of medications or injections; integrative and complementary practice; regular follow-up with a health professional. The magnitude of inequalities of each outcome in relation to exposures (education and income) was estimated using two indices: slope index of inequality (SII) and concentration index (CIX). Of the 90,846 interviewees, 19,206 individuals (21.1%) reported some chronic back problem. The most prevalent outcomes were use of medications and injections (45.3%), physical exercise (26.3%) and regular follow-up with a health professional (24.7%). The existence of inequalities in the management of back pain in the Brazilian population was evident. The adjusted analysis showed that the richest and most educated performed two to three times more physical exercise, physiotherapy, integrative and complementary practices (ICPS) and regular follow-up with a health professional than the poorest and least educated. Absolute (SII) and relative (CIX) inequalities were significant for all outcomes.

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Epidemiology of chronic back pain among adults and elderly from Southern Brazil: a cross-sectional study

Cited by 16 publications

References 29 publications

Chronic Pain in the Elderly: Mechanisms and Perspectives

Chronic Pain in the Elderly: Mechanisms and Perspectives

Sleep Quality Predicts Functional Disability in Older Adults with Low Back Pain: A Longitudinal Study

Inequalities in the management of back pain care in Brazil - National Health Survey, 2019

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