Gender Differences in Pain Risk in Old Age: Magnitude and Contributors

García‐Esquinas, Esther; Rodríguez-Sánchez, Isabel; López-Garcı́a, Esther; Caballero, Francisco Félix; Rodríguez‐Mañas, Leocadio; Banegas, José R.; Rodríguez‐Artalejo, Fernando

doi:10.1016/j.mayocp.2019.03.034

Cited by 22 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with findings in the literature, 6,39–46 data from the present study showed a non‐negligible level of concurrent dependence on hypnotics, tranquilizers, and sedatives (e.g. benzodiazepines and Z‐drugs).…”

Section: Discussionsupporting

confidence: 91%

Opioid painkiller dependence in a sample of elderly medical inpatients

et al. 2021

View full text Add to dashboard Cite

Background Over the past few years, there has been a growing concern about prescription opioid misuse and dependence in the elderly. Our study aimed to investigate the prevalence of previous and current prescription opioid dependence among elderly medical inpatients recruited from a large German hospital. Methods This cross‐sectional study analyzed a cohort of inpatients aged 65 years and older who were assessed with a structured clinical interview. Levels of past and current dependence on opioids benzodiazepines, hypnotics, and non‐opioid analgesics were assessed. Results Of 2108 elderly inpatients admitted to the hospital during a 6‐month period, 400 fulfilled the inclusion criteria and agreed to participate to the survey. Among these 400 subjects, 43 (10.8%) presented with a dependence on opioid analgesics, including 41 with current dependence and 22 (51.2%) with a de novo condition. Addiction severity was considered mild in 65.1% of cases and severe in 11.6% of cases. Tilidine and oxycodone were the most typically reported molecules. Conclusions Further research is warranted, to better understand the possible risk factors of prescription drug misuse, abuse, and addiction in this vulnerable population. Clinicians should be updated and informed regarding both prescription medication misuse potential and safe prescribing practices in the elderly.

show abstract

Section: Discussionsupporting

confidence: 91%

Opioid painkiller dependence in a sample of elderly medical inpatients

et al. 2021

View full text Add to dashboard Cite

show abstract

“…“difficulty falling asleep”, “awakening during night-time”, “early awakening with difficulty getting back to sleep” and “use of sleeping pills”) and drowsiness (i.e. “being so sleepy at daytime as to need a nap”, “not feeling rested in the morning”, and the Epworth Sleepiness Scale) in ENRICA (39); prevalence and characteristics of pain (ENRICA) (40); history of physician-diagnosed coronary heart disease, congestive heart failure, angina or cancer at any site (all cohorts but EXERNET ), mobility limitations, in ENRICA (41); the Mini-Mental State Examination Score (MMSE) (42) ( ENRICA and ES ); the Cantril’s Ladder of Life Scale (43) ( ENRICA and ES ), and a negative ageing experience scale that ranged from 1 (very positive experience) to 5 (very negative experience) ( ENRICA ).…”

Section: Methodsmentioning

confidence: 99%

“…Also, in ENRICA , a pain scale ranging from 0 (no pain) to 7 (worse pain) was created based on pain frequency, intensity (assessed according to its impact on habitual activities), and number of pain sites. Sporadic (<2 times/week) and frequent (≥2 times/week) pain were assigned scores of 1 and 2, respectively; light, moderate and high intensity pain, scores of 1, 2, and 3, respectively; and 1-2 and ≥3 pain sites scores of 1 and 2, respectively (40).…”

Section: Methodsmentioning

confidence: 99%

Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19 pandemic in Spain

García‐Esquinas

Ortol

Gine-Vazquez

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: We aimed to examine main changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19. Methods: We used prospective data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain. Data were obtained using validated questionnaires through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning the COVID-19 lockdown. Lineal or multinomial, as appropriate, regression models with adjustment for the main confounders were used to assess changes in the outcome variables from the pre-pandemic to the confinement period, and to identify their associated factors. Results: On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Several subgroups of individuals were at increased risk of developing unhealthier lifestyles or mental health decline with confinement: (i)-males (for physical activity and sedentariness), (ii)-those with greater social isolation (for diet, physical activity, mental health), (iii)-feelings of loneliness (for diet, sleep quality, mental health), (iv)-poor housing conditions (for diet, physical activity, TV viewing time), (v)-unhealthy sleep duration (for physical activity and sedentariness), and (vi-worse overall health or chronic morbidities (for physical activity, screen time, mental health). On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. Conclusions: The lockdown during the first wave of the COVID-19 in Spain, which was one of the most restrictive in Europe, only led to minor average changes in health behaviors among older adults. However, mental health was moderately affected. If another lockdown were imposed on this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, poor housing conditions and chronic morbidities, because of their greater vulnerability to the enacted movement restrictions

show abstract

“…), engaging in do-it-yourself activities, or doing housework (ENRICA and EXERNET); the PASE questionnaire (TSHA and EXERNET); reasons for not doing any physical activity confinement; weight; time on sedentary activities (ENRICA) or overall sedentary time (EXERNET); hours of night-time sleep; hours of day-time sleep (EN-RICA and EXERNET); poor sleep quality (all cohorts but the TSHA); quality of life (SF-12 in ENRICA and WHODAS in ES); frequency, intensity, and locations of pain (ENRICA). Additionally, in some cohorts, information was collected on feelings of loneliness (the 3-item UCLA loneliness scale in ES, and a 0 to 5 scale in ENRICA) [37]; exposure to secondhand smoke (SHS) (ENRICA) [38]; alcohol intake (all cohorts but EXERNET); frequency of snack consumption and use of food to calm anxiety (ENRICA); time on sedentary activities (the Nurses' Health Study questionnaire in ENRICA) [39] or overall sedentary time (ES and EXERNET); hours of day-time sleep (ENRICA and EXERNET); overall sleep quality (in all cohorts but TSHA); other indicators of poor night-time sleep quality (i.e., "difficulty falling asleep", "awakening during night-time", "early awakening with difficulty getting back to sleep" and "use of sleeping pills") and drowsiness (i.e., "being so sleepy at day-time as to need a nap", "not feeling rested in the morning", and the Epworth Sleepiness Scale) in ENRICA [40]; prevalence and characteristics of pain (ENRICA) [41]; history of physiciandiagnosed coronary heart disease, congestive heart failure, angina, or cancer at any site (all cohorts but EXERNET); mobility limitations, in ENRICA [42]; the Mini-Mental State Examination Score (MMSE) [43] (ENRICA and ES); the Cantril's Ladder of Life Scale [44] (ENRICA and ES); and a negative aging experience scale that ranged from 1 (very positive experience) to 5 (very negative experience) (ENRICA).…”

Section: Follow-up Informationmentioning

confidence: 99%

Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

García‐Esquinas

Ortolá

Giné-Vázquez

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

We used data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If another lockdown were imposed during this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions.

show abstract

Gender Differences in Pain Risk in Old Age: Magnitude and Contributors

Cited by 22 publications

References 42 publications

Opioid painkiller dependence in a sample of elderly medical inpatients

Opioid painkiller dependence in a sample of elderly medical inpatients

Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19 pandemic in Spain

Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

Contact Info

Product

Resources

About