Impact of frailty on chronic pain, activities of daily living and physical activity in community‐dwelling older adults: A cross‐sectional study

Hirase, Tatsuya; Kataoka, Hideki; Nakano, Jun; Inokuchi, Shigeru; Sakamoto, Juichi; Okita, Minoru

doi:10.1111/ggi.13314

Cited by 32 publications

(17 citation statements)

References 22 publications

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“…Although not analysed specifically in this study, other population studies have observed increased risk of disability with pain severity, frequency and multisite pain. 24,36 Given the complex interaction between pain, depression, frailty and disability, [37][38][39][40] future longitudinal studies with larger sample sizes may be needed to clarify this relationship.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and sites of pain in remote‐living older Aboriginal Australians, and associations with depressive symptoms and disability

Wong

Hyde

Smith

et al. 2021

Internal Medicine Journal

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Background: Pain is a growing public health problem associated with significant health and functional implications. Limited data exist for Aboriginal Australians.Aims: To describe the prevalence, severity and sites of pain, analgesic use and associated factors, including depression and disability, in remote-living Aboriginal Australians.Methods: Cross-sectional study of 263 Aboriginal Australians aged ≥45 years from six remote Indigenous communities and the town of Derby in the Kimberley region of Western Australia between 2011 and 2013. Pain was assessed using a culturally adapted pain scale. Factors associated with pain were investigated with binary logistic regression.Results: One hundred and seventy (64.6%) participants reported having pain and 53 (20.2%) reported persistent pain. Of those reporting pain, 61 (35.9%) rated it as moderate and 70 (41.2%) as severe. The most common sites of pain were back and knee, and 38 (22.4%) participants with pain indicated three or more sites of pain. Only 70 (41.2%) participants with pain were on some type of analgesic medication. After adjustment, poor vision (odds ratio (OR) = 2.21; 95% confidence interval (CI) 1.22-4.00), hypertension (OR = 1.89; 95% CI 1.03-3.45) and heart problems (OR = 2.05; 95% CI 1.01-4.14) were associated with pain. Higher depression scores were associated with more persistent pain, but pain was not significantly associated with clinically relevant depressive symptoms, or requiring assistance with two or more personal and/or instrumental activities of daily living. Conclusion:High levels of pain were reported, although the prevalence of persistent pain was comparable to the general population. Identifying risk factors, improving pain recognition and assessment and evaluating culturally tailored management approaches should be a priority.

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Section: Discussionmentioning

confidence: 99%

Prevalence and sites of pain in remote‐living older Aboriginal Australians, and associations with depressive symptoms and disability

Wong

Hyde

Smith

et al. 2021

Internal Medicine Journal

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“…Nakai et al reported that 42.7% of community-dwelling older adults had chronic pain, and chronic pain was associated with frailty and pre-frailty [3]. Hirase et al reported that 60.4% of community-dwelling older adults with frailty had chronic pain, and chronic pain was associated with negative emotional and cognitive aspects of pain, as well as a decline in activities of daily living (ADL) and lower physical activity levels [4].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Imported Self-Management Program for Elderly People with Chronic Pain: A Single-Arm Confirmatory Trial

Ikemoto

Shiro

Ikemoto³

et al. 2020

Pain Ther

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Introduction: Multidisciplinary pain management programs incorporating a cognitive-behavioral therapy (CBT) approach have been reported to be helpful for elderly people with chronic pain. However, it is unclear whether the same program for elderly people with chronic pain would translate to different cultures. This study investigated whether a multidisciplinary program based on that of Nicholas et al. (Pain 154(6):824-835, 2013) in Australia would be effective for elderly people with chronic pain in Japan. Methods: Twenty-seven community-dwelling elderly people with chronic pain were enrolled to confirm changes (effect size d = 0.5) in pain disability, which were previously reported by Nicholas et al. The multidisciplinary program consisted of eight sessions (2 sessions a week for 4 weeks). Pain disability was assessed using the Pain Disability Assessment Scale (PDAS) as the primary outcome at the baseline, the beginning and the end of the program, and the 1-and 3-month (final) follow-up. We also assessed the pain severity, catastrophizing, pain self-efficacy, and physical function with the Timed Up and Go test (TUG) and the two-step test as secondary outcomes. Results: PDAS, pain catastrophizing, and pain self-efficacy were significantly improved immediately after the program compared with baseline, and these effects were maintained at 3-month follow-up. The effect size (d) for the PDAS score was a medium size (0.54) from baseline to 3-month follow-up. Those who showed improvements in TUG immediately after the program tended to report improved psychometric measures at 3-month follow-up. Conclusion: These results suggest that the Japanese multidisciplinary program has a similar effect on pain disability as that reported by Nicholas et al. This finding has important implications for the development of pain services in community-dwelling elderly Japanese.

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“…Chronic diseases have been reported to create an adverse impact on the individual's ability to cope with life, by compromising quality of life and increasing financial costs [17]. Studies have reported that individuals aged 65 or over with chronic diseases have greater socioeconomic burdens and lower quality of life than those with no such diseases [18], that they experience more pain and restrictions [19], and that coping with life is therefore more difficult for them [20].…”

Section: Discussionmentioning

confidence: 99%

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

Aydın

Sayılan

2021

J CLIN MED KAZ

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To determine the relationship between attitudes toward aging and old age, and successful aging in individuals with chronic disease aged 65 or over.Material and methods: The Attitude Scale toward Aging and Elderliness and the Successful Aging Scale were employed in this descriptive, cross-sectional, comparative study. Data were expressed as frequency, percentage, mean, and standard deviation and were analyzed using the Kolmogorov-Smirnov test, the t test, One-Way ANOVA, and Pearson correlation analysis. p values <0.05 were regarded as significant.Results: Individuals with chronic disease had greater difficulty in accepting old age, greater social exhaustion, greater abilities to cope with problems, and higher successful aging scores. Conclusion:This study shows that despite their negative attitudes toward old age, individuals with chronic disease had greater abilities to cope with problems and aged more successfully.

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Impact of frailty on chronic pain, activities of daily living and physical activity in community‐dwelling older adults: A cross‐sectional study

Cited by 32 publications

References 22 publications

Prevalence and sites of pain in remote‐living older Aboriginal Australians, and associations with depressive symptoms and disability

Prevalence and sites of pain in remote‐living older Aboriginal Australians, and associations with depressive symptoms and disability

Feasibility of Imported Self-Management Program for Elderly People with Chronic Pain: A Single-Arm Confirmatory Trial

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

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