Association Between Kinesiophobia and Life Space Among Community-Dwelling Older People with Chronic Musculoskeletal Pain

Abstract Objective Kinesiophobia (i.e., fear of movement caused by pain) is increasingly acknowledged as a determinant of disuse among patients with chronic musculoskeletal pain. Kinesiophobia may affect life space—a crucial indicator of an active lifestyle among older people. This study aimed to investigate the previously unexamined association between kinesiophobia and life space among community-dwelling older people with chronic musculoskeletal pain. Design Cross-sectional study. Setting Community. Subjects We analyzed data from 194 community-dwelling older people (age ≥65 years, mean age = 75.7 years, 71.6% women) with chronic musculoskeletal pain. Methods Kinesiophobia, life space, and pain severity were assessed using the Tampa Scale for Kinesiophobia, Life Space Assessment, and Brief Pain Inventory. Linear regression models were applied to analyze the associations between kinesiophobia and life space, and pain severity and life space. Results In our sample, the prevalence rates for chronic musculoskeletal pain were 10.82% (N = 21) for neck, 55.15% (N = 107) for lower back, 25.26% (N = 49) for shoulder, and 50.00% (N = 97) for knee. The results suggest that higher kinesiophobia is associated with smaller life space (adjusted beta = −0.91, 95% CI = −1.43 to −0.45, P < 0.001), even after adjustment for age, gender, years of education, pain severity, and presence of comorbidity. On the contrary, no significant association between pain severity and life space was observed (adjusted beta = −0.61, 95% CI = −2.92 to 1.72, P = 0.624). Conclusions Our findings suggest that kinesiophobia plays an important role in the determination of life space among older people with chronic musculoskeletal pain.

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Associations Between Reasons to Go Outdoors and Objectively-Measured Walking Activity in Various Life-Space Areas Among Older People

Journal of Aging and Physical Activity ◽

10.1123/japa.2014-0292 ◽

2016 ◽

Vol 24 (1) ◽

pp. 85-91 ◽

Cited By ~ 17

Author(s):

Li-Tang Tsai ◽

Merja Rantakokko ◽

Anne Viljanen ◽

Milla Saajanaho ◽

Johanna Eronen ◽

...

Keyword(s):

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Daily Step ◽

Life Space ◽

Cross Sectional ◽

Step Counts ◽

Walking Activity ◽

Community Dwelling Older People ◽

Objectively Measured

This cross-sectional study investigated associations between reasons to go outdoors and objectively-measured walking activity in various life-space areas among older people. During the study, 174 community-dwelling older people aged 75–90 from central Finland wore an accelerometer over seven days and recorded their reasons to go outdoors in an activity diary. The most common reasons for going outdoors were shopping, walking for exercise, social visits, and running errands. Activities done in multiple life-space areas contributed more to daily step counts than those done in the neighborhood or town and beyond. Those who went shopping or walked for exercise accumulated higher daily step counts than those who did not go outdoors for these reasons. These results show that shopping and walking for exercise are common reasons to go outdoors for community-dwelling older people and may facilitate walking activity in older age. Future studies on how individual trips contribute to the accumulation of steps are warranted.

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Relationship between oral function and life‐space mobility or social networks in community‐dwelling older people: A cross‐sectional study

Clinical and Experimental Dental Research ◽

10.1002/cre2.381 ◽

2020 ◽

Author(s):

Motoyoshi Morishita ◽

Taeka Ikeda ◽

Natsue Saito ◽

Mihoko Sanou ◽

Mayumi Yasuda ◽

...

Keyword(s):

Social Networks ◽

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Life Space ◽

Cross Sectional ◽

Oral Function ◽

Community Dwelling Older People

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The Temporal Relation Between Pain and Fatigue in Individuals Receiving Treatment for Chronic Musculoskeletal Pain

10.21203/rs.3.rs-958935/v1 ◽

2021 ◽

Author(s):

Keiko Yamada ◽

Heather Adams ◽

Tamra Ellis ◽

Robyn Clark ◽

Craig Sully ◽

...

Keyword(s):

Musculoskeletal Pain ◽

Behavioral Activation ◽

Post Treatment ◽

Chronic Musculoskeletal Pain ◽

Temporal Relation ◽

Pain Severity ◽

Path Coefficient ◽

Cross Sectional ◽

Random Intercept ◽

Pre Treatment

Abstract Objective: Numerous investigations have revealed significant relations between pain and fatigue in individuals with persistent pain conditions. However, the direction of influence between pain and fatigue remains unclear. Shortcomings of design and analytic approaches used in previous research limit the nature of conclusions that can be drawn about possible causal relations between pain and fatigue. The present study investigated the temporal relation between changes in pain and changes in fatigue in individuals with musculoskeletal pain enrolled in a 10-week behavioral activation intervention. On the basis of previous findings, it was hypothesized that analyses would yield support for a bi-directional relation between pain and fatigue. Methods: The study sample consisted of 104 individuals with chronic musculoskeletal pain participating in a 10-week standardized rehabilitation intervention. Measures of pain intensity and fatigue were completed pre-, mid-, and post-treatment. The three-wave data panel permitted examination of the direction of influence between pain and fatigue through the course of the intervention. A random-intercept cross-lagged panel model (RI-CLPM) was used to examine the temporal relation between pain and fatigue. Results: Consistent with previous research, cross-sectional analyses of pre-treatment data revealed significant correlations between measures of pain and fatigue. Significant reductions in pain and fatigue were observed through the course of treatment (d=.33 and d =.66, p < .001, respectively). RI-CLPM revealed that pain severity predicted later fatigue (pre to mid-treatment standardized path coefficient (β) = 0.55, p = 0.02; mid to post-treatment β = 0.36, p = 0.001); however, fatigue did not predict later pain severity.Conclusions: Discussion addresses the processes that might underlie the temporal relation between pain and fatigue. Clinical implications of the findings are also discussed.

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Drug Burden Index associated with function in community-dwelling older people in Finland: A cross-sectional study

Annals of Medicine ◽

10.3109/07853890.2011.573499 ◽

2011 ◽

Vol 44 (5) ◽

pp. 458-467 ◽

Cited By ~ 35

Author(s):

Danijela Gnjidic ◽

J. Simon Bell ◽

Sarah N. Hilmer ◽

Eija Lönnroos ◽

Raimo Sulkava ◽

...

Keyword(s):

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Drug Burden Index ◽

Community Dwelling Older People

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The cross‐sectional association between diabetes and orthostatic hypotension in community‐dwelling older people

Diabetic Medicine ◽

10.1111/dme.14187 ◽

2019 ◽

Vol 37 (8) ◽

pp. 1299-1307 ◽

Cited By ~ 1

Author(s):

J. Gannon ◽

P. Claffey ◽

E. Laird ◽

L. Newman ◽

R.A. Kenny ◽

...

Keyword(s):

Older People ◽

Orthostatic Hypotension ◽

Community Dwelling ◽

Cross Sectional ◽

Community Dwelling Older People ◽

The Cross

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Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study

Nutrients ◽

10.3390/nu12041041 ◽

2020 ◽

Vol 12 (4) ◽

pp. 1041 ◽

Cited By ~ 2

Author(s):

Pilar Pérez-Ros ◽

Rafael Vila-Candel ◽

Lourdes López-Hernández ◽

Francisco Miguel Martínez-Arnau

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Nutritional Status ◽

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older People ◽

The Relationship

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.

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Prevalence and factors associated with frailty among community-dwelling older people in rural Thanjavur district of South India: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-032904 ◽

2019 ◽

Vol 9 (10) ◽

pp. e032904 ◽

Cited By ~ 3

Author(s):

Kirubakaran Kesavan Kendhapedi ◽

Niveditha Devasenapathy

Keyword(s):

Older People ◽

Fear Of Falling ◽

Frailty Index ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Domain Definition ◽

Tilburg Frailty Indicator ◽

Community Dwelling Older People ◽

Frailty Indicator

ObjectiveThere is sparse data on the prevalence of frailty from rural parts of India. Our aim was to estimate prevalence of frailty among community-dwelling older people in rural South Indian population and explore socio-demographic factors associated with frailty. We further explored the associations between frailty with fear of falling and falls.DesignCommunity based cross-sectional study.SettingFour villages in Thanjavur district of Southern India.ParticipantsRandom sample of adults aged 60 years and above from four villages.MethodsWe sampled community-dwelling older adults from the electoral list of four villages using stratified random sampling. We report prevalence of frailty as defined by physical definition (Fried’s Phenotype), accumulation of deficits (Frailty Index) and multi-domain definition (Tilburg Frailty Indicator). We report proportion of agreement of frailty status between the frailty tools. We used logistic regressions with robust SEs to examine the associations between socio-demographic determinants with frailty and the association between frailty with fear of falling and falls.ResultsAmong the 408 participants, the weighted (non-response and poststratification for sex) prevalence and 95% CI of frailty was 28% (18.9 to 28.1) for physical definition, 59% (53.9 to 64.3) for accumulation of deficits and 63% (57.4 to 67.6) for multi-domain definition. Frailty Index and Tilburg Frailty Indicator had good agreement (80%). Age, female, lower education, lower socioeconomic status, minimum physical activity in routine work were independently associated with frailty irrespective of the frailty definitions. Frail elderly had higher odds of falls as well as fear of falling compared with non-frail, irrespective of the definitions.ConclusionPrevalence of frailty among older people in rural Thanjavur district of South India was high compared with low-income and middle-income countries. Understanding the modifiable determinants of frailty can provide a valuable reference for future prevention and intervention.

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Relationship between Perceived Indoor Temperature and Self-Reported Risk for Frailty among Community-Dwelling Older People

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16040613 ◽

2019 ◽

Vol 16 (4) ◽

pp. 613 ◽

Cited By ~ 3

Author(s):

Yukie Nakajima ◽

Steven Schmidt ◽

Agneta Malmgren Fänge ◽

Mari Ono ◽

Toshiharu Ikaga

Keyword(s):

Older People ◽

Economic Status ◽

Frailty Index ◽

Cross Sectional Study ◽

Community Dwelling ◽

Indoor Temperature ◽

Cross Sectional ◽

Economic Satisfaction ◽

Increased Risk ◽

Community Dwelling Older People

This study investigated the relationship between perceived indoor temperature in winter and frailty among community-dwelling older people. This cross-sectional study included 342 people 65 years and older in Japan. Participants answered questions about demographics, frailty, housing, and perceived indoor temperature in winter. Participants were grouped based on perceived indoor temperature (Cold or Warm) and economic satisfaction (Unsatisfied or Satisfied). Differences in the frailty index between perceived indoor temperature groups and economic satisfaction groups were tested by using ANCOVA and MANCOVA. An interaction effect showed that people in the Cold Group and unsatisfied with their economic status had significantly higher frailty index scores (F(1, 336) = 5.95, p = 0.015). Furthermore, the frailty index subscale of fall risk was the specific indicator of frailty that accounted for this significant relationship. While previous research has shown the risks related to cold indoor temperature in homes, interestingly among those who reported cold homes, only those who were not satisfied with their economic situation reported being at increased risk for frailty. This highlights the potential importance of preventing fuel poverty to prevent frailty.

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