The Avoidance of Activities due to Fear of Falling Contributes to Sedentary Behavior among Community-Dwelling Older Adults with Chronic Musculoskeletal Pain: A Multisite Observational Study

INTRODUCTION: Self-efficacy is defined as the strength of a person’s convictions in being able to perform a given activity and obtain the expected result. It may act as a potent mediator between chronic musculoskeletal pain and how older adults cope with their disabilities. OBJECTIVE: To evaluate the determinants of self-efficacy beliefs and fear of physical exercise in community-dwelling older adults with chronic musculoskeletal pain. METHODS: This cross-sectional study recruited older adults with chronic musculoskeletal pain. Only individuals living in an urban area in southern Brazil and who reported pain for more than 3 months were included. A convenience sample was selected in a nonprobabilistic fashion. The study variables consisted of sociodemographic data; pain based on the Brief Pain Inventory and the Leeds Assessment of Neuropathic Symptoms and Signs for Patients with Chronic Pain; and self-efficacy based on the Chronic Pain Self-Efficacy Scale. Also, simple questions were created for physical exercise beliefs. For statistical analysis, absolute and relative frequency, χ2 test, and Mann-Whitney U test were used as appropriate. RESULTS: The sample consisted of 193 older adults, mostly women with low level of education. Self-efficacy was best rated by older adults living alone and by those who were classified as exclusively nociceptive pain. CONCLUSION: Despite having chronic pain, older adults with higher self-efficacy feel confident in performing their tasks and have greater ability to cope with changes related to aging and to engage in self-care.

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Association between chronic musculoskeletal pain and executive function in community-dwelling older adults

European Journal of Pain ◽

10.1002/ejp.1083 ◽

2017 ◽

Vol 21 (10) ◽

pp. 1717-1722 ◽

Cited By ~ 8

Author(s):

S. Murata ◽

R. Sawa ◽

N. Nakatsu ◽

T. Saito ◽

T. Sugimoto ◽

...

Keyword(s):

Older Adults ◽

Executive Function ◽

Musculoskeletal Pain ◽

Community Dwelling ◽

Chronic Musculoskeletal Pain ◽

Community Dwelling Older Adults

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How Much Time in Sedentary Behavior Should Be Reduced to Decrease Fear of Falling and Falls in Community-Dwelling Older Adults?

Journal of Aging and Physical Activity ◽

10.1123/japa.2021-0175 ◽

2021 ◽

pp. 1-7

Author(s):

Jaquelini Betta Canever ◽

Ana Lúcia Danielewicz ◽

Amanda Aparecida Oliveira Leopoldino ◽

Maruí Weber Corseuil ◽

Núbia Carelli Pereira de Avelar

Keyword(s):

Older Adults ◽

Sedentary Behavior ◽

Area Under Curve ◽

Fear Of Falling ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

History Of ◽

Community Dwelling Older Adults ◽

Activity Questionnaire

Fear of falling and history of falls are frequent situations in older adults, which can be aggravated by sedentary behavior (SB). The objective was to establish SB cutoff values which discriminate falls and fear of falling in older adults and verify the association between these conditions. This was a cross-sectional study including 308 community-dwelling older adults. The SB was assessed by International Physical Activity Questionnaire. The outcomes were history of falling in the last 12 months and fear of falling (higher or equal than 23 points in Falls Efficacy Scale International—Brazil). The cutoff points found were >4.14 (area under curve = 0.60, 95% confidence intervals [CIs] [0.54, 0.65]) and >3.90 hr per day (area under curve = 0.59, 95% CI [0.53, 0.64]) for fear of falling and history of falls, respectively. Older adults with SB had 1.71 (95% CI [1.03, 2.84]) and 1.75 (95% CI [1.06, 2.89]) greater odds of having greater fear of falling and suffering falls, respectively.

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Association Between Objectively Measured Physical Activity and the Number of Chronic Musculoskeletal Pain Sites in Community-Dwelling Older Adults

Pain Medicine ◽

10.1093/pm/pny112 ◽

2018 ◽

Vol 20 (4) ◽

pp. 717-723 ◽

Cited By ~ 6

Author(s):

Shunsuke Murata ◽

Takehiko Doi ◽

Ryuichi Sawa ◽

Ryo Nakamura ◽

Tsunenori Isa ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Musculoskeletal Pain ◽

Community Dwelling ◽

Chronic Musculoskeletal Pain ◽

Objectively Measured ◽

Community Dwelling Older Adults ◽

Objectively Measured Physical Activity

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Factors associated with chronic musculoskeletal pain in Japanese community-dwelling older adults

Medicine ◽

10.1097/md.0000000000007069 ◽

2017 ◽

Vol 96 (23) ◽

pp. e7069 ◽

Cited By ~ 8

Author(s):

Tatsuya Hirase ◽

Hideki Kataoka ◽

Shigeru Inokuchi ◽

Jiro Nakano ◽

Junya Sakamoto ◽

...

Keyword(s):

Older Adults ◽

Musculoskeletal Pain ◽

Community Dwelling ◽

Chronic Musculoskeletal Pain ◽

Factors Associated ◽

Community Dwelling Older Adults

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Prospective Associations of Physical Frailty With Future Falls and Fear of Falling: A 48-Month Cohort Study

Physical Therapy ◽

10.1093/ptj/pzab059 ◽

2021 ◽

Author(s):

K Makino ◽

S Lee ◽

S Bae ◽

I Chiba ◽

K Harada ◽

...

Keyword(s):

Older Adults ◽

Cohort Study ◽

Fear Of Falling ◽

Community Dwelling ◽

Cardiovascular Health Study ◽

Physical Frailty ◽

Frailty Status ◽

Community Dwelling Older Adults ◽

The Relationship

Abstract Objective The present study aimed to examine the prospective associations of physical frailty with future falls and fear of falling (FOF) among community-dwelling older adults. Methods A prospective cohort study with a 48-month follow-up was conducted in a Japanese community. Participants were 2469 community-dwelling older adults aged 65 years or older who completed baseline and follow-up assessments at intervals of 48±2 months. Primary outcomes were recent falls (defined as at least one fall within the past year) and FOF (determined by response to “Are you afraid of falling?”) at follow-up survey. Physical frailty, operationalized by the frailty phenotype (slowness, weakness, exhaustion, weight loss, and low activity) based on the criteria of the Japanese version of the Cardiovascular Health Study (J-CHS), was also assessed as a predictor of future falls and FOF. Results Multivariate logistic regression showed that pre-frailty or frailty increase the risk of not only future falls (OR: 1.57; 95%CI = 1.20-2.05) but also FOF (OR: 1.33; 95%CI = 1.05-1.69). In addition, the relationship between baseline frailty status and future falls remained significant after adjusting for baseline FOF (OR: 1.55; 95%CI = 1.19-2.02), and the relationship between baseline frailty status and future FOF also remained significant after adjusting for baseline falls (OR: 1.32; 95%CI = 1.04-1.68). Conclusions Frailty status may predict future falls and FOF among community-dwelling older adults. Strategies to prevent frailty may be beneficial to prevent not only future falls but also future FOF in a community setting. Impact Falls and FOF have a close relationship but a different clinical meaning. Older adults with physical frailty may require monitoring as high-risk not only for falls but also for FOF.

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