Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

2020 ◽  
Vol 28 (5) ◽  
pp. 686-691
Author(s):  
Fabianna R. de Jesus-Moraleida ◽  
Paulo H. Ferreira ◽  
Juscelio P. Silva ◽  
André G.P. Andrade ◽  
Rosangela C. Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Low Back ◽  
Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

Therapy Students’ Recommendations of Physical Activity for Managing Persistent Low Back Pain in Older Adults

2013 ◽  
Vol 21 (3) ◽  
pp. 309-318 ◽  
Author(s):  
Cormac G. Ryan ◽  
Patricia Schofield ◽  
Denis J. Martin
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Professionals ◽  
Online Survey ◽  
Low Back ◽  
Cross Sectional ◽  
Important Health

Negative views of older adults can lead to suboptimal care. For older adults with persistent low back pain (LBP), promotion of physical activity by health care professionals is important. Health care professionals’ views of older adults are influenced by their training. This study aimed to compare recommendations for physical activity for managing persistent LBP offered by students in physiotherapy and occupational therapy to an older person vs. a younger person. In a cross-sectional online survey, participants (N = 77) randomly received a vignette of either a 40-yr-old or 70-yr-old patient with persistent LBP. Other than age, the vignettes were identical. There was no difference between the younger and older vignettes in the likelihood of participants making overall appropriate physical activity recommendations—63% vs. 59%, OR (95%CI) = 1.19 (0.48–2.99), p = .71—although there was a trend toward age bias on recommendations specific to daily activity. Postqualification education may be where ageist views need to be addressed.

scholarly journals Low Back Pain and Substance Use: Diagnostic and Administrative Coding for Opioid Use and Dependence Increased in U.S. Older Adults with Low Back Pain

Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Low Back Pain ◽  
Back Pain ◽  
National Sample ◽  
Cross Sectional Study ◽  
Diagnostic Code ◽  
Low Back ◽  
Opioid Use ◽  
Cross Sectional

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.

scholarly journals Prevalence and Associated Factors of Depressive Symptoms Among Patients With Chronic Low Back Pain: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Yueming Hu ◽  
Zechuan Yang ◽  
Yong Li ◽  
Yong Xu ◽  
Mengge Tian ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Chronic Low Back Pain ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Function

Background: Few studies have focused on depressive symptoms among patients with chronic low back pain in China. The aim of this cross-sectional study was to assess the prevalence and associated factors of depressive symptoms in patients with chronic low back pain.Methods: From May to August 2021, 1,172 patients with chronic low back pain were recruited in China. Depressive symptoms were assessed through the Patient Health Questionnaire. Associations of demographic characteristics, clinical characters and social-psychological factors with depressive symptoms were investigated among patients with chronic low back pain.Results: The prevalence of depressive symptoms was 25.00%. Logistic regression analysis found that duration of pain in 1-5 years (1-3 years: OR = 2.91, 95%CI: 1.65-5.14, 3-5 years: OR = 3.09, 95%CI: 1.55-6.15) and more severe pain (OR = 1.13, 95%CI: 1.10-1.17) were associated with higher risks of depressive symptoms. Better family function (good family function: OR = 0.25, 95%CI: 0.15-0.41, moderate family dysfunction: OR = 0.47, 95%CI: 0.29-0.77) and higher pain self-efficacy (OR = 0.94, 95%CI: 0.93-0.95) were associated with lower risks of depressive symptoms.Conclusion: Patients with chronic low back pain have a high prevalence of depressive symptoms in China. Duration of pain, pain severity, family function and pain self-efficacy were predictors of depressive symptoms among chronic low back pain patients in China. Early identification of the associated factors may be helpful for the timely management of depressive symptoms.

Influence of Frailty Status on Pain, Disability, and Quality of Life in Older Adults with Acute Low Back Pain: Results from the Back Complaints in the Elders (BACE-Brazil) Study

2020 ◽  
pp. 1-9
Author(s):  
A.A.O. Leopoldino ◽  
R.Z. Megale ◽  
J.B.M. Diz ◽  
B.S. Moreira ◽  
D.C. Felício ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Cross Sectional ◽  
Frailty Status ◽  
Acute Low Back Pain ◽  
Using Data

ABSTRACT A cross-sectional analysis was conducted using data from a prospective cohort study to investigate whether frailty is associated with pain intensity, disability caused by low back pain (LBP), and quality of life in an older population with acute non-specific LBP. Six hundred and two individuals with a mean age of 67.6 (standard deviation [SD] 7.0) years were included in the analysis. In relation to frailty status, 21.3 per cent of the sample were classified as robust, 59.2 per cent were classified as pre-frail, and 19.5 per cent were classified as frail. In the unadjusted analysis, pre-frail and frail groups showed significantly higher pain and disability scores than the robust group. Moreover, the same two groups exhibited lower scores in both physical and mental domains of quality of life than the robust group. After adjusting for socio-demographic and clinical variables, disability scores and the physical component of quality of life were significantly associated with frailty. In older adults with acute LBP, frailty is associated with more disability and worse scores in the physical component of quality of life.

Rasch validation of the Depression Scale among patients with low back pain

2020 ◽  
pp. 1-7
Author(s):  
Kati Kyrölä ◽  
Arja H. Häkkinen ◽  
Jari Ylinen ◽  
Jussi P. Repo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Measurement Theory ◽  
Depression Scale ◽  
Measurement Properties ◽  
Low Back ◽  
Spinal Disease ◽  
Main Hypothesis ◽  
Degenerative Spinal Disease

BACKGROUND: The Depression Scale (DEPS) is a commonly used screening tool for major depression in studies investigating low back pain, yet it has not been validated for patients with back-specific problems. OBJECTIVE: To assess the psychometric properties of the DEPS in patients with degenerative spinal disease. METHODS: Six hundred and thirty-seven patients with a degenerative spinal disease completed the DEPS instrument. The Rasch Measurement Theory was applied to analyze the measurement properties of the DEPS. The main hypothesis-driven approach was whether the DEPS would meet relevant psychometric criteria for assessing depressive symptoms among patients with degenerative spinal disease. RESULTS: The Mean (SD) DEPS score was 9.2 (6.6). Scale minimum or maximum points among participants were 2.4% and 0.8%, respectively. Cronbach’s alpha for internal consistency was 0.92. Person Separation Index for reliability was 0.88. All items had ordered thresholds and seven of the 10 items had good item fit. Unidimensionality of the DEPS was supported (proportion of significant t-tests, 4.5%). CONCLUSIONS: This study supports the validity of the DEPS for screening depressive symptoms in patients with degenerative spinal disease.

scholarly journals Risk Factor Analysis which Affect Severityof Low Back Pain to ward The Patients of Medic Rehabilitasion Intsalasi in RSUP dr. Mohammad Hoesin Palembang in 2016-2017.

2018 ◽  
Vol 1 (1) ◽  
pp. 24-32
Author(s):  
M Afif Baskara Emirzon ◽  
M Hasnawi Hadani ◽  
Veny Larasati
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Medical Rehabilitation ◽  
Low Back ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Lower Back

The incidence of lower back pain in the productive age population continues to increase. Various risk factors such as age, sex, smoking, and physical activity, length of work and work position can exacerbate lower back pain complaints. This study was conducted to analyze risk factors that affect the severity of low back pain in patients who perform therapy in Medical Rehabilitation Installation RSUP dr. Mohammad Hoesin Palembang period 2016-2017. The research used is analytical observation with cross-sectional technique. The sample of research is 71 respondents in Medical Rehabilitation Installation of dr. Mohammad Hoesin Palembang that meets the inclusion criteria. The data was further processed and grouped in table form. At 71 respondents found 49 respondents suffered severe NPB and 22 respondents suffered from mild NPB. The results showed that sex, physical activity, work position and duration of work had significant relationship with mild cases of low back pain (p = 0,03, p = 0,000, p = 0,00, p = 0,002). While age, smoking, BMI did not have a significant association with mild cases of low back pain (p = 0.08, p = 1.044, p = 0.690). Risk factors that affect the severity of lower back pain are male, physical weight, working position sitting or bending and length of work more than 7 hours per day.

scholarly journals DOES A HIGH LEVEL OF PHYSICAL ACTIVITY IN INDIVIDUALS WITH LOW BACK PAIN ENSURE BETTER POSTURAL STABILITY?

2021 ◽  
pp. 15-21
Author(s):  
Magdalena Plandowska ◽  
Agnieszka Kędra ◽  
Przemysław Kędra ◽  
Dariusz Czaprowski
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Postural Stability ◽  
Cross Sectional Study ◽  
Moderate Level ◽  
Low Back ◽  
Lateral Direction ◽  
Cross Sectional ◽  
High Level

An increase in the level of physical activity has become an important part of recommendations in the management of low back pain (LBP). While the effect of a low level of physical activity on postural stability is becoming clear, the possible effect of high level of physical activity in individuals with LBP has received less attention to date. Objective. The aim of this study was to find out whether there exist differences regarding postural stability taking into account the level of physical activity in individuals with and without LBP. Methods. This cross-sectional study included 58 participants with LBP and 24 healthy persons. Participants were divided into two subgroups, i.e. participants with a moderate level of physical activity (MPA) and participants with a high level of physical activity (HPA). A questionnaire was used to assess LBP prevalence. Postural stability was assessed with the use of the dynamographic platform. Results. There were no differences between groups for any of the centre of pressure (COP) parameters assessed: average velocity (V), area of the ellipse (AoE), length of the ellipse in the anteriorposterior direction (LoEAP) and length of the ellipse in the medial-lateral direction (LoEML). Conclusion. Our study showed that in the group of participants with LBP a high level of physical activity does not ensure better postural stability than a moderate level of physical activity. However, physical activity helps people with LBP to prevent postural instability.

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