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Association between Chronic Pain and Physical Frailty in Community-Dwelling Older Adults

Author

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  • Yuki Nakai

    (Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan
    Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan)

  • Hyuma Makizako

    (Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan)

  • Ryoji Kiyama

    (Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan)

  • Kazutoshi Tomioka

    (Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan)

  • Yoshiaki Taniguchi

    (Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan)

  • Takuro Kubozono

    (Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-0075, Japan)

  • Toshihiro Takenaka

    (Tarumizu Municipal Medical Center, Tarumizu Chuo Hospital, Kagoshima 891-2124, Japan)

  • Mitsuru Ohishi

    (Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-0075, Japan)

Abstract

This cross-sectional study investigated the association between chronic pain and physical frailty in community-dwelling older adults. We analyzed data obtained from 323 older adults (women: 74.6%) who participated in a community-based health check survey (the Tarumizu Study, 2017). Physical frailty was defined in terms of five parameters (exhaustion, slowness, weakness, low physical activity, and weight loss). We assessed the prevalence of chronic low back and knee pain using questionnaires. Participants whose pain had lasted ≥two months were considered to have chronic pain. Among all participants, 138 (42.7%) had chronic pain, and 171 (53.0%) were categorized as having physical frailty or pre-frailty. Logistic regression analysis showed that chronic pain was significantly associated with the group combining frailty and pre-frailty (odds ratio 1.68, 95% confidence interval 1.03–2.76, p = 0.040) after adjustment for age, sex, body mass index, score on the 15-item Geriatric Depression Scale, and medications. Comparing the proportions of chronic pain among participants who responded to the sub-items, exhaustion (yes: 65.9%, no: 39.4%) demonstrated a significant association ( p < 0.001). Chronic pain could be associated with the group combining frailty and pre-frailty and is particularly associated with exhaustion in community-dwelling older adults. Therefore, there is a need for early intervention and consideration of the role of exhaustion when devising interventions for physical frailty in older individuals with chronic pain.

Suggested Citation

  • Yuki Nakai & Hyuma Makizako & Ryoji Kiyama & Kazutoshi Tomioka & Yoshiaki Taniguchi & Takuro Kubozono & Toshihiro Takenaka & Mitsuru Ohishi, 2019. "Association between Chronic Pain and Physical Frailty in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 16(8), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1330-:d:222478
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    References listed on IDEAS

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    1. Hyuma Makizako & Hiroyuki Shimada & Takehiko Doi & Kota Tsutsumimoto & Ryo Hotta & Sho Nakakubo & Keitaro Makino & Sangyoon Lee, 2018. "Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
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    Cited by:

    1. Yuki Nakai & Hyuma Makizako & Ryoji Kiyama & Kazutoshi Tomioka & Yoshiaki Taniguchi & Takuro Kubozono & Toshihiro Takenaka & Mitsuru Ohishi, 2019. "Reply to Comment on Nakai, Y.; Makizako, H.; Kiyama, R.; Tomioka, K.; Taniguchi, Y.; Kubozono, T.; Takenaka, T.; Ohishi, M. Association between Chronic Pain and Physical Frailty in Community-Dwelling ," IJERPH, MDPI, vol. 17(1), pages 1-2, December.
    2. Motoaki Takamura & Toshimasa Sone & Takayuki Kawamura & Reiko Suzuki & Nobuaki Moriyama & Seiji Yasumura, 2021. "A Cross-Sectional Study on the Characteristics of Physical Activity in Pre-Frail Older Adults," IJERPH, MDPI, vol. 18(23), pages 1-11, November.
    3. Harutoshi Sakakima & Seiya Takada & Kosuke Norimatsu & Shotaro Otsuka & Kazuki Nakanishi & Akira Tani, 2020. "Diurnal Profiles of Locomotive and Household Activities Using an Accelerometer in Community-Dwelling Older Adults with Musculoskeletal Disorders: A Cross-Sectional Survey," IJERPH, MDPI, vol. 17(15), pages 1-11, July.
    4. Tatsuya Hirase & Hyuma Makizako & Yoshiro Okubo & Stephen R. Lord & Minoru Okita & Yuki Nakai & Toshihiro Takenaka & Takuro Kubozono & Mitsuru Ohishi, 2020. "Falls in Community-Dwelling Older Adults with Lower Back or Knee Pain Are Associated with Cognitive and Emotional Factors," IJERPH, MDPI, vol. 17(14), pages 1-8, July.

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