Association between chronic pain and pre-frailty in Japanese community-dwelling older adults: A cross-sectional study
A relationship between chronic pain and frailty has been reported. The early detection and prevention of frailty are recommended, in part because community-dwelling older adults in a pre-frailty state may return to a healthy state. The relationship between chronic pain and pre-frailty is not known....
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| creator | Imai, Ryota Imaoka, Masakazu Nakao, Hidetoshi Hida, Mitsumasa Tazaki, Fumie Omizu, Tomoko Ishigaki, Tomoya Nakamura, Misa |
| description | A relationship between chronic pain and frailty has been reported. The early detection and prevention of frailty are recommended, in part because community-dwelling older adults in a pre-frailty state may return to a healthy state. The relationship between chronic pain and pre-frailty is not known. Toward the goal of promoting a reversible return to health from pre-frailty, we investigated the relationship between chronic pain and pre-frailty among community-dwelling older adults. We assessed the frailty and chronic pain of 107 older adults who were participating in community health checks. The status of physical frailty was based on the five components described by Fried (2001): muscle weakness shown by handgrip strength, slowness of gait speed, weight loss, low physical activity, and exhaustion. Chronic pain was assessed based on pain intensity, the Pain Catastrophizing Scale (PCS), the Japanese version of the Geriatric Depression Scale-15 (GDS-15), and the Central Sensitization Inventory (CSI). The prevalence of chronic pain with pre-frailty was 40.2%. A hierarchical analysis revealed that PCS-measured helplessness (odds ratio [OR]: 0.88) and the CSI (OR: 0.87) were significant factors associated with the presence of chronic pain with pre-frailty. The prevalence of chronic pain with pre-frailty was high, and chronic pain and pre-frailty were strongly related. New intervention or prevention programs that take into account both chronic pain and pre-frailty must be created as soon as possible. |
| doi_str_mv | 10.1371/journal.pone.0236111 |
| format | Article |
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The early detection and prevention of frailty are recommended, in part because community-dwelling older adults in a pre-frailty state may return to a healthy state. The relationship between chronic pain and pre-frailty is not known. Toward the goal of promoting a reversible return to health from pre-frailty, we investigated the relationship between chronic pain and pre-frailty among community-dwelling older adults. We assessed the frailty and chronic pain of 107 older adults who were participating in community health checks. The status of physical frailty was based on the five components described by Fried (2001): muscle weakness shown by handgrip strength, slowness of gait speed, weight loss, low physical activity, and exhaustion. Chronic pain was assessed based on pain intensity, the Pain Catastrophizing Scale (PCS), the Japanese version of the Geriatric Depression Scale-15 (GDS-15), and the Central Sensitization Inventory (CSI). The prevalence of chronic pain with pre-frailty was 40.2%. A hierarchical analysis revealed that PCS-measured helplessness (odds ratio [OR]: 0.88) and the CSI (OR: 0.87) were significant factors associated with the presence of chronic pain with pre-frailty. The prevalence of chronic pain with pre-frailty was high, and chronic pain and pre-frailty were strongly related. New intervention or prevention programs that take into account both chronic pain and pre-frailty must be created as soon as possible.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0236111</identifier><identifier>PMID: 32790685</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adults ; Age ; Aged ; Aged, 80 and over ; Biology and Life Sciences ; Body weight loss ; Catastrophization - epidemiology ; Catastrophization - psychology ; Chronic pain ; Chronic Pain - complications ; Chronic Pain - diagnosis ; Chronic Pain - epidemiology ; Chronic Pain - psychology ; Community involvement ; Community participation ; Cross-Sectional Studies ; Diagnosis ; Exercise ; Exhaustion ; Female ; Frail elderly ; Frail Elderly - psychology ; Frail Elderly - statistics & numerical data ; Frailty ; Frailty - diagnosis ; Frailty - etiology ; Frailty - prevention & control ; Gait ; Geriatric Assessment ; Hand Strength ; Health aspects ; Humans ; Independent Living ; Japan - epidemiology ; Long term health care ; Male ; Medicine and Health Sciences ; Middle Aged ; Muscle Weakness - diagnosis ; Muscle Weakness - epidemiology ; Muscle Weakness - etiology ; Muscles ; Musculoskeletal system ; Older people ; Pain ; Pain management ; Pain Measurement ; People and Places ; Physical activity ; Physical fitness ; Physical Sciences ; Prevalence ; Prevention ; Quality of life ; Rehabilitation ; Research and Analysis Methods ; Risk factors ; Weight loss</subject><ispartof>PloS one, 2020-08, Vol.15 (8), p.e0236111-e0236111</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Imai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The early detection and prevention of frailty are recommended, in part because community-dwelling older adults in a pre-frailty state may return to a healthy state. The relationship between chronic pain and pre-frailty is not known. Toward the goal of promoting a reversible return to health from pre-frailty, we investigated the relationship between chronic pain and pre-frailty among community-dwelling older adults. We assessed the frailty and chronic pain of 107 older adults who were participating in community health checks. The status of physical frailty was based on the five components described by Fried (2001): muscle weakness shown by handgrip strength, slowness of gait speed, weight loss, low physical activity, and exhaustion. Chronic pain was assessed based on pain intensity, the Pain Catastrophizing Scale (PCS), the Japanese version of the Geriatric Depression Scale-15 (GDS-15), and the Central Sensitization Inventory (CSI). The prevalence of chronic pain with pre-frailty was 40.2%. A hierarchical analysis revealed that PCS-measured helplessness (odds ratio [OR]: 0.88) and the CSI (OR: 0.87) were significant factors associated with the presence of chronic pain with pre-frailty. The prevalence of chronic pain with pre-frailty was high, and chronic pain and pre-frailty were strongly related. New intervention or prevention programs that take into account both chronic pain and pre-frailty must be created as soon as possible.</description><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biology and Life Sciences</subject><subject>Body weight loss</subject><subject>Catastrophization - epidemiology</subject><subject>Catastrophization - psychology</subject><subject>Chronic pain</subject><subject>Chronic Pain - complications</subject><subject>Chronic Pain - diagnosis</subject><subject>Chronic Pain - epidemiology</subject><subject>Chronic Pain - psychology</subject><subject>Community involvement</subject><subject>Community participation</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>Exercise</subject><subject>Exhaustion</subject><subject>Female</subject><subject>Frail elderly</subject><subject>Frail Elderly - psychology</subject><subject>Frail Elderly - statistics & numerical 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study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-08-13</date><risdate>2020</risdate><volume>15</volume><issue>8</issue><spage>e0236111</spage><epage>e0236111</epage><pages>e0236111-e0236111</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A relationship between chronic pain and frailty has been reported. The early detection and prevention of frailty are recommended, in part because community-dwelling older adults in a pre-frailty state may return to a healthy state. The relationship between chronic pain and pre-frailty is not known. Toward the goal of promoting a reversible return to health from pre-frailty, we investigated the relationship between chronic pain and pre-frailty among community-dwelling older adults. We assessed the frailty and chronic pain of 107 older adults who were participating in community health checks. The status of physical frailty was based on the five components described by Fried (2001): muscle weakness shown by handgrip strength, slowness of gait speed, weight loss, low physical activity, and exhaustion. Chronic pain was assessed based on pain intensity, the Pain Catastrophizing Scale (PCS), the Japanese version of the Geriatric Depression Scale-15 (GDS-15), and the Central Sensitization Inventory (CSI). The prevalence of chronic pain with pre-frailty was 40.2%. A hierarchical analysis revealed that PCS-measured helplessness (odds ratio [OR]: 0.88) and the CSI (OR: 0.87) were significant factors associated with the presence of chronic pain with pre-frailty. The prevalence of chronic pain with pre-frailty was high, and chronic pain and pre-frailty were strongly related. New intervention or prevention programs that take into account both chronic pain and pre-frailty must be created as soon as possible.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32790685</pmid><doi>10.1371/journal.pone.0236111</doi><tpages>e0236111</tpages><orcidid>https://orcid.org/0000-0002-2186-1171</orcidid><orcidid>https://orcid.org/0000-0002-0276-6419</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2434077974 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adults Age Aged Aged, 80 and over Biology and Life Sciences Body weight loss Catastrophization - epidemiology Catastrophization - psychology Chronic pain Chronic Pain - complications Chronic Pain - diagnosis Chronic Pain - epidemiology Chronic Pain - psychology Community involvement Community participation Cross-Sectional Studies Diagnosis Exercise Exhaustion Female Frail elderly Frail Elderly - psychology Frail Elderly - statistics & numerical data Frailty Frailty - diagnosis Frailty - etiology Frailty - prevention & control Gait Geriatric Assessment Hand Strength Health aspects Humans Independent Living Japan - epidemiology Long term health care Male Medicine and Health Sciences Middle Aged Muscle Weakness - diagnosis Muscle Weakness - epidemiology Muscle Weakness - etiology Muscles Musculoskeletal system Older people Pain Pain management Pain Measurement People and Places Physical activity Physical fitness Physical Sciences Prevalence Prevention Quality of life Rehabilitation Research and Analysis Methods Risk factors Weight loss |
| title | Association between chronic pain and pre-frailty in Japanese community-dwelling older adults: A cross-sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T07%3A59%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20between%20chronic%20pain%20and%20pre-frailty%20in%20Japanese%20community-dwelling%20older%20adults:%20A%20cross-sectional%20study&rft.jtitle=PloS%20one&rft.au=Imai,%20Ryota&rft.date=2020-08-13&rft.volume=15&rft.issue=8&rft.spage=e0236111&rft.epage=e0236111&rft.pages=e0236111-e0236111&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0236111&rft_dat=%3Cgale_plos_%3EA632402797%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2434077974&rft_id=info:pmid/32790685&rft_galeid=A632402797&rft_doaj_id=oai_doaj_org_article_57470c51a8fc4a809bfa7f55f7667067&rfr_iscdi=true |