Bodily Pain in Physical Function and the Role of Physical Activity Among Community-Dwelling Adults Aged 50–69 Years in Ghana
Abstract Background Older adults who experience pain are likely to report higher functional limitations (FL) and lower physical activity (PA) levels. However, the extent to which PA explains the association of pain with FL is largely unknown, particularly in low- and middle-income countries. This st...
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| Veröffentlicht in: | The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2023-08, Vol.78 (9), p.1604-1611 |
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| creator | Gyasi, Razak M Phillips, David R Boampong, Mary Sefa Abass, Kabila Kyei-Arthur, Frank Agunbiade, Ojo Melvin Mohamed, Sukri F Salarvand, Shahin Smith, Lee Hajek, André |
| description | Abstract
Background
Older adults who experience pain are likely to report higher functional limitations (FL) and lower physical activity (PA) levels. However, the extent to which PA explains the association of pain with FL is largely unknown, particularly in low- and middle-income countries. This study estimates whether and how much pain in FL is mediated by PA engagement.
Methods
We used cross-sectional data from 770 adults aged 50–69 years who participated in the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana. FL and pain characteristics were defined using the Medical Outcomes Study Short Form-36. PA was assessed by the International Physical Activity Questionnaire—Short Form. Bootstrapped mediation analyses estimated the direct and indirect hypothesized associations. The control variables included age, sex, residential type, level of education, monthly income, social isolation, emotional distress, multimorbidity, and self-rated health.
Results
After adjusting for potential confounders, higher pain interference (β = 0.091, p < .05) and higher pain severity (β = 0.075, p < .05) were associated with greater FL. The bootstrapping analyses showed that PA mediated the pain interference-FL association, accounting for approximately 58% (β = 0.124, Boots 95% confidence interval (CI): 0.078–0.175) of the total effect (β = 0.215, Boots 95% CI: 0.095–0.335). Similarly, PA mediated the association between pain severity with FL, accounting for approximately 37% (β = 0.044, Boots 95% CI: 0.001–0.094) of the overall effect (β = 0.119, Boots 95% CI: −0.011 to 0.249).
Conclusions
Our data suggest that the higher pain severity and pain interference may lead to higher FL in middle and old age, and the associations are partially explained by PA. Effective and low-cost PA participation could be targeted in efforts to reduce the effect of pain on physical functioning among middle-aged and older adults. |
| doi_str_mv | 10.1093/gerona/glad156 |
| format | Article |
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Background
Older adults who experience pain are likely to report higher functional limitations (FL) and lower physical activity (PA) levels. However, the extent to which PA explains the association of pain with FL is largely unknown, particularly in low- and middle-income countries. This study estimates whether and how much pain in FL is mediated by PA engagement.
Methods
We used cross-sectional data from 770 adults aged 50–69 years who participated in the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana. FL and pain characteristics were defined using the Medical Outcomes Study Short Form-36. PA was assessed by the International Physical Activity Questionnaire—Short Form. Bootstrapped mediation analyses estimated the direct and indirect hypothesized associations. The control variables included age, sex, residential type, level of education, monthly income, social isolation, emotional distress, multimorbidity, and self-rated health.
Results
After adjusting for potential confounders, higher pain interference (β = 0.091, p < .05) and higher pain severity (β = 0.075, p < .05) were associated with greater FL. The bootstrapping analyses showed that PA mediated the pain interference-FL association, accounting for approximately 58% (β = 0.124, Boots 95% confidence interval (CI): 0.078–0.175) of the total effect (β = 0.215, Boots 95% CI: 0.095–0.335). Similarly, PA mediated the association between pain severity with FL, accounting for approximately 37% (β = 0.044, Boots 95% CI: 0.001–0.094) of the overall effect (β = 0.119, Boots 95% CI: −0.011 to 0.249).
Conclusions
Our data suggest that the higher pain severity and pain interference may lead to higher FL in middle and old age, and the associations are partially explained by PA. Effective and low-cost PA participation could be targeted in efforts to reduce the effect of pain on physical functioning among middle-aged and older adults.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/glad156</identifier><identifier>PMID: 37354137</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Aging ; Exercise ; Older people ; Pain ; Pain management ; Physical activity ; Physical fitness ; Social interactions ; Well being</subject><ispartof>The journals of gerontology. Series A, Biological sciences and medical sciences, 2023-08, Vol.78 (9), p.1604-1611</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press Sep 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-e6ba73a202472f652e6afb920d7dcec98d297f9a8a7653348c0d97fa588310ff3</citedby><cites>FETCH-LOGICAL-c357t-e6ba73a202472f652e6afb920d7dcec98d297f9a8a7653348c0d97fa588310ff3</cites><orcidid>0000-0002-5340-9833 ; 0000-0001-9794-8524 ; 0000-0002-6886-2745 ; 0000-0002-6733-1539</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37354137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gyasi, Razak M</creatorcontrib><creatorcontrib>Phillips, David R</creatorcontrib><creatorcontrib>Boampong, Mary Sefa</creatorcontrib><creatorcontrib>Abass, Kabila</creatorcontrib><creatorcontrib>Kyei-Arthur, Frank</creatorcontrib><creatorcontrib>Agunbiade, Ojo Melvin</creatorcontrib><creatorcontrib>Mohamed, Sukri F</creatorcontrib><creatorcontrib>Salarvand, Shahin</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><creatorcontrib>Hajek, André</creatorcontrib><title>Bodily Pain in Physical Function and the Role of Physical Activity Among Community-Dwelling Adults Aged 50–69 Years in Ghana</title><title>The journals of gerontology. Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>Abstract
Background
Older adults who experience pain are likely to report higher functional limitations (FL) and lower physical activity (PA) levels. However, the extent to which PA explains the association of pain with FL is largely unknown, particularly in low- and middle-income countries. This study estimates whether and how much pain in FL is mediated by PA engagement.
Methods
We used cross-sectional data from 770 adults aged 50–69 years who participated in the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana. FL and pain characteristics were defined using the Medical Outcomes Study Short Form-36. PA was assessed by the International Physical Activity Questionnaire—Short Form. Bootstrapped mediation analyses estimated the direct and indirect hypothesized associations. The control variables included age, sex, residential type, level of education, monthly income, social isolation, emotional distress, multimorbidity, and self-rated health.
Results
After adjusting for potential confounders, higher pain interference (β = 0.091, p < .05) and higher pain severity (β = 0.075, p < .05) were associated with greater FL. The bootstrapping analyses showed that PA mediated the pain interference-FL association, accounting for approximately 58% (β = 0.124, Boots 95% confidence interval (CI): 0.078–0.175) of the total effect (β = 0.215, Boots 95% CI: 0.095–0.335). Similarly, PA mediated the association between pain severity with FL, accounting for approximately 37% (β = 0.044, Boots 95% CI: 0.001–0.094) of the overall effect (β = 0.119, Boots 95% CI: −0.011 to 0.249).
Conclusions
Our data suggest that the higher pain severity and pain interference may lead to higher FL in middle and old age, and the associations are partially explained by PA. Effective and low-cost PA participation could be targeted in efforts to reduce the effect of pain on physical functioning among middle-aged and older adults.</description><subject>Aging</subject><subject>Exercise</subject><subject>Older people</subject><subject>Pain</subject><subject>Pain management</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Social interactions</subject><subject>Well being</subject><issn>1079-5006</issn><issn>1758-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkU1LxDAQhoMofl89SsCLHqpp0iTNsa6fICiioKcy26S7lTZZm1bZi_gf_If-ErPsquDFYWCSyTNvBl6EdmJyGBPFjkamdRaORjXomIsltB5Lnkac8YflcCZSRZwQsYY2vH8is-B0Fa0xyXgSM7mO3o6druopvoHK4pA346mvCqjxWW-LrnIWg9W4Gxt862qDXflLZOH9peqmOGucHeGBa5rehnt08mrqugqtTPd153E2Mhpz8vn-IRR-NND62U_nY7CwhVZKqL3ZXtRNdH92eje4iK6uzy8H2VVUMC67yIghSAaU0ETSUnBqBJRDRYmWujCFSjVVslSQghScsSQtiA4N4GnKYlKWbBPtz3UnrXvuje_ypvJFWBOscb3PaUpVElLSgO79QZ9c39qwXaAESRkRiQrU4ZwqWud9a8p80lYNtNM8JvnMmXzuTL5wJgzsLmT7YWP0D_5tRQAO5oDrJ_-JfQGfzJn6</recordid><startdate>20230827</startdate><enddate>20230827</enddate><creator>Gyasi, Razak M</creator><creator>Phillips, David R</creator><creator>Boampong, Mary Sefa</creator><creator>Abass, Kabila</creator><creator>Kyei-Arthur, Frank</creator><creator>Agunbiade, Ojo Melvin</creator><creator>Mohamed, Sukri F</creator><creator>Salarvand, Shahin</creator><creator>Smith, Lee</creator><creator>Hajek, André</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid><orcidid>https://orcid.org/0000-0001-9794-8524</orcidid><orcidid>https://orcid.org/0000-0002-6886-2745</orcidid><orcidid>https://orcid.org/0000-0002-6733-1539</orcidid></search><sort><creationdate>20230827</creationdate><title>Bodily Pain in Physical Function and the Role of Physical Activity Among Community-Dwelling Adults Aged 50–69 Years in Ghana</title><author>Gyasi, Razak M ; Phillips, David R ; Boampong, Mary Sefa ; Abass, Kabila ; Kyei-Arthur, Frank ; Agunbiade, Ojo Melvin ; Mohamed, Sukri F ; Salarvand, Shahin ; Smith, Lee ; Hajek, André</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-e6ba73a202472f652e6afb920d7dcec98d297f9a8a7653348c0d97fa588310ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aging</topic><topic>Exercise</topic><topic>Older people</topic><topic>Pain</topic><topic>Pain management</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Social interactions</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gyasi, Razak M</creatorcontrib><creatorcontrib>Phillips, David R</creatorcontrib><creatorcontrib>Boampong, Mary Sefa</creatorcontrib><creatorcontrib>Abass, Kabila</creatorcontrib><creatorcontrib>Kyei-Arthur, Frank</creatorcontrib><creatorcontrib>Agunbiade, Ojo Melvin</creatorcontrib><creatorcontrib>Mohamed, Sukri F</creatorcontrib><creatorcontrib>Salarvand, Shahin</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><creatorcontrib>Hajek, André</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gyasi, Razak M</au><au>Phillips, David R</au><au>Boampong, Mary Sefa</au><au>Abass, Kabila</au><au>Kyei-Arthur, Frank</au><au>Agunbiade, Ojo Melvin</au><au>Mohamed, Sukri F</au><au>Salarvand, Shahin</au><au>Smith, Lee</au><au>Hajek, André</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bodily Pain in Physical Function and the Role of Physical Activity Among Community-Dwelling Adults Aged 50–69 Years in Ghana</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>2023-08-27</date><risdate>2023</risdate><volume>78</volume><issue>9</issue><spage>1604</spage><epage>1611</epage><pages>1604-1611</pages><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>Abstract
Background
Older adults who experience pain are likely to report higher functional limitations (FL) and lower physical activity (PA) levels. However, the extent to which PA explains the association of pain with FL is largely unknown, particularly in low- and middle-income countries. This study estimates whether and how much pain in FL is mediated by PA engagement.
Methods
We used cross-sectional data from 770 adults aged 50–69 years who participated in the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana. FL and pain characteristics were defined using the Medical Outcomes Study Short Form-36. PA was assessed by the International Physical Activity Questionnaire—Short Form. Bootstrapped mediation analyses estimated the direct and indirect hypothesized associations. The control variables included age, sex, residential type, level of education, monthly income, social isolation, emotional distress, multimorbidity, and self-rated health.
Results
After adjusting for potential confounders, higher pain interference (β = 0.091, p < .05) and higher pain severity (β = 0.075, p < .05) were associated with greater FL. The bootstrapping analyses showed that PA mediated the pain interference-FL association, accounting for approximately 58% (β = 0.124, Boots 95% confidence interval (CI): 0.078–0.175) of the total effect (β = 0.215, Boots 95% CI: 0.095–0.335). Similarly, PA mediated the association between pain severity with FL, accounting for approximately 37% (β = 0.044, Boots 95% CI: 0.001–0.094) of the overall effect (β = 0.119, Boots 95% CI: −0.011 to 0.249).
Conclusions
Our data suggest that the higher pain severity and pain interference may lead to higher FL in middle and old age, and the associations are partially explained by PA. Effective and low-cost PA participation could be targeted in efforts to reduce the effect of pain on physical functioning among middle-aged and older adults.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>37354137</pmid><doi>10.1093/gerona/glad156</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid><orcidid>https://orcid.org/0000-0001-9794-8524</orcidid><orcidid>https://orcid.org/0000-0002-6886-2745</orcidid><orcidid>https://orcid.org/0000-0002-6733-1539</orcidid></addata></record> |
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| ispartof | The journals of gerontology. Series A, Biological sciences and medical sciences, 2023-08, Vol.78 (9), p.1604-1611 |
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| source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aging Exercise Older people Pain Pain management Physical activity Physical fitness Social interactions Well being |
| title | Bodily Pain in Physical Function and the Role of Physical Activity Among Community-Dwelling Adults Aged 50–69 Years in Ghana |
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