Multisite Pain Is Longitudinally Associated With an Increased Risk of Fall Among Older Adults With or at Risk of Knee Osteoarthritis: Data From the Osteoarthritis Initiative.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI:10.1097/PHM.0000000000002650

Aqeel M Alenazi

{"title":"Multisite Pain Is Longitudinally Associated With an Increased Risk of Fall Among Older Adults With or at Risk of Knee Osteoarthritis: Data From the Osteoarthritis Initiative.","authors":"Aqeel M Alenazi","doi":"10.1097/PHM.0000000000002650","DOIUrl":null,"url":null,"abstract":"Objective: The aim of the study is to examine the association between baseline multisite pain (two and three or more sites) and longitudinal risk of fall and recurrent falls among older adults with or at risk of knee osteoarthritis.Design: This prospective longitudinal cohort study included older adults with or at risk of knee osteoarthritis. Fall, including the history of falls, number of falls, and recurrent falls, were assessed at baseline and during six follow-up visits at 12, 24, 36, 48, 72, and 96 mos. Multisite pain was categorized into the following four categories: no pain, one site, two sites, ≥three sites.Results: This study included 2585 older adults. Baseline two sites (odds ratio = 1.50, P = 0.018) and ≥three sites (odds ratio = 1.89, P < 0.001) were significantly associated with increased risk of fall over time compared to no pain sites. Baseline two sites (incidence rate ratio = 1.44, P = 0.024) and ≥three sites (incidence rate ratio = 1.73, P < 0.001) were significantly associated with an increased number of falls over time. Only ≥three sites were associated with the recurrent falls (odds ratio = 2.16, P = 0.003).Conclusions: Baseline multisite pain (≥3 sites) was longitudinally associated with increased fall incidence, number of falls, and recurrent falls over 7 yrs of follow-up.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"452-457"},"PeriodicalIF":2.2000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Physical Medicine & Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PHM.0000000000002650","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/20 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The aim of the study is to examine the association between baseline multisite pain (two and three or more sites) and longitudinal risk of fall and recurrent falls among older adults with or at risk of knee osteoarthritis.

Design: This prospective longitudinal cohort study included older adults with or at risk of knee osteoarthritis. Fall, including the history of falls, number of falls, and recurrent falls, were assessed at baseline and during six follow-up visits at 12, 24, 36, 48, 72, and 96 mos. Multisite pain was categorized into the following four categories: no pain, one site, two sites, ≥three sites.

Results: This study included 2585 older adults. Baseline two sites (odds ratio = 1.50, P = 0.018) and ≥three sites (odds ratio = 1.89, P < 0.001) were significantly associated with increased risk of fall over time compared to no pain sites. Baseline two sites (incidence rate ratio = 1.44, P = 0.024) and ≥three sites (incidence rate ratio = 1.73, P < 0.001) were significantly associated with an increased number of falls over time. Only ≥three sites were associated with the recurrent falls (odds ratio = 2.16, P = 0.003).

Conclusions: Baseline multisite pain (≥3 sites) was longitudinally associated with increased fall incidence, number of falls, and recurrent falls over 7 yrs of follow-up.

查看原文本刊更多论文

来自骨关节炎倡议的数据显示，在患有或有患膝骨关节炎风险的老年人中，多部位疼痛与跌倒风险增加有纵向相关性。

目的：研究基线多部位疼痛（两个、三个或更多部位）与膝骨关节炎（OA）的老年人跌倒和复发性跌倒的纵向风险之间的关系。设计：这项前瞻性纵向队列研究纳入了患有或有膝关节OA风险的老年人。在基线和12、24、36、48、72和96个月的6次随访中评估跌倒，包括跌倒史、跌倒次数和复发性跌倒。多部位疼痛分为无痛、1位、2位、≥3位四类。结果：本研究纳入了2585名老年人。基线2个部位（比值比[OR] 1.50, p = 0.018）和≥3个部位（比值比[OR] 1.89, p < 0.001）与无疼痛部位相比，随时间推移跌倒风险增加显著相关。基线2个部位（发病率比[IRR] 1.44, p = 0.024）和≥3个部位（发病率比[IRR] 1.73, p < 0.001）与随时间增加的跌倒次数显著相关。只有≥3个部位与复发性跌倒相关（OR 2.16, p = 0.003）。结论：基线多部位疼痛（≥3个部位）在7年随访期间与跌倒发生率、跌倒次数和复发性跌倒增加纵向相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).