Association of chronic low back pain and knee pain with subjective fatigue incidence among community-dwelling older adults: A prospective cohort study

IF 2.4 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-01-28 DOI:10.1111/ggi.15089

Soichiro Matsuda, Takehiko Doi, Osamu Katayama, Keitaro Makino, Fumio Sakimoto, Hiroyuki Shimada

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引用次数: 0

Abstract

Aim

Fatigue is a common health problem in older adults. Chronic pain is associated with fatigue. However, the longitudinal association between chronic pain and the incidence of subjective fatigue among community-dwelling older adults remains unclear. Therefore, this study aimed to investigate the association between chronic pain and subjective fatigue using prospective data.

Methods

The study included 2060 community-dwelling older adults (age 70.5 ± 6.4 years; male: n = 944) without subjective fatigue at baseline. Chronic pain and other data were assessed at baseline. Subjective fatigue incidence was investigated at the follow-up examination 2.5 years from baseline.

Results

In total, 389 (18.9%) reported chronic low back pain, 322 (15.6%) reported chronic knee pain at baseline, and 342 (16.6%) reported subjective fatigue at follow-up examination. A logistic regression analysis showed that the odds ratio for the incidence of subjective fatigue in participants with chronic low back pain had a higher odds ratio for the incidence of subjective fatigue compared to participants without chronic low back pain (odds ratio = 1.71, 95% confidence interval = 1.29–2.26). Chronic knee pain had a higher odds ratio for the incidence of subjective fatigue compared to participants without chronic knee pain (odds ratio = 1.63, 95% confidence interval = 1.21–2.20).

Conclusions

These results suggest that chronic low back pain and knee pain increase the risk of subjective fatigue incidence. These findings emphasize the contribution of chronic pain to fatigue among older adults. Therefore, intervention studies are required to prevent subjective fatigue in participants with chronic pain. Geriatr Gerontol Int 2025; 25: 398–402.

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慢性腰痛和膝关节疼痛与社区老年人主观疲劳发生率的关联：一项前瞻性队列研究。

目的：疲劳是老年人常见的健康问题。慢性疼痛与疲劳有关。然而，慢性疼痛与社区老年人主观疲劳发生率之间的纵向关联尚不清楚。因此，本研究旨在通过前瞻性数据来探讨慢性疼痛与主观疲劳之间的关系。方法：研究纳入2060名社区居住老年人(年龄70.5±6.4岁；男性：n = 944)基线时无主观疲劳。在基线时评估慢性疼痛和其他数据。在基线后2.5年的随访检查中调查主观疲劳发生率。结果：总共有389人（18.9%）报告慢性腰痛，322人（15.6%）报告基线时慢性膝关节痛，342人（16.6%）在随访检查时报告主观疲劳。logistic回归分析显示，慢性腰痛患者主观疲劳发生率的比值比高于无慢性腰痛患者主观疲劳发生率的比值比（比值比= 1.71,95%可信区间= 1.29-2.26）。与无慢性膝关节疼痛的受试者相比，慢性膝关节疼痛患者主观疲劳发生率的优势比更高（优势比= 1.63,95%可信区间= 1.21-2.20）。结论：慢性腰痛和膝关节疼痛增加了主观疲劳发生的风险。这些发现强调了慢性疼痛对老年人疲劳的影响。因此，需要进行干预研究来预防慢性疼痛参与者的主观疲劳。Geriatr Gerontol 2025；••: ••-••.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.