慢性肌肉骨骼疼痛与社区老年人的抑郁症状有关，与体育活动无关。实验性老龄化研究

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Experimental Aging Research Pub Date : 2024-11-05 DOI:10.1080/0361073X.2024.2397322

Eleonora Esposito, Italo Ribeiro Lemes, Paola Sinibaldi Salimei, Priscila Kalil Morelhão, Larissa Bragança Falcão Marques, Michael Douglas Silva Martins, Gobbi Cynthia, Marcia Rodrigues Franco, Rafael Zambelli Pinto

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引用次数: 0

摘要

背景：在成年人中，慢性肌肉骨骼疼痛和抑郁症状的发病率很高：成人慢性肌肉骨骼疼痛和抑郁症状的发病率很高；然而，这些症状在老年人中是否存在关联尚不清楚：本研究旨在调查社区老年人中抑郁症状与慢性肌肉骨骼疼痛，特别是与慢性腰腿痛和膝关节骨性关节炎（OA）之间的关系。此外，我们还探讨了体育锻炼能否缓解这些关联：横断面研究设计。横断面研究设计。研究对象为居住在社区的老年人（年龄≥60 岁）。慢性肌肉骨骼疼痛通过有关是否存在慢性腰腿痛和膝关节OA的具体问题进行评估。抑郁症状采用流行病学研究中心抑郁量表进行评估。采用多变量回归模型对潜在的混杂因素（即年龄、性别、经济状况、身体成分和体力活动）进行调整，以研究慢性肌肉骨骼疼痛与抑郁症状之间的关系。此外，还对患有腰背痛和膝关节OA的老年人进行了单独分析：共招募了 509 名（69% 为女性）老年人。回归分析表明，与没有慢性肌肉骨骼疼痛的老年人相比，肌肉骨骼疼痛与抑郁症状的增加有关（β = 2.52，95% CI：0.50 至 4.54；P 值 < .05）。同样，在包括体力活动在内的完全调整模型中，LBP 与较高的抑郁症状相关（β = 2.80，95% CI：0.82 至 4.79；p 值 < .01）。在对体力活动进行调整后，膝关节 OA 与抑郁症状之间的关系在统计学上并不显著（β = 2.00，95% CI：-0.13 至 4.13；P 值 = .06）：结论：与没有肌肉骨骼疼痛的老年人相比，患有慢性肌肉骨骼疼痛的老年人抑郁症状得分更高。体育锻炼似乎并不影响这种关联。

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Chronic Musculoskeletal Pain is Associated With Depressive Symptoms in Community-Dwelling Older Adults Independent of Physical Activity. Experimental Aging Research.

Background: Prevalence of chronic musculoskeletal pain and depressive symptoms in adults is high; however, whether there is an association between these conditions in older adults is unknown.

Objective: The aim of this study was to investigate the association of depressive symptoms with chronic musculoskeletal pain, and specifically with chronic LBP and knee osteoarthritis (OA), in community-dwelling older adults. In addition, we explored whether physical activity can mitigate these associations.

Methods: A cross-sectional study design. A cross-sectional study design. Participants recruited were older adults (age ≥60 years) living in the community. Chronic musculoskeletal pain was assessed by specific questions regarding the presence of chronic LBP and knee OA. Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale. Multivariable regression model adjusted for potential confounders (i.e., age, sex, economic status, body composition, and physical activity) was used to investigate the association between chronic musculoskeletal pain and depressive symptoms. Separate analyses were also conducted for older adults with LBP and with knee OA.

Results: A total of 509 (69% women) older adults were recruited. The regression analysis showed that musculoskeletal pain was associated with higher depressive symptoms ( $β$ = 2.52, 95% CI: 0.50 to 4.54; p-value < .05) compared with older adults without chronic musculoskeletal pain. Similarly, in the fully adjusted model, which included physical activity, LBP was associated with higher depressive symptoms ( $β$ = 2.80, 95% CI: 0.82 to 4.79; p-value < .01). The association between knee OA and depressive symptoms was not statistically significant after adjusting for physical activity ( $β$ = 2.00, 95% CI: -0.13 to 4.13; p-value = .06).

Conclusion: Older adults with chronic musculoskeletal pain have higher depressive symptoms scores, when compared to those without musculoskeletal pain. Physical activity does not seem to influence this association.

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来源期刊

Experimental Aging Research 医学-老年医学

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Experimental Aging Research is a life span developmental and aging journal dealing with research on the aging process from a psychological and psychobiological perspective. It meets the need for a scholarly journal with refereed scientific papers dealing with age differences and age changes at any point in the adult life span. Areas of major focus include experimental psychology, neuropsychology, psychobiology, work research, ergonomics, and behavioral medicine. Original research, book reviews, monographs, and papers covering special topics are published.