Pain at multiple body sites and health-related quality of life in older adults: results from the North Staffordshire Osteoarthritis Project
Pain at multiple body sites and health-related quality of life in older adults: results from the North Staffordshire Osteoarthritis Project
Objectives: number of pain sites (NPS) is a potentially important marker of health-related quality of life (HRQoL) but remains unexplored in older people. This cross-sectional study investigated whether, in older people including the oldest old, NPS was independently associated with poorer mental and physical HRQoL and if the association was moderated by age.
Methods: a postal questionnaire sent to a population sample of adults aged ≥50 years in North Staffordshire, UK, included the 12-item Short Form Health Survey (SF-12) mental component summary (MCS) and physical component summary (PCS), a blank body pain manikin, socio-demographic, health behaviour and morbidity questions. Participants shaded sites of pain lasting ≥1 day in the past 4 weeks on the manikin. OA consultation data were obtained for participants consenting to medical records review.
Results: a total of 13 986 individuals (adjusted response 70.6%) completed a questionnaire, of which 12 408 provided complete pain data. The median NPS reported was 4 [interquartile range (IQR) 0-8]. General linear models showed that an increasing NPS was significantly associated with poorer MCS (β =-0.43, 95% CI -0.46, -0.40) and PCS (β =-0.87, 95% CI -0.90, -0.84). Adjustment for covariates attenuated the associations but they remained significant (MCS: β =-0.28, 95% CI -0.31, -0.24; PCS: β =-0.63, 95% CI -0.66, -0.59). The association between NPS and MCS or PCS was moderated by age, but the strongest associations were not in the oldest old.
Conclusion: NPS appears to be a potentially modifiable target for improving physical and mental HRQoL in older people. Future analyses should investigate the influence of NPS on HRQoL over time in older people.
Aged, Cross-sectional survey, Health-related quality of life, Mental health, Multisite pain, Pain sites, Physical health
2071-2079
Lacey, Rosie J.
2702e742-35da-4a89-bb50-09b6c7d9244b
Belcher, John
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Rathod, Trishna
cbe7a160-235c-4484-89e7-25728f923117
Wilkie, Ross
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Thomas, Elaine
a0451323-ba8b-45f3-bfde-46437abb535c
McBeth, John
98012716-66ba-480b-9e43-ac53b51dce61
12 June 2014
Lacey, Rosie J.
2702e742-35da-4a89-bb50-09b6c7d9244b
Belcher, John
9c2f0f9e-aaac-4cfd-9c4f-c90b7bb7bad3
Rathod, Trishna
cbe7a160-235c-4484-89e7-25728f923117
Wilkie, Ross
d8123db0-1990-4e6b-b7e6-29c4397cdb42
Thomas, Elaine
a0451323-ba8b-45f3-bfde-46437abb535c
McBeth, John
98012716-66ba-480b-9e43-ac53b51dce61
Lacey, Rosie J., Belcher, John, Rathod, Trishna, Wilkie, Ross, Thomas, Elaine and McBeth, John
(2014)
Pain at multiple body sites and health-related quality of life in older adults: results from the North Staffordshire Osteoarthritis Project.
Rheumatology (United Kingdom), 53 (11), .
(doi:10.1093/rheumatology/keu240).
Abstract
Objectives: number of pain sites (NPS) is a potentially important marker of health-related quality of life (HRQoL) but remains unexplored in older people. This cross-sectional study investigated whether, in older people including the oldest old, NPS was independently associated with poorer mental and physical HRQoL and if the association was moderated by age.
Methods: a postal questionnaire sent to a population sample of adults aged ≥50 years in North Staffordshire, UK, included the 12-item Short Form Health Survey (SF-12) mental component summary (MCS) and physical component summary (PCS), a blank body pain manikin, socio-demographic, health behaviour and morbidity questions. Participants shaded sites of pain lasting ≥1 day in the past 4 weeks on the manikin. OA consultation data were obtained for participants consenting to medical records review.
Results: a total of 13 986 individuals (adjusted response 70.6%) completed a questionnaire, of which 12 408 provided complete pain data. The median NPS reported was 4 [interquartile range (IQR) 0-8]. General linear models showed that an increasing NPS was significantly associated with poorer MCS (β =-0.43, 95% CI -0.46, -0.40) and PCS (β =-0.87, 95% CI -0.90, -0.84). Adjustment for covariates attenuated the associations but they remained significant (MCS: β =-0.28, 95% CI -0.31, -0.24; PCS: β =-0.63, 95% CI -0.66, -0.59). The association between NPS and MCS or PCS was moderated by age, but the strongest associations were not in the oldest old.
Conclusion: NPS appears to be a potentially modifiable target for improving physical and mental HRQoL in older people. Future analyses should investigate the influence of NPS on HRQoL over time in older people.
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keu240
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Published date: 12 June 2014
Keywords:
Aged, Cross-sectional survey, Health-related quality of life, Mental health, Multisite pain, Pain sites, Physical health
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Local EPrints ID: 492277
URI: http://eprints.soton.ac.uk/id/eprint/492277
ISSN: 1462-0324
PURE UUID: 7a982767-53d9-495b-8953-5977b07910c9
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Date deposited: 23 Jul 2024 16:49
Last modified: 24 Jul 2024 02:11
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Contributors
Author:
Rosie J. Lacey
Author:
John Belcher
Author:
Trishna Rathod
Author:
Ross Wilkie
Author:
Elaine Thomas
Author:
John McBeth
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