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Impact of frailty on chronic pain, activities of daily living and physical activity in community‐dwelling older adults: A cross‐sectional study
Author(s) -
Hirase Tatsuya,
Kataoka Hideki,
Nakano Jiro,
Inokuchi Shigeru,
Sakamoto Junya,
Okita Minoru
Publication year - 2018
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.13314
Subject(s) - medicine , checklist , activities of daily living , chronic pain , cognition , physical therapy , logistic regression , rating scale , cross sectional study , gerontology , physical medicine and rehabilitation , psychology , psychiatry , developmental psychology , cognitive psychology , pathology
Aim The present cross‐sectional study investigated the relationship between frailty and chronic pain, activities of daily living (ADL), and physical activity in community‐dwelling older adults. Methods Participants were 379 older adults who attended community‐based exercise classes. Outcome measures were frailty as determined by the Kihon Checklist, full pain assessment (including the sensory, emotional and cognitive aspects of pain), ADL and physical activity. These outcomes were evaluated using validated tests and instruments. Assessments were carried out before beginning the exercise classes. Outcome measures were compared for participants with and without frailty. Frailty was defined as a total Kihon Checklist score ≥7, and chronic pain as the presence of related symptoms within the past month that had continued for at least 6 months and corresponded with a numerical rating scale score of at ≥5 at the site of maximum pain. Results In total, 134 (35.4%) participants met the frailty criteria; 60.4% of this group had chronic pain. The frail group had significantly worse scores for the sensory, emotional and cognitive aspects of pain, ADL and physical activity than the non‐frail group ( P < 0.05). Logistic regression analysis adjusted for age and sex showed the sensory and emotional aspects of pain were associated with frailty. Conclusions For community‐dwelling older adults with frailty, chronic pain can negatively influence sensory, emotional and cognitive aspects of pain, leading to a decline in ADL and lower physical activity. Full pain assessment focused on sensory and emotional aspects of pain is important to identify frailty among older adults. Geriatr Gerontol Int 2018; 18: 1079–1084 .