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More Movement, Less Bodily Pain? Findings From a Large, Representative Multi-District Aging Study in Ghana.
Gyasi, Razak M; Yebo-Julius, Emefa Baaba; Nketiah, Jude Owusu Mensah; Bavemba, Jonathan; Adevor, Boniface Smith; Ankapong, Joel Banor; Arthur, Dominic Degraft; Siaw, Lawrencia Pokuah; Abass, Kabila; Osei-Wusu Adjei, Prince; Phillips, David R.
Afiliación
  • Gyasi RM; Aging and Development Unit, African Population and Health Research Center, Nairobi, Kenya; National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, NSW, Australia. Electronic address: RGyasi@aphrc.org.
  • Yebo-Julius EB; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Nketiah JOM; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Bavemba J; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Adevor BS; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Ankapong JB; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Arthur DD; Department of History and Political Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Siaw LP; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Abass K; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Osei-Wusu Adjei P; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Phillips DR; Department of Sociology and Social Policy, Lingnan University, Hong Kong, China.
J Am Med Dir Assoc ; 25(9): 105153, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39009067
ABSTRACT

OBJECTIVE:

The association of physical activity (PA) with pain has been characterized. Although the literature largely comes from high-income countries, the mechanistic pathways underlying this association remain unknown, particularly in low- and middle-income countries (LMICs). We aim to examine the association between meeting the World Health Organization (WHO) PA guidelines and pain among aging adults and identify the factors that may mediate this association.

DESIGN:

We used a quantitative cross-sectional study design. SETTING AND

PARTICIPANTS:

Representative data from adults aged ≥50 years who participated in the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were used.

METHODS:

PA was defined using the International Physical Activity Questionnaire (IPAQ). Self-reported pain experience using a cross-culturally validated item over the past month assessed pain severity. Adjusted multivariable ordinal logistic regression and mediation models quantified the hypothesized associations.

RESULTS:

The analysis included 1201 adults (mean 66.1 ± 11.9 years; 63.3% female). After adjusting for confounders, adhering to the WHO-recommended PA guidelines was associated with 42% lower odds for severe/extreme pain [odds ratio (OR) 0.58, 95% CI 0.44-0.77]. The association was much stronger among men (OR 0.52, 95% CI 0.31-0.85) than women (OR 0.60, 95% CI 0.42-0.87). The PA-pain association was explained by functional limitations (84.7%), self-rated health (76.6%), sleep problems (20.4%), and injury (6.6%). CONCLUSIONS AND IMPLICATIONS Moving more was associated with less pain in older adults from LMICs. Interventions for pain management in old age may focus on enhancing compliance with PA doses, particularly in LMICs. However, longitudinal data will need to confirm these findings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor / Ejercicio Físico Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor / Ejercicio Físico Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos