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Joint Pain and Leisure-Time Physical Activity: Cross-Sectional Findings From the Cardiovascular Health Study.
Friday,2025-04-11 13:06 America/Los_Angeles — ecterry
| Title | Joint Pain and Leisure-Time Physical Activity: Cross-Sectional Findings From the Cardiovascular Health Study. |
| Publication Type | Journal Article |
| Year of Publication | 2025 |
| Authors | Witonsky, K, Zhu, X, Rosso, AL, Newman, A, Rosano, C |
| Journal | Health Sci Rep |
| Volume | 8 |
| Issue | 2 |
| Pagination | e70367 |
| Date Published | 2025 Feb |
| ISSN | 2398-8835 |
| Abstract | <p><b>BACKGROUND: </b>Joint pain is common and limits leisure-time physical activity (LTPA) in older adults. However, some older adults with pain are also physically active. Psychosocial factors that may indicate external engagement (such as social network) and internal drive (such as feeling able to "get going") are emerging as predictors of LTPA and may explain why some older adults with pain are physically active.</p><p><b>METHODS: </b>We investigated the cross-sectional association of psychosocial factors with LTPA (kcal/week) in adults over the age of 64 with pain in their back, hips, knees and/or feet from the Cardiovascular Health Study. Psychosocial factors included: social network score from the Lubben Social Network scale and three questions from the Center of Epidemiologic Studies Depression Scale (CES-D): perceived effort, difficulty getting going, and trouble concentrating. Separate multivariable ordinal regression models estimated the association between these indicators and LTPA, while controlling for demographics and other contributors of LTPA: number of medications, number of pain sites, body mass index, gait speed, digit substitution symbol test, brain white matter hyperintensities, and mood.</p><p><b>RESULTS: </b>Among 902 participants (65% female, 14% Non-White) with joint pain and complete data, higher social network score, and no self-reported "difficulty getting going" were associated with higher levels of LTPA, independent of covariates. Associations with perceived effort or trouble concentrating were not statistically significant.</p><p><b>CONCLUSIONS: </b>Our research suggests that some older adults with pain are physically active and psychosocial factors related to external engagement and internal drive might be important targets to support LTPA. Studies should investigate the role of psychosocial states on LTPA among older adults with pain.</p><p><b>IMPACT STATEMENT: </b>We certify that this work is novel.The potential impact of this research on clinical care includes the following: Resiliency factors such as psychosocial factors may be more important targets to promote leisure-time physical activity in older adults with pain than specific pain reduction strategies.</p> |
| DOI | 10.1002/hsr2.70367 |
| Alternate Journal | Health Sci Rep |
| PubMed ID | 39949522 |
| PubMed Central ID | PMC11821451 |
| Grant List | R01 HL103612 / HL / NHLBI NIH HHS / United States R01 HL120393 / HL / NHLBI NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States U01 HL130114 / HL / NHLBI NIH HHS / United States HHSN268200800007C / HL / NHLBI NIH HHS / United States R01 HL087652 / HL / NHLBI NIH HHS / United States N01HC55222 / HL / NHLBI NIH HHS / United States N01HC85086 / HL / NHLBI NIH HHS / United States R01 HL105756 / HL / NHLBI NIH HHS / United States N01HC85082 / HL / NHLBI NIH HHS / United States N01HC85083 / HL / NHLBI NIH HHS / United States N01HC85080 / HL / NHLBI NIH HHS / United States T32 AG055381 / AG / NIA NIH HHS / United States N01HC85081 / HL / NHLBI NIH HHS / United States HHSN268201200036C / HL / NHLBI NIH HHS / United States HHSN268201800001C / HL / NHLBI NIH HHS / United States N01HC85079 / HL / NHLBI NIH HHS / United States R01 AG023629 / AG / NIA NIH HHS / United States |
ePub date:
25/02