Stubbs, Brendon, Patchay, Sandhi ORCID: https://orcid.org/0000-0002-7013-8940, Soundy, Andy and Schofield, Pat (2014) The avoidance of activities due to fear of falling contributes to sedentary behavior among community-dwelling older adults with chronic musculoskeletal pain: A multisite observational study. Pain Medicine, 15 (11). pp. 1861-1871. ISSN 1526-2375 (Print), 1526-4637 (Online) (doi:10.1111/pme.12570)

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Abstract

Objective: Physical inactivity and sedentary behavior (SB) are leading causes of mortality. We investigated if older adults with chronic musculoskeletal pain (CMP) are more sedentary than a group of similar age and sex without CMP and possible contributory factors to this.

Method: In this multisite observational study, 285 community-dwelling older adults (response rate 71%) took part. One hundred forty-four had CMP (78.4 years, 65.9% female), and 141 formed the comparison group without CMP. Details regarding falls were collected, and all participants completed the brief pain inventory (BPI), modified version of the survey of activities and fear of falling in elderly scale (mSAFFE), and the International Physical Activity Questionnaire (IPAQ) to measure SB. Data were analyzed with hierarchical regression analysis.

Results: Older adults with CMP spent approximately 3 1/2 hours a day more being sedentary than the comparison group (11.5 hours vs 7.9, P < 0.001). The addition of BPI interference and mSAFFE scores in the regression analysis resulted in an R2 change of 10.4% in IPAQ scores, over and above the variance explained by the background demographic, medical, and mobility factors. Excessive concerns about the consequences of falling did not increase the variance in SB. Within the final model, mSAFFE scores were the largest independent predictor of SB (β = 0.461, P < 0.001).

Conclusions: Older adults with CMP are significantly more sedentary than those of a similar sex and age without CMP. It appears that the avoidance of activities due to fear of falling is a significant contributory factor to SB in older adults with CMP.

Item Type:	Article
Additional Information:	[1] Acknowlegement (funding): BS is supported by a Vice Chancellors scholarship at the University of Greenwich. [2] Pain Medicine is published on behalf of American Academy of Pain Medicine.
Uncontrolled Keywords:	elderly, chronic pain, exercise, avoidance behavior, sedentary behavior, fear of falling
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Related URLs:	Publisher
Last Modified:	04 May 2020 07:07
URI:	http://gala.gre.ac.uk/id/eprint/12708

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