The role of persistent pain as a risk factor for falls and functional losses in older persons is poorly understood and seldom addressed by researchers and clinicians alike.
The aims of the proposed research are 1) to examine the prevalence, history and characteristics of persistent pain in the older population, 2) to investigate the role of persistent pain, classified according to location and severity, as a cause of falls and disability in older adults and 3) to explore mediating factors such as pain management, psychological factors, and the social and environmental contexts for their influence on the pain and function relationships. This 2-year epidemiologic investigation will use a prospective population-based design. The study cohort, to be recruited door-to-door, will include 800 English-speaking persons aged 70 and older living independently in the residential Southwest section of Boston. Persons with moderate to severe cognitive impairment or those who are unable to walk 20 feet without help will be excluded. At baseline, participants will undergo a 6-hour examination that will take place in two parts, one in the home and the other, in the clinic. Measures obtained at baseline and in 2 annual follow-up visits will be conducted by a trained nurse. The primary exposure measure will be pain classified according to location and severity. The primary endpoints will be time to first fall, recurrent falls, and disability in ADL, IADL, and mobility (walking and climbing stairs). Intermediate factors that will be examined include performance measures of balance, power/strength, and gait, use of conventional (analgesics and medical therapies) and non-conventional pain management approaches, psychological distress, self-efficacy, coping, social support and network, home hazards and use of mobility aids. This study will improve our understanding of the prevalence and functional consequences of persistent pain in the older population, and will inform development of new interventions to prevent and manage pain, falls, and disability.
Thakral, Manu; Shi, Ling; Foust, Janice B et al. (2018) Persistence of pain quality in community-dwelling older adults with chronic non-cancer pain. Geriatr Nurs 39:450-456 |
van der Leeuw, Guusje; Leveille, Suzanne G; Dong, Zhiyong et al. (2018) Chronic Pain and Attention in Older Community-Dwelling Adults. J Am Geriatr Soc 66:1318-1324 |
Lipsitz, Lewis A; Manor, Brad; Habtemariam, Daniel et al. (2018) The pace and prognosis of peripheral sensory loss in advanced age: association with gait speed and falls. BMC Geriatr 18:274 |
Thapa, Saurja; Shmerling, Robert H; Bean, Jonathan F et al. (2018) Chronic multisite pain: evaluation of a new geriatric syndrome. Aging Clin Exp Res : |
Veronese, Nicola; Cereda, Emanuele; Stubbs, Brendon et al. (2017) Risk of cardiovascular disease morbidity and mortality in frail and pre-frail older adults: Results from a meta-analysis and exploratory meta-regression analysis. Ageing Res Rev 35:63-73 |
Nawai, Ampicha; Leveille, Suzanne G; Shmerling, Robert H et al. (2017) Pain severity and pharmacologic pain management among community-living older adults: the MOBILIZE Boston study. Aging Clin Exp Res 29:1139-1147 |
van der Leeuw, Guusje; Leveille, Suzanne G; Jones, Richard N et al. (2017) Measuring attention in very old adults using the Test of Everyday Attention. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 24:543-554 |
van der Leeuw, Guusje; Eggermont, Laura H P; Shi, Ling et al. (2016) Pain and Cognitive Function Among Older Adults Living in the Community. J Gerontol A Biol Sci Med Sci 71:398-405 |
Foley, Jessica M; Salat, David H; Stricker, Nikki H et al. (2016) Glucose Dysregulation Interacts With APOE-?4 to Potentiate Temporoparietal Cortical Thinning. Am J Alzheimers Dis Other Demen 31:76-86 |
Thakral, Manu; Shi, Ling; Foust, Janice B et al. (2016) Pain quality descriptors in community-dwelling older adults with nonmalignant pain. Pain 157:2834-2842 |
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