Predictors of Upper-Extremity Physical Function in Older Adults
Publish place: The Archives of Bone and Joint Surgery، Vol: 4، Issue: 4
Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_TABO-4-4_013
تاریخ نمایه سازی: 9 شهریور 1400
Abstract:
Background: Little is known about the influence of habitual participation in physical exercise and diet on upper-extremity physical function in older adults. To assess the relationship of general physical exercise and diet to upper-extremity physical function and pain intensity in older adults. Methods: A cohort of ۱۱۱ patients ۵۰ or older completed a sociodemographic survey, the Rapid Assessment of Physical Activity (RAPA), an ۱۱-point ordinal pain intensity scale, a Mediterranean diet questionnaire, and three Patient- Reported Outcomes Measurement Information System (PROMIS) based questionnaires: Pain Interference to measure inability to engage in activities due to pain, Upper-Extremity Physical Function, and Depression. Multivariable linear regression modeling was used to characterize the association of physical activity, diet, depression, and pain interference to pain intensity and upper-extremity function. Results: Higher general physical activity was associated with higher PROMIS Upper-Extremity Physical Function and lower pain intensity in bivariate analyses. Adherence to the Mediterranean diet did not correlate with PROMIS Upper-Extremity Physical Function or pain intensity in bivariate analysis. In multivariable analyses factors associated with higher PROMIS Upper-Extremity Physical Function were male sex, non-traumatic diagnosis and PROMIS Pain Interference, with the latter accounting for most of the observed variability (۳۷%). Factors associated with greater pain intensity in multivariable analyses included fewer years of education and higher PROMIS Pain Interference. Conclusions: General physical activity and diet do not seem to be as strongly or directly associated with upper-extremity physical function as pain interference.
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Authors
Hugo H. Hermanussen
Orthopaedic Hand and Upper Extremity Service Massachusetts General Hospital, Boston, USA
Mariano E. Menendez
Orthopaedic Hand and Upper Extremity Service Massachusetts General Hospital, Boston, USA
Neal C. Chen
Orthopaedic Hand and Upper Extremity Service Massachusetts General Hospital, Boston, USA
David Ring
Massachusetts General Hospital, Boston, USA
Ana-Maria Vranceanu
Massachusetts General Hospital, Behavioral Med Services, Boston, USA
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