Abstract Details

Title Impact of Multisite Pain on Activities of Daily Living in Older Adults: A Cross-sectional Analysis of Korean Longitudinal Study of Ageing (KLoSA)

Topic General Neurology

Presentation(s) Neuroepidemiology Posters (7:00 AM-5:00 PM)

Poster/Presentation
Number 005

Background Quality of life (QoL) has a strong relationship with the ADL; evidence on the association of multisite pain with ADL is scarce.

Objective

To assess the pattern of self-reported multisite pain and its association with activities of daily living (ADL) in the elderly population.

Design/Methods

7,490 non-institutionalized participants of the sixth wave of KLoSA study, conducted in 2016, were analyzed. Self-reported difficulties with six domains of ADLs (dressing, bathing, eating, toileting, getting out of bed, and washing face, hair and brushing teeth) were assessed using Korean-ADL questionnaires. Self-reported pain (headache, stomachache, pain in shoulder, arm, wrist, finger, chest, back, hip, leg, knee, ankle, and/or toe) was defined as mild, moderate, and severe. Multivariable logistic regression was used, adjusting for age, sex, and BMI.

Results Of all participants (mean age: 69±10; 57% females), 62% reported any pain; back pain (36%), and stomachache (0.39%) being the most and least prevalent. Majority (61%) had musculoskeletal-related pain; 20% had only one site affected 0.05% had all sites affected. Compared to those reporting no pain, odds ratio (OR) for ADL impairment in subjects reporting any moderate-pain and any severe-pain was 2.31 (95%CI, 1.66-3.21) and 2.98 (95%CI, 1.95-4.53), respectively. Women had a slightly higher impact of pain over ADL with no significant interactions (OR:1.10, 95%CI, .86-1.40). Pain in shoulder, arm, wrist, back, hip, leg, and ankle had significant association with impairment of ADL with OR ranging from 2.66 (95%CI, 1.80-3.93; hip pain) to 1.36 (95%CI 1.07-1.72; back pain). Multisite pain was associated with higher ADL impairment [1-6 sites: 1.49, 95% CI, 1.11-2.01; 7-12 sites: 7.16, 95%CI, 3.60-14.26)].

Conclusions

Improved knowledge of multisite pain and its association with ADL in elderly population has implications for understanding central mechanisms of chronic pain. We found that musculoskeletal pain, mainly hip pain, and multisite pain had the highest impact on ADL in elderly population.

Authors/Disclosures
Ambrish Singh, PhD (Menzies Institute for Medical Research) PRESENTER	Mr. Singh has received personal compensation for serving as an employee of Eli Lilly and Company. Mr. Singh has received research support from University of Tasmania.
	No disclosure on file