Trajectories of pain and their associations with long-term cognitive decline in older adults: evidence from two longitudinal cohorts.
Background Pain is a dynamic experience that varies over time, but it remains unknown whether trajectories of pain are associated with subsequent cognitive decline. The purpose of this study was to identify distinct trajectories of pain presence and activity-limiting pain and investigate their longi...
| Publicado en: | Age & Ageing Vol. 53; no. 8; pp. 1 - 9 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Aug2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=179376099&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 179376099 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Aug2024 vid: 53 iid: 8 pid: 622 pub: Oxford University Press / USA artinfo: ui: 179376099 10.1093/ageing/afae183 ppf: 1 ppct: 8 formats: tig: atl: Trajectories of pain and their associations with long-term cognitive decline in older adults: evidence from two longitudinal cohorts. aug: au: He, Zijun Li, Gege Chen, Zhi Hu, Zihang Wang, Qingwei Huang, Guozhi Luo, Qinglu affil: Department of Rehabilitation Medicine, The Tenth Affiliated Hospital of Southern Medical University (Dongguan People's Hospital) , Dongguan, China Dongguan Experimental Centre for Sports Rehabilitation Research , Dongguan, China Department of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University , Guangzhou, China School of Rehabilitation Medicine, Southern Medical University , Guangzhou, China Rehabilitation Department, Dongguan Key Specialty of Traditional Chinese Medicine , Dongguan, China su: England Executive function Age distribution Pain Memory Aging Old age Cognition disorder risk factors Risk assessment Mental orientation Descriptive statistics Longitudinal method Geriatric assessment Data analysis software Confidence intervals Physical activity Time sug: subj: Executive function Age distribution Pain Memory Aging Old age England Cognition disorder risk factors Risk assessment Mental orientation Descriptive statistics Longitudinal method Geriatric assessment Data analysis software Confidence intervals Physical activity Time keyword: activity-limiting pain cognition cognitive decline cognitive impairment older adult older people pain pain presence pain trajectories activity-limiting pain cognition cognitive decline cognitive impairment older adult older people pain pain presence pain trajectories ab: Background Pain is a dynamic experience that varies over time, but it remains unknown whether trajectories of pain are associated with subsequent cognitive decline. The purpose of this study was to identify distinct trajectories of pain presence and activity-limiting pain and investigate their longitudinal associations with the rate of subsequent cognitive decline in older adults. Methods A total of 5685 participants from the English Longitudinal Study of Ageing (ELSA) and 7619 participants from the Health and Retirement Study (HRS) were included. Pain presence trajectories were identified over eight years in the ELSA and 10 years in the HRS, while trajectories of activity-limiting pain were identified over 10 years in the HRS. We utilised linear mixed-effects models to investigate the long-term relationship between pain trajectories and the rate of cognitive decline across various domains, including memory, orientation, executive function and global cognition. Results Three pain presence trajectories were identified. Moderate-increasing and high-stable groups exhibited steeper declines in global cognition than the low-stable group. Furthermore, individuals in the moderate-increasing group experienced a more rapid decline in executive function, while the high-stable group showed a faster decline in orientation function. Two trajectories of activity-limiting pain were identified, with the moderate-increasing group experiencing a faster decline in orientation function and global cognition. Conclusions The trajectories of both pain presence and activity-limiting pain are linked to the rate of subsequent cognitive decline among older people. Interventions for specific pain trajectories might help to delay the decline rate of cognition in specific domains. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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