Epidemiology of restricting back pain in community-living older persons

Una E. Makris, Liana Fraenkel, Ling Han, Linda Leo-Summers, Thomas M. Gill

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting back pain) in community-living older persons and to characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, community-living men and women aged 70 and older who did not report restricting back pain at baseline. MEASUREMENTS: Participants were interviewed monthly for over 10 years to ascertain the cumulative incidence, time to first episode, incidence rates (first and repeat episodes), and duration of restricting back pain. Cumulative incidence (proportions) was estimated using the Kaplan-Meier method, and incidence rates (per 1,000 person-months) were estimated using a Poisson regression model. RESULTS: During the more than 10 years of follow-up (median 107 months), the cumulative incidence of restricting back pain was 77.3% for men and 81.7% for women. The median time to the first episode was significantly shorter in women (25 months) than men (49 months) (P=.01). The incidence rates of restricting back pain per 1,000 person-months were 32.9 overall-24.4 for men and 37.5 for women (P<.001). There were no differences according to baseline age group. Of the 1,528 total episodes of restricting back pain, the median duration was 1.0 month, and only 6.4% lasted for 3 or more consecutive months. CONCLUSION: Restricting back pain in older persons is common, short-lived, and frequently episodic. The burden of restricting back pain is greater in older women than older men.

Original languageEnglish (US)
Pages (from-to)610-614
Number of pages5
JournalJournal of the American Geriatrics Society
Volume59
Issue number4
DOIs
StatePublished - Apr 2011

Fingerprint

Back Pain
Epidemiology
Incidence
Cohort Studies
Age Groups
Prospective Studies

Keywords

  • aged
  • back pain
  • cohort studies
  • epidemiology

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Epidemiology of restricting back pain in community-living older persons. / Makris, Una E.; Fraenkel, Liana; Han, Ling; Leo-Summers, Linda; Gill, Thomas M.

In: Journal of the American Geriatrics Society, Vol. 59, No. 4, 04.2011, p. 610-614.

Research output: Contribution to journalArticle

Makris, Una E. ; Fraenkel, Liana ; Han, Ling ; Leo-Summers, Linda ; Gill, Thomas M. / Epidemiology of restricting back pain in community-living older persons. In: Journal of the American Geriatrics Society. 2011 ; Vol. 59, No. 4. pp. 610-614.
@article{8661a3b65cef42ce812ed9515a7e60c0,
title = "Epidemiology of restricting back pain in community-living older persons",
abstract = "OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting back pain) in community-living older persons and to characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, community-living men and women aged 70 and older who did not report restricting back pain at baseline. MEASUREMENTS: Participants were interviewed monthly for over 10 years to ascertain the cumulative incidence, time to first episode, incidence rates (first and repeat episodes), and duration of restricting back pain. Cumulative incidence (proportions) was estimated using the Kaplan-Meier method, and incidence rates (per 1,000 person-months) were estimated using a Poisson regression model. RESULTS: During the more than 10 years of follow-up (median 107 months), the cumulative incidence of restricting back pain was 77.3{\%} for men and 81.7{\%} for women. The median time to the first episode was significantly shorter in women (25 months) than men (49 months) (P=.01). The incidence rates of restricting back pain per 1,000 person-months were 32.9 overall-24.4 for men and 37.5 for women (P<.001). There were no differences according to baseline age group. Of the 1,528 total episodes of restricting back pain, the median duration was 1.0 month, and only 6.4{\%} lasted for 3 or more consecutive months. CONCLUSION: Restricting back pain in older persons is common, short-lived, and frequently episodic. The burden of restricting back pain is greater in older women than older men.",
keywords = "aged, back pain, cohort studies, epidemiology",
author = "Makris, {Una E.} and Liana Fraenkel and Ling Han and Linda Leo-Summers and Gill, {Thomas M.}",
year = "2011",
month = "4",
doi = "10.1111/j.1532-5415.2011.03329.x",
language = "English (US)",
volume = "59",
pages = "610--614",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Epidemiology of restricting back pain in community-living older persons

AU - Makris, Una E.

AU - Fraenkel, Liana

AU - Han, Ling

AU - Leo-Summers, Linda

AU - Gill, Thomas M.

PY - 2011/4

Y1 - 2011/4

N2 - OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting back pain) in community-living older persons and to characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, community-living men and women aged 70 and older who did not report restricting back pain at baseline. MEASUREMENTS: Participants were interviewed monthly for over 10 years to ascertain the cumulative incidence, time to first episode, incidence rates (first and repeat episodes), and duration of restricting back pain. Cumulative incidence (proportions) was estimated using the Kaplan-Meier method, and incidence rates (per 1,000 person-months) were estimated using a Poisson regression model. RESULTS: During the more than 10 years of follow-up (median 107 months), the cumulative incidence of restricting back pain was 77.3% for men and 81.7% for women. The median time to the first episode was significantly shorter in women (25 months) than men (49 months) (P=.01). The incidence rates of restricting back pain per 1,000 person-months were 32.9 overall-24.4 for men and 37.5 for women (P<.001). There were no differences according to baseline age group. Of the 1,528 total episodes of restricting back pain, the median duration was 1.0 month, and only 6.4% lasted for 3 or more consecutive months. CONCLUSION: Restricting back pain in older persons is common, short-lived, and frequently episodic. The burden of restricting back pain is greater in older women than older men.

AB - OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting back pain) in community-living older persons and to characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, community-living men and women aged 70 and older who did not report restricting back pain at baseline. MEASUREMENTS: Participants were interviewed monthly for over 10 years to ascertain the cumulative incidence, time to first episode, incidence rates (first and repeat episodes), and duration of restricting back pain. Cumulative incidence (proportions) was estimated using the Kaplan-Meier method, and incidence rates (per 1,000 person-months) were estimated using a Poisson regression model. RESULTS: During the more than 10 years of follow-up (median 107 months), the cumulative incidence of restricting back pain was 77.3% for men and 81.7% for women. The median time to the first episode was significantly shorter in women (25 months) than men (49 months) (P=.01). The incidence rates of restricting back pain per 1,000 person-months were 32.9 overall-24.4 for men and 37.5 for women (P<.001). There were no differences according to baseline age group. Of the 1,528 total episodes of restricting back pain, the median duration was 1.0 month, and only 6.4% lasted for 3 or more consecutive months. CONCLUSION: Restricting back pain in older persons is common, short-lived, and frequently episodic. The burden of restricting back pain is greater in older women than older men.

KW - aged

KW - back pain

KW - cohort studies

KW - epidemiology

UR - http://www.scopus.com/inward/record.url?scp=79954824148&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79954824148&partnerID=8YFLogxK

U2 - 10.1111/j.1532-5415.2011.03329.x

DO - 10.1111/j.1532-5415.2011.03329.x

M3 - Article

C2 - 21410444

AN - SCOPUS:79954824148

VL - 59

SP - 610

EP - 614

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 4

ER -