Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent disability in essential (e) and instrumental (i) activities of daily living (ADL) among community-living older adults. Method: In this prospective cohort study, we evaluated 754 adults, aged ≥70 years who were initially nondisabled in eADL. Restricting back pain and disability were assessed during monthly interviews for up to 159 months. Associations between restricting back pain and subsequent eADL and iADL disability were evaluated using recurrent events Cox models, adjusted for fixed-in-time and time-varying covariates. Results: Strong associations were found between restricting back pain and eADL and iADL disability, with hazard ratios (95% confidence intervals) of 3.47 [3.01, 3.90] and 2.33 [2.08, 2.61], respectively. Discussion: Restricting back pain was independently associated with subsequent disability in eADL and iADL. Interventions focused on decreasing restricting back pain in older adults may have the potential to reduce the subsequent burden of disability.

Original languageEnglish (US)
Pages (from-to)1482-1494
Number of pages13
JournalJournal of Aging and Health
Volume30
Issue number9
DOIs
StatePublished - Oct 1 2018

Fingerprint

Back Pain
Activities of Daily Living
pain
disability
community
Proportional Hazards Models
Cohort Studies
confidence
Prospective Studies
Confidence Intervals
Interviews
event
interview

Keywords

  • activities of daily living
  • aged
  • back pain
  • cohort studies
  • disability

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Gerontology
  • Community and Home Care
  • Geriatrics and Gerontology
  • Life-span and Life-course Studies

Cite this

Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults. / Makris, Una E.; Weinreich, Mark A.; Fraenkel, Liana; Han, Ling; Leo-Summers, Linda; Gill, Thomas M.

In: Journal of Aging and Health, Vol. 30, No. 9, 01.10.2018, p. 1482-1494.

Research output: Contribution to journalArticle

Makris, Una E. ; Weinreich, Mark A. ; Fraenkel, Liana ; Han, Ling ; Leo-Summers, Linda ; Gill, Thomas M. / Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults. In: Journal of Aging and Health. 2018 ; Vol. 30, No. 9. pp. 1482-1494.
@article{8361ffe637444c61b2eaaf3085c1185e,
title = "Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults",
abstract = "Objective: To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent disability in essential (e) and instrumental (i) activities of daily living (ADL) among community-living older adults. Method: In this prospective cohort study, we evaluated 754 adults, aged ≥70 years who were initially nondisabled in eADL. Restricting back pain and disability were assessed during monthly interviews for up to 159 months. Associations between restricting back pain and subsequent eADL and iADL disability were evaluated using recurrent events Cox models, adjusted for fixed-in-time and time-varying covariates. Results: Strong associations were found between restricting back pain and eADL and iADL disability, with hazard ratios (95{\%} confidence intervals) of 3.47 [3.01, 3.90] and 2.33 [2.08, 2.61], respectively. Discussion: Restricting back pain was independently associated with subsequent disability in eADL and iADL. Interventions focused on decreasing restricting back pain in older adults may have the potential to reduce the subsequent burden of disability.",
keywords = "activities of daily living, aged, back pain, cohort studies, disability",
author = "Makris, {Una E.} and Weinreich, {Mark A.} and Liana Fraenkel and Ling Han and Linda Leo-Summers and Gill, {Thomas M.}",
year = "2018",
month = "10",
day = "1",
doi = "10.1177/0898264317721555",
language = "English (US)",
volume = "30",
pages = "1482--1494",
journal = "Journal of Aging and Health",
issn = "0898-2643",
publisher = "SAGE Publications Inc.",
number = "9",

}

TY - JOUR

T1 - Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults

AU - Makris, Una E.

AU - Weinreich, Mark A.

AU - Fraenkel, Liana

AU - Han, Ling

AU - Leo-Summers, Linda

AU - Gill, Thomas M.

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Objective: To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent disability in essential (e) and instrumental (i) activities of daily living (ADL) among community-living older adults. Method: In this prospective cohort study, we evaluated 754 adults, aged ≥70 years who were initially nondisabled in eADL. Restricting back pain and disability were assessed during monthly interviews for up to 159 months. Associations between restricting back pain and subsequent eADL and iADL disability were evaluated using recurrent events Cox models, adjusted for fixed-in-time and time-varying covariates. Results: Strong associations were found between restricting back pain and eADL and iADL disability, with hazard ratios (95% confidence intervals) of 3.47 [3.01, 3.90] and 2.33 [2.08, 2.61], respectively. Discussion: Restricting back pain was independently associated with subsequent disability in eADL and iADL. Interventions focused on decreasing restricting back pain in older adults may have the potential to reduce the subsequent burden of disability.

AB - Objective: To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent disability in essential (e) and instrumental (i) activities of daily living (ADL) among community-living older adults. Method: In this prospective cohort study, we evaluated 754 adults, aged ≥70 years who were initially nondisabled in eADL. Restricting back pain and disability were assessed during monthly interviews for up to 159 months. Associations between restricting back pain and subsequent eADL and iADL disability were evaluated using recurrent events Cox models, adjusted for fixed-in-time and time-varying covariates. Results: Strong associations were found between restricting back pain and eADL and iADL disability, with hazard ratios (95% confidence intervals) of 3.47 [3.01, 3.90] and 2.33 [2.08, 2.61], respectively. Discussion: Restricting back pain was independently associated with subsequent disability in eADL and iADL. Interventions focused on decreasing restricting back pain in older adults may have the potential to reduce the subsequent burden of disability.

KW - activities of daily living

KW - aged

KW - back pain

KW - cohort studies

KW - disability

UR - http://www.scopus.com/inward/record.url?scp=85050758653&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050758653&partnerID=8YFLogxK

U2 - 10.1177/0898264317721555

DO - 10.1177/0898264317721555

M3 - Article

VL - 30

SP - 1482

EP - 1494

JO - Journal of Aging and Health

JF - Journal of Aging and Health

SN - 0898-2643

IS - 9

ER -