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Chronic musculoskeletal pain prospectively predicts insomnia in older people, not moderated by age, gender or co-morbid illnesses
The study evaluated if chronic musculoskeletal (MSK) pain predicts the severity of insomnia, and whether the effect is moderated by age, gender, and number of comorbid diseases in older people. An 18-month prospective study was performed within the framework of a community health program in Hong Kon...
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Published in: | Scientific reports 2021-01, Vol.11 (1), p.1593-1593, Article 1593 |
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description | The study evaluated if chronic musculoskeletal (MSK) pain predicts the severity of insomnia, and whether the effect is moderated by age, gender, and number of comorbid diseases in older people. An 18-month prospective study was performed within the framework of a community health program in Hong Kong. A total of 498 older people aged ≥ 60 with multimorbidity were recruited. The predictors included the presence of chronic MSK pain, pain measured by the Brief Pain Inventory (BPI), insomnia measured by baseline Insomnia Severity Index (ISI), and number of co-morbid diseases, age, and gender. The outcome was ISI repeated at 18 months. The moderators included age, gender, and number of comorbid diseases. Multivariate linear regression and moderation analysis were conducted. We found that the presence of chronic MSK pain (β = 1.725; 95% CI, 0.607–2.842; P |
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Age, gender, and number of comorbid diseases did not moderate the longitudinal relationship. We propose that pain management should prioritized in the prevention of insomnia.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-021-81390-6</identifier><identifier>PMID: 33452447</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308 ; 692/700 ; Age ; Age Factors ; Aged ; Case-Control Studies ; Chronic pain ; Chronic Pain - complications ; Chronic Pain - pathology ; Comorbidity ; Female ; Gender ; Humanities and Social Sciences ; Humans ; Insomnia ; Linear Models ; Male ; Middle Aged ; multidisciplinary ; Musculoskeletal Pain - complications ; Musculoskeletal Pain - pathology ; Older people ; Pain ; Prospective Studies ; Science ; Science (multidisciplinary) ; Severity of Illness Index ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - complications ; Sleep Initiation and Maintenance Disorders - pathology</subject><ispartof>Scientific reports, 2021-01, Vol.11 (1), p.1593-1593, Article 1593</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. 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An 18-month prospective study was performed within the framework of a community health program in Hong Kong. A total of 498 older people aged ≥ 60 with multimorbidity were recruited. The predictors included the presence of chronic MSK pain, pain measured by the Brief Pain Inventory (BPI), insomnia measured by baseline Insomnia Severity Index (ISI), and number of co-morbid diseases, age, and gender. The outcome was ISI repeated at 18 months. The moderators included age, gender, and number of comorbid diseases. Multivariate linear regression and moderation analysis were conducted. We found that the presence of chronic MSK pain (β = 1.725; 95% CI, 0.607–2.842; P < 0.01) predicted the severity of ISI, after controlling for age, gender, BMI, and the number of comorbid diseases. Participants with chronic MSK pain throughout the period had worse trend of improvement in ISI compared to those who were “pain-free” (β = 2.597; 95% CI, 1.311–3.882; P < 0.001). Age, gender, and number of comorbid diseases did not moderate the longitudinal relationship. 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An 18-month prospective study was performed within the framework of a community health program in Hong Kong. A total of 498 older people aged ≥ 60 with multimorbidity were recruited. The predictors included the presence of chronic MSK pain, pain measured by the Brief Pain Inventory (BPI), insomnia measured by baseline Insomnia Severity Index (ISI), and number of co-morbid diseases, age, and gender. The outcome was ISI repeated at 18 months. The moderators included age, gender, and number of comorbid diseases. Multivariate linear regression and moderation analysis were conducted. We found that the presence of chronic MSK pain (β = 1.725; 95% CI, 0.607–2.842; P < 0.01) predicted the severity of ISI, after controlling for age, gender, BMI, and the number of comorbid diseases. Participants with chronic MSK pain throughout the period had worse trend of improvement in ISI compared to those who were “pain-free” (β = 2.597; 95% CI, 1.311–3.882; P < 0.001). Age, gender, and number of comorbid diseases did not moderate the longitudinal relationship. We propose that pain management should prioritized in the prevention of insomnia.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33452447</pmid><doi>10.1038/s41598-021-81390-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 692/308 692/700 Age Age Factors Aged Case-Control Studies Chronic pain Chronic Pain - complications Chronic Pain - pathology Comorbidity Female Gender Humanities and Social Sciences Humans Insomnia Linear Models Male Middle Aged multidisciplinary Musculoskeletal Pain - complications Musculoskeletal Pain - pathology Older people Pain Prospective Studies Science Science (multidisciplinary) Severity of Illness Index Sleep disorders Sleep Initiation and Maintenance Disorders - complications Sleep Initiation and Maintenance Disorders - pathology |
title | Chronic musculoskeletal pain prospectively predicts insomnia in older people, not moderated by age, gender or co-morbid illnesses |
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