Biopsychosocial factors associated with disability in older adults with acute low back pain: BACE-Brasil study

This cross-sectional study evaluated the association of biopsychosocial factors with disability in older adults with a new episode of acute low back pain. Older patients with a new episode of acute low back pain were included and those with cognitive alterations and severe motor impairment were excl...

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Bibliographic Details
Published in:Ciência & saude coletiva 2019-07, Vol.24 (7), p.2679-2690
Main Authors: Silva, Juscelio Pereira da, Jesus-Moraleida, Fabianna de, Felício, Diogo Carvalho, Queiroz, Bárbara Zille de, Ferreira, Manuela Loureiro, Pereira, Leani Souza Máximo
Format: Article
Language:eng ; por
Subjects:
Acute Pain - physiopathology
Acute Pain - psychology
Adults
Aged
Back pain
Brazil
Cross-Sectional Studies
Disability
Disability Evaluation
Disabled Persons - psychology
Evaluation
Female
Humans
Low Back Pain - physiopathology
Low Back Pain - psychology
Male
Mathematical analysis
Mental Health
Older people
Pain
Pain Measurement
Questionnaires
Regression analysis
Self Efficacy
Sex Factors
Social factors
Statistical analysis
Stiffness
Surveys and Questionnaires
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Summary:This cross-sectional study evaluated the association of biopsychosocial factors with disability in older adults with a new episode of acute low back pain. Older patients with a new episode of acute low back pain were included and those with cognitive alterations and severe motor impairment were excluded. Disability was assessed using the Roland Morris Disability Questionnaire. The biopsychosocial factors (clinical, functional, health status, psychological and social variables) were evaluated by a structured multidimensional questionnaire and physical examination. A multivariate linear regression was used to analyze data with a statistical significance of 0.05. A total of 386 older individuals with a mean age of 71.6 (± 4.2) years and disability of 13.7 (± 5.7) points were enrolled. Our regression analyses identified that worse physical and mental health (assessed through SF-36), low falls self-efficacy, trouble sleeping due to pain, worse kinesiophobia levels, higher body mass indexes, lumbar morning stiffness, increased pain intensity, female gender and worse functional mobility were significantly associated with baseline disability (p < 0.05). Low back pain-related disability is significantly associated with worse biopsychosocial health conditions in older adults.
ISSN:1413-8123
1678-4561
DOI:10.1590/1413-81232018247.14172017