Preventive Effect of an Intervention Program with Increased Physical Activity on the Development of Musculoskeletal Pain in Community-Dwelling Older Adults: A Randomized Controlled Trial

Abstract Objective To examine whether compared with a program without increased physical activity, an intervention program with increased physical activity can prevent the development of musculoskeletal pain in community-dwelling older adults. Design Randomized controlled trial. Setting Japanese com...

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Bibliographic Details
Published in:Pain medicine (Malden, Mass.) Mass.), 2023-05, Vol.24 (5), p.507-514
Main Authors: Hirase, Tatsuya, Inokuchi, Shigeru, Koshikawa, Shota, Shimada, Hinata, Okita, Minoru
Format: Article
Language:English
Subjects:
Aged
Aging
Cognition
Counseling
Exercise
Exercise Therapy
Health aspects
Health promotion
Humans
Independent Living
Methods
Musculoskeletal Pain
Myalgia
Physiological aspects
Prevention
Risk factors
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Summary:Abstract Objective To examine whether compared with a program without increased physical activity, an intervention program with increased physical activity can prevent the development of musculoskeletal pain in community-dwelling older adults. Design Randomized controlled trial. Setting Japanese community. Subjects Seventy-nine older adults without musculoskeletal pain were randomized into two groups: an intervention group (n = 40) that engaged in increased physical activity and an exercise class and a control group (n = 39) that participated only in the exercise class. Methods The exercise class consisted of weekly 60-min sessions over 24 weeks. The program to increase physical activity required the participants to record their daily step counts using pedometers. The primary outcome was the development of musculoskeletal pain, and secondary outcomes were physical function, psychological status, cognitive function, and physical activity levels. Results Twenty-four weeks after the intervention, the intervention group had a significantly lower prevalence of musculoskeletal pain (12.8%) than the control group (32.4%; P = .040). A time-by-group interaction emerged for cognitive function (P = .01) and physical activity levels (P 
ISSN:1526-2375
1526-4637
DOI:10.1093/pm/pnac164