Chronic musculoskeletal pain in Japan (The final report of the 3-year longitudinal study): Association with a future decline in activities of daily living

Keiko Sugai, Osahiko Tsuji, Morio Matsumoto, Yuji Nishiwaki, Masaya Nakamura

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Previous epidemiological surveys conducted in Japan highlighted problems with conventional approaches to treating chronic musculoskeletal pain. On the basis of prior studies, we initiated the “longitudinal investigation of chronic musculoskeletal pain” in 2010. In our first two reports, we revealed a high prevalence of chronic musculoskeletal pain, low satisfaction with treatment, and reduced quality of life. Those with severe and consistent low back pain had the highest risk of the persisting pain. The risk factors for developing chronic pain also included working in a professional, managerial, or clerical/specialist occupation, being female, having a body mass index ≥25, currently using alcohol or cigarettes, and having completed an educational level of vocational school or higher. As the final step of the epidemiological survey, the present study examined the effect of chronic musculoskeletal pain on a future decline in activities of daily living (ADL). Methods: A questionnaire was sent to individuals who participated in the research project in 2010. Follow-up research examining loss of basic or instrumental ADL, or certification of long-term care requirements, was conducted in 2013 (n = 4989 subjects). Results: The 3-year follow-up data revealed that chronic musculoskeletal pain was associated with a decline in ADL, even after adjusting for covariables such as age, sex, and smoking (adjusted odds ratio, 1.56; 95% confidential interval, 1.16– 2.10). Conclusions: Chronic musculoskeletal pain is associated with future declines in ADL; therefore, relief of the chronic musculoskeletal pain may be important to maintain an active elderly population.

Original languageEnglish
JournalJournal of Orthopaedic Surgery
Volume25
Issue number3
DOIs
Publication statusPublished - 2017

Fingerprint

Musculoskeletal Pain
Activities of Daily Living
Chronic Pain
Longitudinal Studies
Japan
Certification
Long-Term Care
Low Back Pain
Occupations
Research
Tobacco Products
Body Mass Index
Smoking
Odds Ratio
Alcohols
Quality of Life
Pain

Keywords

  • Activities of daily living
  • Care
  • Chronic musculoskeletal pain
  • Disability
  • Epidemiology
  • Longitudinal study
  • Quality of life

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Chronic musculoskeletal pain in Japan (The final report of the 3-year longitudinal study): Association with a future decline in activities of daily living",
abstract = "Background: Previous epidemiological surveys conducted in Japan highlighted problems with conventional approaches to treating chronic musculoskeletal pain. On the basis of prior studies, we initiated the “longitudinal investigation of chronic musculoskeletal pain” in 2010. In our first two reports, we revealed a high prevalence of chronic musculoskeletal pain, low satisfaction with treatment, and reduced quality of life. Those with severe and consistent low back pain had the highest risk of the persisting pain. The risk factors for developing chronic pain also included working in a professional, managerial, or clerical/specialist occupation, being female, having a body mass index ≥25, currently using alcohol or cigarettes, and having completed an educational level of vocational school or higher. As the final step of the epidemiological survey, the present study examined the effect of chronic musculoskeletal pain on a future decline in activities of daily living (ADL). Methods: A questionnaire was sent to individuals who participated in the research project in 2010. Follow-up research examining loss of basic or instrumental ADL, or certification of long-term care requirements, was conducted in 2013 (n = 4989 subjects). Results: The 3-year follow-up data revealed that chronic musculoskeletal pain was associated with a decline in ADL, even after adjusting for covariables such as age, sex, and smoking (adjusted odds ratio, 1.56; 95{\%} confidential interval, 1.16– 2.10). Conclusions: Chronic musculoskeletal pain is associated with future declines in ADL; therefore, relief of the chronic musculoskeletal pain may be important to maintain an active elderly population.",
keywords = "Activities of daily living, Care, Chronic musculoskeletal pain, Disability, Epidemiology, Longitudinal study, Quality of life",
author = "Keiko Sugai and Osahiko Tsuji and Morio Matsumoto and Yuji Nishiwaki and Masaya Nakamura",
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AU - Sugai, Keiko

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AU - Matsumoto, Morio

AU - Nishiwaki, Yuji

AU - Nakamura, Masaya

PY - 2017

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N2 - Background: Previous epidemiological surveys conducted in Japan highlighted problems with conventional approaches to treating chronic musculoskeletal pain. On the basis of prior studies, we initiated the “longitudinal investigation of chronic musculoskeletal pain” in 2010. In our first two reports, we revealed a high prevalence of chronic musculoskeletal pain, low satisfaction with treatment, and reduced quality of life. Those with severe and consistent low back pain had the highest risk of the persisting pain. The risk factors for developing chronic pain also included working in a professional, managerial, or clerical/specialist occupation, being female, having a body mass index ≥25, currently using alcohol or cigarettes, and having completed an educational level of vocational school or higher. As the final step of the epidemiological survey, the present study examined the effect of chronic musculoskeletal pain on a future decline in activities of daily living (ADL). Methods: A questionnaire was sent to individuals who participated in the research project in 2010. Follow-up research examining loss of basic or instrumental ADL, or certification of long-term care requirements, was conducted in 2013 (n = 4989 subjects). Results: The 3-year follow-up data revealed that chronic musculoskeletal pain was associated with a decline in ADL, even after adjusting for covariables such as age, sex, and smoking (adjusted odds ratio, 1.56; 95% confidential interval, 1.16– 2.10). Conclusions: Chronic musculoskeletal pain is associated with future declines in ADL; therefore, relief of the chronic musculoskeletal pain may be important to maintain an active elderly population.

AB - Background: Previous epidemiological surveys conducted in Japan highlighted problems with conventional approaches to treating chronic musculoskeletal pain. On the basis of prior studies, we initiated the “longitudinal investigation of chronic musculoskeletal pain” in 2010. In our first two reports, we revealed a high prevalence of chronic musculoskeletal pain, low satisfaction with treatment, and reduced quality of life. Those with severe and consistent low back pain had the highest risk of the persisting pain. The risk factors for developing chronic pain also included working in a professional, managerial, or clerical/specialist occupation, being female, having a body mass index ≥25, currently using alcohol or cigarettes, and having completed an educational level of vocational school or higher. As the final step of the epidemiological survey, the present study examined the effect of chronic musculoskeletal pain on a future decline in activities of daily living (ADL). Methods: A questionnaire was sent to individuals who participated in the research project in 2010. Follow-up research examining loss of basic or instrumental ADL, or certification of long-term care requirements, was conducted in 2013 (n = 4989 subjects). Results: The 3-year follow-up data revealed that chronic musculoskeletal pain was associated with a decline in ADL, even after adjusting for covariables such as age, sex, and smoking (adjusted odds ratio, 1.56; 95% confidential interval, 1.16– 2.10). Conclusions: Chronic musculoskeletal pain is associated with future declines in ADL; therefore, relief of the chronic musculoskeletal pain may be important to maintain an active elderly population.

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