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The relations between musculoskeletal diseases and mobility among old people: are they influenced by socio-economic, psychosocial, and behavioral factors?

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Abstract

The aims of this study were (a) to analyse the association between musculoskeletal diseases and mobility cross-sectionally at age 75 and between musculoskeletal diseases and subsequent onset of tiredness and need of help to mobility from age 75 to 80 and (b) to describe whether these associations are influenced by socioeconomic, psychosocial, and behavioral factors. The data are derived from a cross-sectional study of 75-year-old people (n = 480) and a follow-up study among 111 persons without tiredness at baseline and 243 persons without need of help to mobility at baseline. The key predictor variable was musculoskeletal diseases. The outcome was measured by 2 mobility scales. Persons with both musculoskeletal and other diseases were at larger risk of tiredness and need of help cross-sectionally and of onset of need of help compared to others. In addition, physical activity had strong independent influence on mobility both cross-sectionally and longitudinally. Consequently prevention of mobility disability should focus on persons with musculoskeletal diseases and on sedentary persons.

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References

  • Anderson, R. T., James, M. K., Miller, M. E., Worley, A. S., & Longino, C. F. (1998). The timing of change: Patterns in transitions in functional status among elderly persons.Journal of Gerontology, 53B, S17-S27.

    Google Scholar 

  • Arber, S., & Ginn, J. (1993). Gender and inequalities in health in later life.Social Science & Medicine, 36, 33–46.

    Article  Google Scholar 

  • Avlund, K., Damsgaard, M. T., & Schroll, M. (In press). Tiredness as determinant of subsequent use of social and health services.Journal of Aging and Health.

  • Avlund, K., Davidsen, M., & Schultz-Larsen, K. (1995). Changes in functional ability from age 70 to 75: A Danish longit udinal study.Journal of Aging and Health, 7, 254–282.

    Article  PubMed  Google Scholar 

  • Avlund, K., & Holstein, B. E. (1998). Functional ability among elderly people in three service settings: The discriminatory power of a new functional ability scale.European Journal of Epidemiology, 14, 783–790.

    Article  PubMed  Google Scholar 

  • Avlund, K., Holstein, B. E., Mortensen, E. L., & Schroll, M. (1999). Active life in old age. Combining measures of functional ability and social participation.Danish Medical Bulletin, 46, 345–349.

    PubMed  Google Scholar 

  • Avlund, K., Kreiner, S., & Schultz-Larsen, K. (1993). Construct validation and the Rasch Model: Functional ability of healthy elderly people.Scandinavian Journal of Social Medicine, 21, 233–245.

    PubMed  Google Scholar 

  • Avlund, K., Kreiner, S., & Schultz-Larsen, K. (1996). Functional ability scales for the elderly. A validation study.European Journal of Public Health, 6, 35–42.

    Article  Google Scholar 

  • Avlund, K., Schroll, M., Davidsen, M., Løvborg, B., & Rantanen, T. (1994). Maximal isometric muscle strength and functional ability in daily activities among 75-year-old men and women.Scandinavian Journal of Medicine and Science in Sports, 4, 32–40.

    Article  Google Scholar 

  • Avlund, K., & Schultz-Larsen, K. (1991). What do 70-year-old men and women actually do? And what are they able to do? From the Glostrup survey in 1984.Aging Clinical and Experimental Research, 3, 39–49.

    Google Scholar 

  • Avlund, K., Schultz-Larsen, K., & Davidsen, M. (1998). Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years.Journal of Clinical Epidemiology, 51, 323–333.

    Article  PubMed  Google Scholar 

  • Avlund, K., Thudium, D., Davidsen, M., & Fuglsang-Sørensen, B. (1995). Are self-ratings of functional ability reliable?Scandinavian Journal of Occupational Therapy, 2, 10–16.

    Article  Google Scholar 

  • Axelsen, U., & Sørensen, L.V. (1998).Social participation, functional ability and urinary incontinence from age 75 to age 80. (In Danish). Unpublished master’s thesis, Institute of Public Health, Copenhagen, Denmark.

    Google Scholar 

  • Boult, C., Altman, M., Gilbertson, D., Yu, C., & Kane, R. L. (1996). Decreasing disability in the 21st century: The future effects of controlling six fatal and non fatal conditions.American Journal of Public Health, 86, 1388–1393.

    Article  PubMed  Google Scholar 

  • Brinck, B., Rasmussen, N. K., Kjøller, M., & Thomsen, L. K. (1995).Musculoskeletal diseases in Denmark. Copenhagen: Danish Institute of Clinical Epidemiology.

    Google Scholar 

  • Clark, D. O., Stump, T. E., Hui, S. L., & Wolinsky, F. D. (1998). Predictors of mobility and basic ADL difficulty among adults aged 70 years and older.Journal of Aging and Health, 10, 422–440.

    Article  PubMed  Google Scholar 

  • Eriksen, W., Natvig, B., & Bruusgaard, D. (1999). Smoking, heavy physical work and low back pain: A four-year prospective study.Occupational Medicine, 49, 155–160.

    Article  PubMed  Google Scholar 

  • Evans, W. J. (1999). Exercise training guidelines for the elderly.Medicine and Science in Sports & Exercise, 31, 12–17.

    Article  Google Scholar 

  • Femia, E. E., Zarit, S. H., & Johansson, B. (1997). Predicting change in activities of daily living: A longitudinal study of the oldest old in Sweden.Journal of Gerontology, 52B, P294-P302.

    Google Scholar 

  • Fried, L. P., Ettinger, W. H., Lind, B., Newman A. B., & the Cardiovascular Health Study Research Group. (1994). Physical disability inolder adults: A physiological approach.Journal of Clinical Epidemiology, 47, 747–760.

    Article  PubMed  Google Scholar 

  • Furner, S. E., Rudberg, M. A., & Cassel, C. K. (1995). Medical conditions differentially affect the development of IADL disability: Implications for medical care and research.The Gerontologist, 35, 444–450.

    PubMed  Google Scholar 

  • Grimby, G. (1986). Physical activity and muscle training in the elderly.Acta Medica Scandinavica, (Suppl. 711), 233–237.

  • Guccione, A. A., Felson, D. T., Anderson, J. J., Anthony, J. M., Zhang, Y., Wilson, P. W. F., Kelly-Hayes, M., Wolf, P. A., Kreger, B. E., & Kannel, W. B. (1994). The effects of specific medical conditions on the functional limitations of elders in the Framingham Study.American Journal Public Health, 84, 351–358.

    Article  Google Scholar 

  • Guralnik, J. M., LaCroix, A. Z., Abott, R. D., Berkman, L. F., Satterfield, S., Evans, D. A., & Wallace, R. B. (1993). Maintaining mobility in late life: I. Demographic characteristics and chronic conditions.American Journal of Epidemiology, 137, 845–857.

    PubMed  Google Scholar 

  • Hamberg, K., Johansson, E., Lindgren, G., & Westman, G. (1997). The impact of marital relationship on the rehabilitation processin a group of women with long-term musculoskeletal disorders.Scandinavian Journal of Social Medicine, 25, 17–25.

    PubMed  Google Scholar 

  • Heikkinen, R. L., Berg, S., & Avlund, K. (1995). Depressive symptoms in late life.Journal of Cross-Cultural Gerontology, 10, 315–330.

    Article  Google Scholar 

  • Jette, A. M., Assmann, S. F., Rooks, D., Harris, B. A., & Crawford, S. (1998). Interrelationships among disablement concepts.Journal of Gerontology, 53A, M395-M404.

    Google Scholar 

  • Lynch, J. W., Kaplan, G. A., & Shema, S. J. (1997). Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning.New England Journal of Medicine, 337, 1889–1895.

    Article  PubMed  Google Scholar 

  • Mattiasson-Nilo, I., Sonn, U., Johannesson, K., Gosman-Hedström, G., Persson, G. B., & Grimby, G. (1990). Domestic activities in elderly women and men.Aging Clinical Experimental Research, 2, 191–198.

    Google Scholar 

  • Myers, A. M., Malott, O. W., Gray, E., Tudor-Locke, C., Ecclestone, N. A., O’Brien Cousins, S., & Petrella, R. (1999). Measuring accumulated health-related benefits of exercise participation for older adults: The Vitality Plus Scale.Journal of Gerontology, 54A, M456-M466.

    Google Scholar 

  • Orbell, S., Johnston, M., Rowley, D., Espley, A., & Davey, P. (1998). Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis.Social Science & Medicine, 47, 93–102.

    Article  Google Scholar 

  • Ormel, J., Kempen, G. I. J. M., Penninx, E. I., Brilman, A. T. F., Beekman, A. T. F., & van Sonderen, E. (1997). Chronic medical conditions and mental health in older people: disability and psychosocial resources mediate specific mental health effects.Psychological Medicine, 27, 1065–1077.

    Article  PubMed  Google Scholar 

  • Ozguler, A., Leclerc, A., Landre, M. F., Pietri-Taleb, F., & Niedhammer, I. (2000). Individual and occupational determinants of low back pain according tovarious definitions oflow back pain.Journal of Epidemiology and Community Health, 54, 215–220.

    Article  PubMed  Google Scholar 

  • Peek, M. K., & Coward, R. T. (1999). Gender differences in the risk of developing disability among older adults with arthritis.Journal of Aging and Health, 11, 131–150.

    Article  PubMed  Google Scholar 

  • Penninx, B. W. J. H., Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Deeg, D. J. H., & Wallace, R. B. (1998). Depressive symptoms and physical decline in community-dwelling older persons.Journal of the American Medical Association, 279, 1720–1726.

    Article  PubMed  Google Scholar 

  • Penninx, B. W. J. H., Leveille, S., Ferrucci, L., van Eijk, J.T.M., & Guralnik, J. M. (1999). Exploring the effect of depression on physical disability: Longitudinal evidence from the Established Populations for Epidemiologic Studiesofthe Elderly.American Journal of Public Health, 89,1346–1352.

    Article  PubMed  Google Scholar 

  • Penninx, B. W. J. H., van Tilburg, T., Kriesman, D. M. W., Boeke, A. J. P., Deeg, D. J. H., & van Eijk, J. T. M. (1999). Social network, social support, and loneliness in older persons with different chronic diseases.Journal of Aging and Health, 11, 151–168.

    Article  PubMed  Google Scholar 

  • Perkowski, L. C., Stroup-Benham, C. A., Markides, K. S., Lichtenstein, M. J., Angel, R. J., Guralnik, J. M., & Goodwin, J. S. (1998). Lower-extremity functioning in older Mexican Americans and its association with medical problems.Journal of the American Geriatrics Society, 46, 411–418.

    PubMed  Google Scholar 

  • Physical Activity and Health. A report of the Surgeon General. (1996). U.S. Department of Health and Human Services. International Medical Publishing.

  • Prince, M. J., Harwood, R. H., Blizard, R. A., Thomas, A., & Mann, A. H. (1997). Impairment, disability and handicap as risk factors for depression in old age. The Gospel Oak Project V.Psychological Medicine, 27, 311–321.

    Article  PubMed  Google Scholar 

  • Puggaard, L. (1997). Physical activity among the elderly (In Danish).Månedsskrift for Praktisk Lægegerning, 75, 1303–1313.

    Google Scholar 

  • Puggaard, L. (1999).Physical reactivation of the very old by exercise: impact on body composition, physical performance and functional abilities. Odense, Denmark: Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale:Aself-report depression scale for research inthe general population.Applied Psychological Measurement, 1, 358–401.

    Article  Google Scholar 

  • Schroll, M., Avlund, K., Era, P., Gause-Nilsson, I., & Davidsen, M. (1997). Chronic diseases and functional ability in three Nordic localities: Musculoskeletal diseases, functional limitations and lower limb function.Facts, Research and Intervention in Geriatrics, (Suppl.), 149–168.

  • Schroll, M., Avlund, K., & Davidsen, M. (1997). Predictors of five-year functional abilityin a longitudinal survey of men and women aged 75 to 80. The 1914 population in Glostrup, Denmark.Aging Clinical and Experimental Research, 9, 143–152.

    Google Scholar 

  • Schroll, M., Steen, B., Berg, S., Heikkinen, E., & Viidik, A. (1993). NORA—Nordic Research on Ageing. Functional capacity of 75-year-old men and women in three Nordic localities.Danish Medical Bulletin, 40, 618–624.

    PubMed  Google Scholar 

  • Schultz-Larsen, K., Avlund, K., & Kreiner, S. (1992). Functional abilityofcommunity dwelling elderly. Criterion-related validity of a new measure of functional ability.Journal of Clinical Epidemiology, 45, 1315–1327.

    Article  PubMed  Google Scholar 

  • Seeman, T. E., Berkman, L. F., Charpentier, P. A., Blazer, D. G., Albert, M. S., & Tinetti, M. E. (1995). Behavioural and psychosocial predictors of physical performance: MacArthur Studies of Successful Aging.Journal of Gerontology, 50A, M177-M183.

    Google Scholar 

  • Seeman, T. E., Bruce, M. L., & McAvay, G. (1996). Social network characteristics and onset of ADL disability: MacArthur studies of successful aging.Journal of Gerontology, 51B, S191-S200.

    Google Scholar 

  • Stuck, A. E., Walthert, J. M., Nikolaus, T., Büla, C. J., Hohmann, C., & Beck, J. C. (1999). Risk factors for functional status decline in community-living elderly people: a systematic literature review.Social Science & Medicine, 48, 445–469.

    Article  Google Scholar 

  • Verbrugge, L. M., & Jette, A. M. (1994). The disablement process.Social Science & Medicine, 38, 1–14.

    Article  Google Scholar 

  • Verbrugge, L. M., Lepkowski, J. M., & Konkol, L. L. (1991). Levels of disability among U.S. adults with arthritis.Journal of Gerontology, 46, S71-S83.

    PubMed  Google Scholar 

  • Vuori, I. (1995). Exercise and physical health: Musculoskeletal health and functional capabilities.Research Quarterly for Exercise and Sports, 66, 276–285.

    Google Scholar 

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Avlund, K., Osler, M., Damsgaard, M.T. et al. The relations between musculoskeletal diseases and mobility among old people: are they influenced by socio-economic, psychosocial, and behavioral factors?. Int. J. Behav. Med. 7, 322–339 (2000). https://doi.org/10.1207/S15327558IJBM0704_04

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