title: Nutritional Risk is Associated with Chronic Musculoskeletal Pain in Community-dwelling Older Persons: The PAINEL Study.
abstract: Malnutrition is a risk factor for noncommunicable diseases related to ageing, and it can also contribute to musculoskeletal health. This study investigated whether nutritional risk is associated with chronic musculoskeletal pain in community-dwelling older persons. Nutritional risk was assessed by the DETERMINE Checklist. Chronic musculoskeletal pain was defined as the presence of pain in the past six months that did not disappear for at least 30 consecutive days. Multivariate logistic regression including confounding variables was used for the analysis. The sample was comprised of 383 participants (age 75.6 ± SD 6.1); the majority were at moderate-to-high nutritional risk (69%) and approximately one third presented chronic musculoskeletal pain (30%). The nutritional risk score was independently associated with chronic musculoskeletal pain: adding one unit in the risk score produces an 11% increment in the odds of presenting pain (OR 1.109, 95% CI 1.022-1.204). Individuals classified into moderate- or high-risk categories also had substantially higher odds (∼90%) of presenting chronic musculoskeletal pain when compared to those in the low-risk category, although our findings were only marginally significant. This is the first study to demonstrate the association between nutritional risk and chronic musculoskeletal pain above and beyond the contributed effects from relevant confounders.
authors.affiliation: a Faculty of Medicine , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Aline
authors.initials: A
authors.lastname: Bárbara Pereira Costa
authors.affiliation: a Faculty of Medicine , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Luciana
authors.initials: L
authors.lastname: Andrade Carneiro Machado
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: João
authors.initials: J
authors.lastname: Marcos Domingues Dias
authors.affiliation: c Institute of Biological and Health Sciences , Pontifical Catholic University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Adriana
authors.initials: A
authors.lastname: Keller Coelho de Oliveira
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Joana
authors.initials: J
authors.lastname: Ude Viana
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.|d Department of Physical Therapy , Federal University of Alfenas , Alfenas , Brazil.
authors.forename: Sílvia Lanziotti Azevedo
authors.initials: SL
authors.lastname: da Silva
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Flávia
authors.initials: F
authors.lastname: Gonçalves Pereira Couto
authors.affiliation: a Faculty of Medicine , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Juliana
authors.initials: J
authors.lastname: Lustosa Torres
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Liliane P
authors.initials: LP
authors.lastname: Mendes
authors.affiliation: b Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil.
authors.forename: Rosangela
authors.initials: R
authors.lastname: Correa Dias
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D015992:Body Mass Index; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D044342:Malnutrition / Q000150:complications* / Q000503:physiopathology; D059352:Musculoskeletal Pain / Q000209:etiology*; D009752:Nutritional Status; D016017:Odds Ratio; D012307:Risk Factors
keywords: Ageing; chronic pain; community-dwelling elders; malnutrition; musculoskeletal disorders