TY  - JOUR
PY  - 2024//
TI  - Multisite pain and intensity were associated with history fall among older adults: a cross-sectional study
JO  - Journal of multidisciplinary healthcare [electronic resource]
A1  - Alrawaili, Saud M.
A1  - Alkhathami, Khalid M.
A1  - Elsehrawy, Mohamed G.
A1  - Obaidat, Sakher M.
A1  - Alhwoaimel, Norah A.
A1  - Alenazi, Aqeel M.
SP  - 1241
EP  - 1250
VL  - 17
IS  - 
N2  - PURPOSE: This study examined the independent associations among multisite pain, pain intensity, and the risk of falls, including a history of falls in the previous 12 months and frequent falls (≥ two falls vs one or two falls) among community-dwelling older adults. <br><br>METHODS: A cross-sectional design from Wave 2 of the National Social Life, Health, and Aging Project was used. Data on pain intensity and location (45 sites) over the past 4 weeks were collected. Multisite pain was categorized into four groups: none, one, two, and three or more sites. The main outcomes of falls were a history of falls and frequent falls. The covariates included age, sex, race, body mass index, education, medications, and comorbidities. <br><br>RESULTS: Among 3,196 participants in Wave 2, 2,697 were included because of missing key variables related to pain and fall history. The prevalence of falls and frequent falls were 30.3% (n = 817) and 12.6% (n = 339), respectively. Multisite pain at ≥ three sites (odds ratio (OR) 2.04, confidence interval (CI) [1.62, 2.57]; p < 0.001) and two sites (OR 1.72, 95% CI [1.30, 2.27]; p < 0.001) was significantly associated with an increased risk of falls. An increase in pain intensity was significantly associated with an increased risk of fall (OR 1.28, 95% CI [1.15, 1.44], p < 0.001), independent of multisite pain. Multisite pain at ≥3 sites (OR 2.19, 95% CI [1.56, 3.07], p < 0.001) and 2 sites (OR 1.54, 95% CI [1.01, 2.34], p = 0.045) was associated with an increased risk of frequent falls. An increase in pain intensity was associated with risk of frequent falls (OR 1.64, 95% CI [1.40, 1.91], p < 0.001), independent of multisite pain. <br><br>CONCLUSION: Multisite pain and pain intensity were associated with a history of falls and frequent falls among older adults, emphasizing the need for routine pain evaluation to develop fall prevention strategies in this population.<p />  <p>Language: en</p>
LA  - en
SN  - 1178-2390
UR  - http://dx.doi.org/10.2147/JMDH.S449531
ID  - ref1
ER  -