TY - JOUR
T1 - Lumbopelvic Pain and Threats to Walking Ability in Well-Functioning Older Adults
T2 - Findings from the Baltimore Longitudinal Study of Aging
AU - Simonsick, Eleanor M.
AU - Aronson, Benjamin
AU - Schrack, Jennifer A.
AU - Hicks, Gregory E.
AU - Jerome, Gerald J.
AU - Patel, Kushang V.
AU - Studenski, Stephanie A.
AU - Ferrucci, Luigi
N1 - Publisher Copyright:
© 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society
PY - 2018/4
Y1 - 2018/4
N2 - Objectives: To examine the potential contribution of severity of lumbopelvic pain (LPP) in well-functioning older adults to poorer walking efficiency, lack of endurance, slower gait speed, and decline in these mobility parameters over 1 to 5 years. Design: Longitudinal analysis of Baltimore Longitudinal Study of Aging data. Setting: National Institute on Aging, Clinical Research Unit, Baltimore, Maryland. Participants: Well-functioning men and women aged 60 to 89 (N=878). Measurements: An interviewer-administered questionnaire was used to ascertain reported presence and severity of back and hip pain in the preceding 12 months and reported walking ability, including ease of walking a mile. Certified examiners assessed usual gait speed, the energetic cost of walking (oxygen consumption, mL per kg/m), and time taken to walk 400 m as quickly as possible. Covariates included sex, age, age-squared, race, height, weight, exercise, and smoking. Results: Overall, 31.4% had mild LPP, and 15.7% had moderate to severe LPP. In adjusted analyses, reported walking ability (p<.001), endurance walk performance (p=.007), and energetic cost of walking (p=.049) were worse with increasing LPP severity. Usual gait speed did not vary according to LPP (p=.31). Longitudinally, over an average 2.3 years, persons with new or sustained LPP had worse follow-up level, greater mean decline, and higher likelihood of meaningful decline in reported walking ability than persons free of LPP or whose LPP resolved. Walking performance did not differ according to LPP follow-up status. Conclusion: LPP was common in well-functioning older adults and was associated with greater energetic cost of walking and poorer perceived and observed walking endurance. The longitudinal effect of LPP is unclear, but worsening perception of walking ability and its contribution to future mobility loss warrants further attention.
AB - Objectives: To examine the potential contribution of severity of lumbopelvic pain (LPP) in well-functioning older adults to poorer walking efficiency, lack of endurance, slower gait speed, and decline in these mobility parameters over 1 to 5 years. Design: Longitudinal analysis of Baltimore Longitudinal Study of Aging data. Setting: National Institute on Aging, Clinical Research Unit, Baltimore, Maryland. Participants: Well-functioning men and women aged 60 to 89 (N=878). Measurements: An interviewer-administered questionnaire was used to ascertain reported presence and severity of back and hip pain in the preceding 12 months and reported walking ability, including ease of walking a mile. Certified examiners assessed usual gait speed, the energetic cost of walking (oxygen consumption, mL per kg/m), and time taken to walk 400 m as quickly as possible. Covariates included sex, age, age-squared, race, height, weight, exercise, and smoking. Results: Overall, 31.4% had mild LPP, and 15.7% had moderate to severe LPP. In adjusted analyses, reported walking ability (p<.001), endurance walk performance (p=.007), and energetic cost of walking (p=.049) were worse with increasing LPP severity. Usual gait speed did not vary according to LPP (p=.31). Longitudinally, over an average 2.3 years, persons with new or sustained LPP had worse follow-up level, greater mean decline, and higher likelihood of meaningful decline in reported walking ability than persons free of LPP or whose LPP resolved. Walking performance did not differ according to LPP follow-up status. Conclusion: LPP was common in well-functioning older adults and was associated with greater energetic cost of walking and poorer perceived and observed walking endurance. The longitudinal effect of LPP is unclear, but worsening perception of walking ability and its contribution to future mobility loss warrants further attention.
KW - back pain
KW - energetic cost
KW - reported walking ability
KW - walking endurance
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U2 - 10.1111/jgs.15280
DO - 10.1111/jgs.15280
M3 - Article
C2 - 29411349
AN - SCOPUS:85041685550
SN - 0002-8614
VL - 66
SP - 714
EP - 720
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 4
ER -