Chronic pain in older people: focus on sarcopenia
Chronic pain among the elderly aged 60 years and above is one of the «big» geriatric syndromes, and has great prognostic significance in relation to cognitive, functional and physical status.The loss of muscle strength, mass (sarcopenia) is one of the important components of chronic pain syndromes i...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2019-08-01
|
| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/3141 |
| _version_ | 1827961674427006976 |
|---|---|
| author | A. V. Naumov V. I. Moroz N. O. Khovasova T. M. Manevich M. M.-B. Balaeva D. V. Demenok O. N. Tkacheva |
| author_facet | A. V. Naumov V. I. Moroz N. O. Khovasova T. M. Manevich M. M.-B. Balaeva D. V. Demenok O. N. Tkacheva |
| author_sort | A. V. Naumov |
| collection | DOAJ |
| description | Chronic pain among the elderly aged 60 years and above is one of the «big» geriatric syndromes, and has great prognostic significance in relation to cognitive, functional and physical status.The loss of muscle strength, mass (sarcopenia) is one of the important components of chronic pain syndromes in elderly patients. Pathological findings were demonstrated by own observation of 116 patients in the geriatric unit aged 75,667.98 years (110 women, 94.8%). Most patients had a combination of several geriatric syndromes, an average of which accounted for 6.6. Among them, there were falls - 72 (62.1%), chronic pain - 85 (73.3%), senile asthenia - 51 (43.9%), etc. In most cases, chronic pain was due to osteoarthritis. According to the dynamometry data, a decrease in muscle strength was found in 45.9% of cases, without chronic pain syndrome in 9.7% of cases among patients with chronic pain syndrome. Thus, prevalence rates of decreased muscle strength were higher in patients with chronic pain, than in patients without pain. In addition, a significantly lower walking speed was found, which indicates a poor prognosis in patients of older age groups.Sarcopenia and chronic pain treatment programs for elderly patients contain a number of evidence points: therapeutic exercises, adequate intake of calories and protein, vitamin D3, reduction of the number of drugs, chondroitin sulfate (Chondrogard), glucosamine sulfate (Sustagard Artro). This program, being multicomponent, should be long and regular. |
| first_indexed | 2024-04-09T16:31:30Z |
| format | Article |
| id | doaj.art-141760905e2d4d6086a90eec7cf68fa1 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:31:30Z |
| publishDate | 2019-08-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-141760905e2d4d6086a90eec7cf68fa12023-04-23T06:57:05ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902019-08-0101210611410.21518/2079-701X-2019-12-106-1143048Chronic pain in older people: focus on sarcopeniaA. V. Naumov0V. I. Moroz1N. O. Khovasova2T. M. Manevich3M. M.-B. Balaeva4D. V. Demenok5O. N. Tkacheva6Federal State Budgetary Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation; Autonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaAutonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaFederal State Budgetary Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation; Autonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaAutonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaFederal State Budgetary Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian FederationAutonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaFederal State Budgetary Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation; Autonomous Structural Subdivision «Russian Gerontological Research and Clinical Center», Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of RussiaChronic pain among the elderly aged 60 years and above is one of the «big» geriatric syndromes, and has great prognostic significance in relation to cognitive, functional and physical status.The loss of muscle strength, mass (sarcopenia) is one of the important components of chronic pain syndromes in elderly patients. Pathological findings were demonstrated by own observation of 116 patients in the geriatric unit aged 75,667.98 years (110 women, 94.8%). Most patients had a combination of several geriatric syndromes, an average of which accounted for 6.6. Among them, there were falls - 72 (62.1%), chronic pain - 85 (73.3%), senile asthenia - 51 (43.9%), etc. In most cases, chronic pain was due to osteoarthritis. According to the dynamometry data, a decrease in muscle strength was found in 45.9% of cases, without chronic pain syndrome in 9.7% of cases among patients with chronic pain syndrome. Thus, prevalence rates of decreased muscle strength were higher in patients with chronic pain, than in patients without pain. In addition, a significantly lower walking speed was found, which indicates a poor prognosis in patients of older age groups.Sarcopenia and chronic pain treatment programs for elderly patients contain a number of evidence points: therapeutic exercises, adequate intake of calories and protein, vitamin D3, reduction of the number of drugs, chondroitin sulfate (Chondrogard), glucosamine sulfate (Sustagard Artro). This program, being multicomponent, should be long and regular.https://www.med-sovet.pro/jour/article/view/3141painchronic paingeriatric syndromedinopeniasarcopeniaphysical functioning of patientsosteoarthritisback painmusculoskeletal diseaseschondroitin sulphate (chondroguard®)glucosamine sulphate (sustaguard® artro) |
| spellingShingle | A. V. Naumov V. I. Moroz N. O. Khovasova T. M. Manevich M. M.-B. Balaeva D. V. Demenok O. N. Tkacheva Chronic pain in older people: focus on sarcopenia Медицинский совет pain chronic pain geriatric syndrome dinopenia sarcopenia physical functioning of patients osteoarthritis back pain musculoskeletal diseases chondroitin sulphate (chondroguard®) glucosamine sulphate (sustaguard® artro) |
| title | Chronic pain in older people: focus on sarcopenia |
| title_full | Chronic pain in older people: focus on sarcopenia |
| title_fullStr | Chronic pain in older people: focus on sarcopenia |
| title_full_unstemmed | Chronic pain in older people: focus on sarcopenia |
| title_short | Chronic pain in older people: focus on sarcopenia |
| title_sort | chronic pain in older people focus on sarcopenia |
| topic | pain chronic pain geriatric syndrome dinopenia sarcopenia physical functioning of patients osteoarthritis back pain musculoskeletal diseases chondroitin sulphate (chondroguard®) glucosamine sulphate (sustaguard® artro) |
| url | https://www.med-sovet.pro/jour/article/view/3141 |
| work_keys_str_mv | AT avnaumov chronicpaininolderpeoplefocusonsarcopenia AT vimoroz chronicpaininolderpeoplefocusonsarcopenia AT nokhovasova chronicpaininolderpeoplefocusonsarcopenia AT tmmanevich chronicpaininolderpeoplefocusonsarcopenia AT mmbbalaeva chronicpaininolderpeoplefocusonsarcopenia AT dvdemenok chronicpaininolderpeoplefocusonsarcopenia AT ontkacheva chronicpaininolderpeoplefocusonsarcopenia |