Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA)
<i>Background and objectives:</i> Musculoskeletal (MSK) pain significantly impacts physical activity and quality of life in older adults, potentially influencing mortality. This study explored the relationship between MSK pain, physical activity, muscle mass, and mortality among older ad...
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MDPI AG
2024-03-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/3/462 |
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| author | Sun-Woo Hwang Chang-Woo Kim Yun-Jeong Jang Chang-Han Lee Min-Kyun Oh Ki-Woong Kim Hak-Chul Jang Jae-Young Lim Se-Woong Chun Seung-Kyu Lim |
| author_facet | Sun-Woo Hwang Chang-Woo Kim Yun-Jeong Jang Chang-Han Lee Min-Kyun Oh Ki-Woong Kim Hak-Chul Jang Jae-Young Lim Se-Woong Chun Seung-Kyu Lim |
| author_sort | Sun-Woo Hwang |
| collection | DOAJ |
| description | <i>Background and objectives:</i> Musculoskeletal (MSK) pain significantly impacts physical activity and quality of life in older adults, potentially influencing mortality. This study explored the relationship between MSK pain, physical activity, muscle mass, and mortality among older adults. <i>Material and Methods:</i> We studied 1000 participants in the Korean Longitudinal Study on Health and Aging (KLoSHA), a prospective, population-based cohort study of people aged 65 years or older. Survival status was tracked over a 5-year period. Correlations between low back pain (LBP), knee pain, regular exercise, appendicular skeletal muscle mass (ASM), and other variables were analyzed. Logistic regression analyses were used to identify independent risk factors for mortality. <i>Results:</i> Of the total participants, 829 (82.9%) survived over a 5-year period. Survivors tended to be younger, had a higher BMI, and were more active in regular exercise. In contrast, non-survivors exhibited a higher prevalence of both LBP and knee pain, along with increased instances of multiple MSK pains. Lower ASM correlated moderately with LBP and knee pain, whereas higher ASM was associated with regular exercise. There was a moderate correlation between LBP and knee pain, both of which were associated with a lack of regular exercise. Age, sex, ASM, and regular exercise were significant predictors, even though MSK pain itself did not directly predict all-cause mortality. <i>Conclusions:</i> This study demonstrated the independent association between ASM, regular exercise, and mortality. Although MSK pain did not directly correlate with all-cause mortality, the non-survivor group had higher levels of both single and multiple MSK pains. Recognizing the interplay of MSK pain, physical activity, and muscle mass for older adults, the research underscores the need for holistic strategies to enhance health outcomes in older individuals with MSK pain. |
| first_indexed | 2024-04-24T18:01:13Z |
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| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-04-24T18:01:13Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-1d74bdabe58d4a90a6242d8b27afada42024-03-27T13:53:43ZengMDPI AGMedicina1010-660X1648-91442024-03-0160346210.3390/medicina60030462Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA)Sun-Woo Hwang0Chang-Woo Kim1Yun-Jeong Jang2Chang-Han Lee3Min-Kyun Oh4Ki-Woong Kim5Hak-Chul Jang6Jae-Young Lim7Se-Woong Chun8Seung-Kyu Lim9Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Neurospsychiatry, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan 31151, Republic of Korea<i>Background and objectives:</i> Musculoskeletal (MSK) pain significantly impacts physical activity and quality of life in older adults, potentially influencing mortality. This study explored the relationship between MSK pain, physical activity, muscle mass, and mortality among older adults. <i>Material and Methods:</i> We studied 1000 participants in the Korean Longitudinal Study on Health and Aging (KLoSHA), a prospective, population-based cohort study of people aged 65 years or older. Survival status was tracked over a 5-year period. Correlations between low back pain (LBP), knee pain, regular exercise, appendicular skeletal muscle mass (ASM), and other variables were analyzed. Logistic regression analyses were used to identify independent risk factors for mortality. <i>Results:</i> Of the total participants, 829 (82.9%) survived over a 5-year period. Survivors tended to be younger, had a higher BMI, and were more active in regular exercise. In contrast, non-survivors exhibited a higher prevalence of both LBP and knee pain, along with increased instances of multiple MSK pains. Lower ASM correlated moderately with LBP and knee pain, whereas higher ASM was associated with regular exercise. There was a moderate correlation between LBP and knee pain, both of which were associated with a lack of regular exercise. Age, sex, ASM, and regular exercise were significant predictors, even though MSK pain itself did not directly predict all-cause mortality. <i>Conclusions:</i> This study demonstrated the independent association between ASM, regular exercise, and mortality. Although MSK pain did not directly correlate with all-cause mortality, the non-survivor group had higher levels of both single and multiple MSK pains. Recognizing the interplay of MSK pain, physical activity, and muscle mass for older adults, the research underscores the need for holistic strategies to enhance health outcomes in older individuals with MSK pain.https://www.mdpi.com/1648-9144/60/3/462low back painmusculoskeletal painexercisemuscleskeletalmortality |
| spellingShingle | Sun-Woo Hwang Chang-Woo Kim Yun-Jeong Jang Chang-Han Lee Min-Kyun Oh Ki-Woong Kim Hak-Chul Jang Jae-Young Lim Se-Woong Chun Seung-Kyu Lim Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) Medicina low back pain musculoskeletal pain exercise muscle skeletal mortality |
| title | Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) |
| title_full | Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) |
| title_fullStr | Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) |
| title_full_unstemmed | Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) |
| title_short | Musculoskeletal Pain, Physical Activity, Muscle Mass, and Mortality in Older Adults: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA) |
| title_sort | musculoskeletal pain physical activity muscle mass and mortality in older adults results from the korean longitudinal study on health and aging klosha |
| topic | low back pain musculoskeletal pain exercise muscle skeletal mortality |
| url | https://www.mdpi.com/1648-9144/60/3/462 |
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