Article, 2024
Long-term trajectories of low back pain in older men: A prospective cohort study with 10-year analysis of the MrOS Study
The Journals of Gerontology Series A,
ISSN
1758-535X,
1079-5006,
Page glae175,
10.1093/gerona/glae175
Contributors
Mcnaughton, David T
0000-0001-5842-877X
(Corresponding author)
[1]
[2]
Roseen, Eric J
0000-0002-3240-6756
[3]
[4]
Patel, Sheena M
[5]
Downie, Aron Simon
0000-0002-9888-3854
[2]
Øverås, Cecilie Krage
0000-0002-4395-8265
[6]
Nim, Casper Glissmann
0000-0001-5845-2622
[7]
[8]
Harsted, Steen
0000-0002-1879-2224
[7]
[8]
Jenkins, Hazel J
0000-0002-0535-687X
[2]
Young, James Justin
0000-0003-1210-3106
[8]
[9]
Hartvigsen, Jan
[8]
Wong, Jessica J
[10]
Stone, Katie L
0000-0003-2797-3171
[5]
[11]
Ensrud, Kristine E
0000-0002-9069-3036
[12]
Lee, Soomi
0000-0002-7623-3770
[13]
Cawthon, Peggy Mannen
0000-0003-4938-9478
[5]
[11]
Fink, Howard A
[12]
[14]
[15]
group, Osteoporotic Fractures in Men LBP research
[1]
Affiliations
- [1]
Central Queensland University
[NORA names:
Australia; Oceania; OECD];
- [2]
Macquarie University
[NORA names:
Australia; Oceania; OECD];
- [3]
Boston Medical Center
[NORA names:
United States; America, North; OECD];
- [4]
VA Boston Healthcare System
[NORA names:
United States; America, North; OECD];
- [5]
California Pacific Medical Center
[NORA names:
United States; America, North; OECD];
(... more)
- [6]
Norwegian University of Science and Technology
[NORA names:
Norway; Europe, Non-EU; Nordic; OECD];
- [7]
Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Middelfart, Denmark
[NORA names:
Denmark; Europe, EU; Nordic; OECD];
- [8]
University of Southern Denmark
[NORA names:
SDU University of Southern Denmark;
University; Denmark; Europe, EU; Nordic; OECD];
- [9]
University Health Network
[NORA names:
Canada; America, North; OECD];
- [10]
University of Ontario Institute of Technology
[NORA names:
Canada; America, North; OECD];
- [11]
University of California, San Francisco
[NORA names:
United States; America, North; OECD];
- [12]
University of Minnesota
[NORA names:
United States; America, North; OECD];
- [13]
Pennsylvania State University
[NORA names:
United States; America, North; OECD];
- [14]
Geriatric Research Education and Clinical Center
[NORA names:
United States; America, North; OECD];
- [15]
Minneapolis VA Health Care System
[NORA names:
United States; America, North; OECD]
(less)
Abstract
While low back pain (LBP) may persist or recur over time, few studies have evaluated the individual course of LBP over a long-term period, particularly among older adults. Based on data from the longitudinal Osteoporotic Fractures in Men (MrOS) study, we aimed to identify and describe different LBP trajectories in older men and characterize members in each trajectory group. A total of 5,976 community-dwelling men (mean age=74.2) enrolled at six US sites were analyzed. Participants self-reported LBP (yes/no) every 4 months during a maximum of 10 years. Latent class growth modelling was performed to identify unique LBP trajectory groups that explained variation in the LBP data. The association of baseline characteristics with trajectory group membership was assessed using univariable and multivariable multinominal logistic regression. A five-class solution was chosen; no/rare LBP (n=2442/40.9%), low frequency-stable LBP (n=1040/17.4%), low frequency-increasing LBP (n=719/12%), moderate frequency-decreasing LBP (n=745/12.5%) and high frequency-stable LBP (n=1030/17.2%). History of falls (OR=1.52), history of LBP (OR=6.37), higher physical impairment (OR=1.51-2.85) and worse psychological function (OR=1.41-1.62) at baseline were all associated with worse LBP trajectory groups in this sample of older men. These findings present an opportunity for targeted interventions and/or management to older men with worse or increasing LBP trajectories and associated modifiable risk factors, to reduce the impact of LBP and improve quality of life.
Keywords
Men,
MrOS,
MrOS study,
US sites,
adults,
analysis,
association,
association of baseline characteristics,
back pain,
baseline,
baseline characteristics,
characteristics,
characterized members,
cohort study,
community-dwelling men,
course,
course of LBP,
data,
factors,
fall,
findings,
five-class solution,
fracture,
function,
group,
group membership,
growth model,
history,
history of falls,
history of low back pain,
impact,
impact of low back pain,
impairment,
improve quality,
improve quality of life,
intervention,
latent class growth modeling,
life,
logistic regression,
long-term period,
long-term trajectories,
low back pain,
low back pain data,
low back pain trajectory,
management,
maximum,
members,
membership,
men,
model,
modifiable risk factors,
months,
multinominal logistic regression,
older adults,
older men,
osteoporotic fractures,
pain,
participants,
period,
physical impairment,
prospective cohort study,
psychological functioning,
quality of life,
regression,
risk factors,
sample of older men,
samples,
self-reported low back pain,
sites,
solution,
study,
targeted interventions,
trajectories of low back pain,
trajectory,
trajectory group membership,
trajectory groups,
variation,
years,
yes/no
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