Joint bone spine · 2025
The impact of older age on the relation between chronic musculoskeletal pain and health-related quality of life: The Maastricht Study.
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Truijen Saskia P M, Boonen Annelies, van der Kallen Carla J H, Koster Annemarie, Bosma Hans, van Onna Marloes
Аннотация
OBJECTIVE: To test the hypothesis that older age negatively impacts the association between chronic musculoskeletal pain (MSP) and health-related quality of life (HRQoL).
METHODS: Cross-sectional data of 8618 participants aged 40-75 years from the population-based Maastricht Study cohort was used. Chronic MSP presence was self-reported. Pain intensity was measured on a 0-10 scale (10: unbearable pain). Age (seven groups) and chronic MSP (intensity) were regressed in multivariable analyses on (components of) HRQoL: the mental (MCS) and physical component score (PCS) of the 36-item Short Form Survey (SF-36), the EuroQol-VAS measuring overall HRQoL, and (un)paid work days lost in the past six months. Interactions between age groups and chronic MSP were examined.
RESULTS: Chronic MSP was reported by 2513/8618 (29%) participants and was associated with worse PCS (β=-7.4, 95%CI: -7.8 to -7.1), MCS (β=-1.8, 95%CI: -2.2 to -1.5), EuroQol-VAS (β=-7.9, 95%CI: -8.9 to -7.0), and a higher likelihood of unproductive days (OR=2.1, 95%CI:1.9-2.4). An interaction between age group and MSP was only observed for mental health: The negative impact of MSP on mental health was lower in individuals aged 70-75 years (β=-0.4, 95%CI: -1.3 to 0.6) compared to those aged 40-44 years (β=-3.1, 95%CI: -5.0 to -1.2) (pinteraction<0.05). Age>60 years was associated with fewer unproductive days, independent of MSP (ORrange age groups: 0.6 to 0.3; all P<0.01).
CONCLUSION: Although chronic MSP negatively affects physical and mental health as well as work productivity, our findings suggest an unexpected resilience in mental HRQoL among older adults.
METHODS: Cross-sectional data of 8618 participants aged 40-75 years from the population-based Maastricht Study cohort was used. Chronic MSP presence was self-reported. Pain intensity was measured on a 0-10 scale (10: unbearable pain). Age (seven groups) and chronic MSP (intensity) were regressed in multivariable analyses on (components of) HRQoL: the mental (MCS) and physical component score (PCS) of the 36-item Short Form Survey (SF-36), the EuroQol-VAS measuring overall HRQoL, and (un)paid work days lost in the past six months. Interactions between age groups and chronic MSP were examined.
RESULTS: Chronic MSP was reported by 2513/8618 (29%) participants and was associated with worse PCS (β=-7.4, 95%CI: -7.8 to -7.1), MCS (β=-1.8, 95%CI: -2.2 to -1.5), EuroQol-VAS (β=-7.9, 95%CI: -8.9 to -7.0), and a higher likelihood of unproductive days (OR=2.1, 95%CI:1.9-2.4). An interaction between age group and MSP was only observed for mental health: The negative impact of MSP on mental health was lower in individuals aged 70-75 years (β=-0.4, 95%CI: -1.3 to 0.6) compared to those aged 40-44 years (β=-3.1, 95%CI: -5.0 to -1.2) (pinteraction<0.05). Age>60 years was associated with fewer unproductive days, independent of MSP (ORrange age groups: 0.6 to 0.3; all P<0.01).
CONCLUSION: Although chronic MSP negatively affects physical and mental health as well as work productivity, our findings suggest an unexpected resilience in mental HRQoL among older adults.