Dataset Information

Sex Differences in Frail Older Adults with Foot Pain in a Spanish Population: An Observational Study.

ABSTRACT: Frailty is a condition that can increase the risk of falls. In addition, foot pain can influence older adults and affect their frail condition. The main objective was to measure the frailty degree in older adults in a Spanish population with foot pain from moderate to severe. METHOD:This is a cross-sectional descriptive study. A sample of people older than 60 years (n = 52), including 26 males and 26 females, were recruited, and frailty disability was measured using the 5-Frailty scale and the Edmonton Frailty scale (EFS). RESULTS:Spearman's correlation coefficients were categorized as weak (rs ? 0.40), moderate (0.41 ? rs ? 0.69), or strong (0.70 ? rs ? 1.00). There was a statistically significant correlation for the total score (p < 0.001) and most of the subscales of the 5-Frailty scale compared with the EFS, except for Mood (p > 0.05). In addition, females and males showed similar 5-Frailty and Edmonton Frail scales scores with no difference (p > 0.05). CONCLUSION:Foot pain above 5 points, i.e., from moderate to severe, does not affect the fragility more in one sex than another.

SUBMITTER: Navarro-Flores E

PROVIDER: S-EPMC7504268 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Sex Differences in Frail Older Adults with Foot Pain in a Spanish Population: An Observational Study.

Navarro-Flores Emmanuel E Romero-Morales Carlos C Becerro de Bengoa-Vallejo Ricardo R Rodríguez-Sanz David D Palomo-López Patricia P López-López Daniel D Losa-Iglesias Marta Elena ME Calvo-Lobo César C

International journal of environmental research and public health 20200824 17

Frailty is a condition that can increase the risk of falls. In addition, foot pain can influence older adults and affect their frail condition. The main objective was to measure the frailty degree in older adults in a Spanish population with foot pain from moderate to severe.<h4>Method</h4>This is a cross-sectional descriptive study. A sample of people older than 60 years (<i>n</i> = 52), including 26 males and 26 females, were recruited, and frailty disability was measured using the 5-Frailty s ...[more]

PMID: 32847063

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Project description:IntroductionPhysical activity (PA) is important for healthy ageing. Better insight into objectively measured PA levels in older adults is needed, since most previous studies employed self-report measures for PA assessment, which are associated with overestimation of PA.AimThis study aimed to provide insight in objectively measured indoor and outdoor PA of older adults, and in PA differences by frailty levels.MethodsData were collected among non-frail (N = 74) and frail (N = 10) subjects, aged 65 to 89 years. PA, measured for seven days with accelerometers and GPS-devices, was categorized into three levels of intensity (sedentary, light, and moderate-to-vigorous PA).ResultsOlder adults spent most time in sedentary and light PA. Subjects spent 84.7%, 15.1% and 0.2% per day in sedentary, light and moderate-to-vigorous PA respectively. On average, older adults spent 9.8 (SD 23.7) minutes per week in moderate-to-vigorous activity, and 747.0 (SD 389.6) minutes per week in light activity. None of the subjects met the WHO recommendations of 150 weekly minutes of moderate-to-vigorous PA. Age-, sex- and health status-adjusted results revealed no differences in PA between non-frail and frail older adults. Subjects spent significantly more sedentary time at home, than not at home. Non-frail subjects spent significantly more time not at home during moderate-to-vigorous activities, than at home.ConclusionsObjective assessment of PA in older adults revealed that most PA was of light intensity, and time spent in moderate-to-vigorous PA was very low. None of the older adults met the World Health Organization recommendations for PA. These levels of MVPA are much lower than generally reported based on self-reported PA. Future studies should employ objective methods, and age specific thresholds for healthy PA levels in older adults are needed. These results emphasize the need for effective strategies for healthy PA levels for the growing proportion of older adults.

Project description:ObjectiveA long-standing hypothesis is that when compared with males, females may be at increased risk of experiencing greater pain sensitivity and unpleasantness. The purpose of this study was to examine sex differences in pain psychophysics and resting state functional connectivity (RSFC) in core pain regions in an age- and sex-matched sample of healthy older adults.DesignBetween groups, cross-sectional.SettingVanderbilt University and Medical Center.SubjectsThe sample in the analyses reported here consisted of 19 cognitively intact males matched with 19 cognitively intact females of similar ages (median ages: females = 70 years, males = 68 years).MethodsPsychophysical assessment of experimental thermal pain and RSFC.ResultsThere were no significant differences in perceptual thresholds or unpleasantness ratings in response to thermal stimuli. Older males showed greater RSFC between the affective and sensory networks and between affective and descending modulatory networks. Conversely, older females showed greater RSFC between the descending modulatory network and both sensory and affective networks. The strongest evidence for sex differences emerged in the associations of thermal pain with RSFC between the anterior cingulate cortex (ACC) and amygdala and between the ACC and periaqueductal gray matter in older females relative to older males.ConclusionsWe found no differences in pain sensitivity or pain affect between older males and older females. Additionally, we found that older females exhibited a greater association between thermal pain sensitivity and RSFC signal between regions typically associated with pain affect and the descending modulatory system. One interpretation of these findings is that older females may better engage the descending pain modulatory system. This better engagement possibly translates into older females having similar perceptual thresholds for temperature sensitivity and unpleasantness associated with mild and moderate pain. These findings contrast with studies demonstrating that younger females find thermal pain more sensitive and more unpleasant.

Dataset Information

Sex Differences in Frail Older Adults with Foot Pain in a Spanish Population: An Observational Study.

Publications

Sex Differences in Frail Older Adults with Foot Pain in a Spanish Population: An Observational Study.

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