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Association of pain phenotypes with risk of falls and incident fractures
Citation
Devine, MP and Ma, C and Tian, J and Antony, B and Cicuttini, F and Jones, G and Pan, F, Association of pain phenotypes with risk of falls and incident fractures, Biomedicines, 10, (11) Article 2924. ISSN 2227-9059 (2022) [Refereed Article]
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Copyright Statement
© 2022. The Authors. Licensee MDPI, Basel, Switzerland. This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License (https://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
DOI: doi:10.3390/biomedicines10112924
Abstract
Methods:Data on 915 participants (mean age 63 years) from a population-based cohort study were studied at baseline and follow-ups at 2.6, 5.1 and 10.7 years. Three pain phenotypes were previously identified using the latent class analysis: Class 1: high prevalence of emotional problems and low prevalence of structural damage; Class 2: high prevalence of structural damage and low prevalence of emotional problems; Class 3: low prevalence of emotional problems and low prevalence of structural damage. Fractures were self-reported and falls risk score was measured using the Physiological Profile Assessment. Generalized estimating equations model and linear mixed-effects model were used to compare differences in incident fractures and falls risk score over 10.7 years between pain phenotypes, respectively.
Results:There were 3 new hip, 19 vertebral, and 121 non-vertebral fractures, and 138 any site fractures during 10.7-year follow-up. Compared with Class 3, Class 1 had a higher risk of vertebral (relative risk (RR) = 2.44, 95%CI: 1.22–4.91), non-vertebral fractures (RR = 1.20, 95%CI: 1.01–1.42), and any site fractures (RR = 1.24, 95%CI: 1.04–1.46) after controlling for covariates, bone mineral density and falls risk score. Class 2 had a higher risk of non-vertebral and any site fracture relative to those in Class 3 (non-vertebral: RR = 1.41, 95%CI: 1.17–1.71; any site: RR = 1.44, 95%CI: 1.20–1.73), but not vertebral fracture. Compared with Class 3, Class 1 had a higher falls risk score at baseline (β = 0.16, 95%CI: 0.09–0.23) and over 10.7-year (β = 0.03, 95%CI: 0.01–0.04).
Conclusions: Class 1 and/or Class 2 had a higher risk of incident fractures and falls risk score than Class 3, highlighting that targeted preventive strategies for fractures and falls are needed in pain population.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | falls risk; incident fractures; pain phenotypes |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Clinical sciences |
| Research Field: | Pain |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Prevention of human diseases and conditions |
| UTAS Author: | Devine, MP (Mr Maxim Devine) |
| UTAS Author: | Ma, C (Ms Canchen Ma) |
| UTAS Author: | Tian, J (Dr Jing Tian) |
| UTAS Author: | Antony, B (Dr Benny Eathakkattu Antony) |
| UTAS Author: | Jones, G (Professor Graeme Jones) |
| UTAS Author: | Pan, F (Dr Feng Pan) |
| ID Code: | 154259 |
| Year Published: | 2022 |
| Funding Support: | National Health and Medical Research Council (1157535) |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2022-11-16 |
| Last Modified: | 2022-12-23 |
| Downloads: | 1 View Download Statistics |
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