Pain, frailty and comorbidity on older men: the CHAMP study.

Abstract:

:Intrusive pain is likely to have a serious impact on older people with limited ability to respond to additional stressors. Frailty is conceptualised as a functional and biological pattern of decline accumulating across multiple physiological systems, resulting in a decreased capacity to respond to additional stressors. We explored the relationship between intrusive pain, frailty and comorbid burden in 1705 community-dwelling men aged 70 or more who participated in the baseline phase of the CHAMP study, a large epidemiological study of healthy ageing based in Sydney, Australia. 9.4% of men in the study were frail (according to the commonly-used Cardiovascular Health Study frailty criteria).Using a combination of self-report and clinical measures, we found an association between frailty and intrusive pain that remained after accounting for demographic characteristics, number of comorbidities, self-reported depressed mood and arthritis (adjusted odds ratio 1.7 (95% confidence interval (CI) 1.1-2.7), p=0.0149). The finding that adjusting for depressed mood, but not a history of arthritis, attenuated the relationship between frailty and intrusive pain points to a key role for central mechanisms. Additionally, men with the highest overall health burden (frail plus high comorbid burden) were most likely to report intrusive pain (adjusted odds ratio 3.0 (95% CI 1.6-5.5), p=0.0004). These findings provide support for the concept that intrusive pain is an important challenge for older men with limited capacity to respond to additional physical stressors. To our knowledge, this is the first study to explore specifically the relationship between pain and frailty.

journal_name

Pain

journal_title

Pain

authors

Blyth FM,Rochat S,Cumming RG,Creasey H,Handelsman DJ,Couteur DGL,Naganathan V,Sambrook PN,Seibel MJ,Waite LM

doi

10.1016/j.pain.2008.08.011

subject

Has Abstract

pub_date

2008-11-15 00:00:00

pages

224-230

issue

1

eissn

0304-3959

issn

1872-6623

pii

00006396-200811150-00022

journal_volume

140

pub_type

杂志文章

相关文献

PAIN文献大全
  • On the generalised embodiment of pain: how interoceptive sensitivity modulates cutaneous pain perception.

    abstract::Individual differences in interoceptive sensitivity are associated with differences in reported intensity of emotional experience, vulnerability to anxiety and mood disorder and capacity for emotional self-regulation. Enhanced sensitivity to autonomic state is often accompanied by increased autonomic reactivity. Here ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.04.030

    authors: Pollatos O,Füstös J,Critchley HD

    更新日期:2012-08-01 00:00:00

  • Localized sympathectomy reduces peripheral nerve regeneration and pain behaviors in 2 rat neuropathic pain models.

    abstract::Previous studies have shown that the peripheral nerve regeneration process is linked to pain in several neuropathic pain models. Other studies show that sympathetic blockade may relieve pain in some pain models and clinical conditions. This study examined reduction in peripheral nerve regeneration as one possible mech...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001887

    authors: Xie W,Strong JA,Zhang JM

    更新日期:2020-08-01 00:00:00

  • Behavioral and prophylactic pharmacological intervention studies of pediatric migraine: an exploratory meta-analysis.

    abstract::In this review, the effectiveness of behavioral and pharmacological treatments for pediatric migraine was quantitatively summarized following the meta-analytic approach outlined by Hedges and Olkin (1985). A first meta-analysis based on treatment outcome within treatment conditions revealed that thermal biofeedback an...

    journal_title:Pain

    pub_type: 杂志文章,meta分析

    doi:10.1016/0304-3959(94)00210-6

    authors: Hermann C,Kim M,Blanchard EB

    更新日期:1995-03-01 00:00:00

  • Changes in cortical evoked potentials as correlates of the efficacy of weak analgesics.

    abstract::The relationship between subjective measurements of pain (pain report and threshold of sensation) and evoked potentials following painful electrical stimulation of tooth pulp was evaluated after intake of different weak analgesics. These time-response curves for the dolorimetric parameters were correlated to the in vi...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(82)90178-6

    authors: Rohdewald P,Derendorf H,Drehsen G,Elger CE,Knoll O

    更新日期:1982-04-01 00:00:00

  • Paraplegia following coeliac plexus block.

    abstract::Coeliac plexus block (CPB) is one of the few neurolytic procedures that is still considered very useful in managing chronic cancer pain. We describe what we believe to be the fifth case in the literature of paraplegia following coeliac plexus block with ethyl alcohol. Clinical and neurophysiological examination confir...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90015-H

    authors: De Conno F,Caraceni A,Aldrighetti L,Magnani G,Ferla G,Comi G,Ventafridda V

    更新日期:1993-12-01 00:00:00

  • Sensitization of trigeminal brainstem pathways in a model for tear deficient dry eye.

    abstract::Chronic dry eye disease (DE) is associated with an unstable tear film and symptoms of ocular discomfort. The characteristics of symptoms suggest a key role for central neural processing; however, little is known about central neuroplasticity and DE. We used a model for tear deficient DE and assessed effects on eye bli...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000135

    authors: Rahman M,Okamoto K,Thompson R,Katagiri A,Bereiter DA

    更新日期:2015-05-01 00:00:00

  • Neuropathic pain after chronic nerve constriction may not correlate with chloride dysregulation in mouse trigeminal nucleus caudalis neurons.

    abstract::Changes in chloride reversal potential in rat spinal cord neurons have previously been associated with persistent pain in nerve injury and inflammation models. These changes correlate with a decrease in the expression of the potassium chloride transporter, KCC2, and with increases in neuronal excitability. Here, we te...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000926

    authors: Castro A,Li Y,Raver C,Chandra R,Masri R,Lobo MK,Keller A

    更新日期:2017-07-01 00:00:00

  • The development and testing of the depression, anxiety, and positive outlook scale (DAPOS).

    abstract::Measurement of depression and other mood states in pain patients has been criticised in recent years on the grounds that most questionnaires were not developed in pain populations and suffer from criterion contamination by somatic items. In addition, there is no accepted measurement for positive emotions which are mor...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2004.02.004

    authors: Pincus T,Williams AC,Vogel S,Field A

    更新日期:2004-05-01 00:00:00

  • The relationship of pain and depression to cognitive function in rheumatoid arthritis patients.

    abstract::The purpose of this study was to assess the hypothesis that pain and depression negatively impact the cognitive functioning of individuals with rheumatoid arthritis (RA). One hundred twenty-one community-dwelling RA patients (ages 34-84) completed a battery of cognitive tasks and multiple measures of pain and depressi...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(01)00457-2

    authors: Brown SC,Glass JM,Park DC

    更新日期:2002-04-01 00:00:00

  • Orofacial pain onset predicts transition to head and neck cancer.

    abstract::Contrary to a clinical aphorism that early head and neck cancer is painless, we show that patients who develop head and neck cancer experience significant pain at the time of initial diagnosis. We compared orofacial pain sensitivity in groups of patients with normal oral mucosa, oral precancer, and newly diagnosed ora...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2011.02.009

    authors: Lam DK,Schmidt BL

    更新日期:2011-05-01 00:00:00

  • The role of calcitonin gene-related peptide in peripheral and central pain mechanisms including migraine.

    abstract::Calcitonin gene-related peptide (CGRP) is a 37-amino acid peptide found primarily in the C and Aδ sensory fibers arising from the dorsal root and trigeminal ganglia, as well as the central nervous system. Calcitonin gene-related peptide was found to play important roles in cardiovascular, digestive, and sensory functi...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1097/j.pain.0000000000000831

    authors: Iyengar S,Ossipov MH,Johnson KW

    更新日期:2017-04-01 00:00:00

  • Antinociceptive effect of Brazilian armed spider venom toxin Tx3-3 in animal models of neuropathic pain.

    abstract::Venoms peptides have produced exceptional sources for drug development to treat pain. In this study we examined the antinociceptive and side effects of Tx3-3, a peptide toxin isolated from Phoneutria nigriventer venom, which inhibits high-voltage-dependent calcium channels (VDCC), preferentially P/Q and R-type VDCC. W...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2011.04.015

    authors: Dalmolin GD,Silva CR,Rigo FK,Gomes GM,do Nascimento Cordeiro M,Richardson M,Silva MAR,Prado MAM,Gomez MV,Ferreira J

    更新日期:2011-10-01 00:00:00

  • Discrepancies between registered and published primary outcome specifications in analgesic trials: ACTTION systematic review and recommendations.

    abstract::The National Institutes of Health released the trial registry ClinicalTrials.gov in 2000 to increase public reporting and clinical trial transparency. This systematic review examined whether registered primary outcome specifications (POS; ie, definitions, timing, and analytic plans) in analgesic treatment trials corre...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/j.pain.2013.08.011

    authors: Smith SM,Wang AT,Pereira A,Chang DR,McKeown A,Greene K,Rowbotham MC,Burke LB,Coplan P,Gilron I,Hertz SH,Katz NP,Lin AH,McDermott MP,Papadopoulos EJ,Rappaport BA,Sweeney M,Turk DC,Dworkin RH

    更新日期:2013-12-01 00:00:00

  • Body motion during repetitive isodynamic lifting: a comparative study of normal subjects and low-back pain patients.

    abstract::To quantify performance differences between patients with low-back pain (LBP) and a control group during their performance of a repetitive isodynamic lifting task. Case-control study was done. LBP patients were recruited and tested at an outpatient ambulatory chronic pain rehabilitation program before treatment was be...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(03)00247-1

    authors: Rudy TE,Boston JR,Lieber SJ,Kubinski JA,Stacey BR

    更新日期:2003-09-01 00:00:00

  • Effect of genetic knockout or pharmacologic inhibition of neuronal nitric oxide synthase on complete Freund's adjuvant-induced persistent pain.

    abstract::Nitric oxide (NO) acts as a neurotransmitter or neuromodulator involving in the modulation of thermal and/or inflammatory hyperalgesia. The neuronal nitric oxide synthase (nNOS) is a key enzyme for NO production in normal neuronal tissues, but its functional role in chronic pain remains unclear. The present study comb...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2005.09.024

    authors: Chu YC,Guan Y,Skinner J,Raja SN,Johns RA,Tao YX

    更新日期:2005-12-15 00:00:00

  • Acetazolamide and midazolam act synergistically to inhibit neuropathic pain.

    abstract::Treatment of neuropathic pain is a major clinical challenge that has been met with minimal success. After peripheral nerve injury, a decrease in the expression of the K-Cl cotransporter KCC2, a major neuronal Cl(-) extruder, leads to pathologic alterations in GABA(A) and glycine receptor function in the spinal cord. T...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2009.11.015

    authors: Asiedu M,Ossipov MH,Kaila K,Price TJ

    更新日期:2010-02-01 00:00:00

  • Comparable dose-dependent inhibition of AP-7 sensitive strychnine-induced allodynia and paw pinch-induced nociception by mexiletine in the rat.

    abstract::The blockade of spinal glycine receptors with intrathecal (i.t.) strychnine produces segmentally-localized allodynia in the rat; a reversible and highly reproducible effect that is attained without peripheral or central nerve injury. We investigated the effect of i.v. mexiletine, an orally active congener of lidocaine...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(97)00021-3

    authors: Khandwala H,Hodge E,Loomis CW

    更新日期:1997-09-01 00:00:00

  • Gabapentin selectively reduces persistent sodium current in injured type-A dorsal root ganglion neurons.

    abstract::It has been confirmed that the voltage-gated persistent sodium currents mediate the generation of subthreshold membrane potential oscillations (SMPOs) and contribute to shaping repetitive firing. Our previous study indicated that gabapentin (GBP) administration induced a dose-dependent inhibition of SMPO in chronicall...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2009.01.020

    authors: Yang RH,Wang WT,Chen JY,Xie RG,Hu SJ

    更新日期:2009-05-01 00:00:00

  • Putative mechanisms of buspirone-induced antinociception in the rat.

    abstract::Intraperitoneal administration of the serotonin 5-HT1A agonist, buspirone (1-5 mg/kg), produced dose- and time-related core hypothermia that was coincident with analgesia against a thermally noxious stimulus. Surface body temperature was not altered by buspirone. The 5-HT1A antagonist, NAN-190 (2 mg/kg, s.c.), blocked...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(92)90042-A

    authors: Giordano J,Rogers L

    更新日期:1992-09-01 00:00:00

  • Unity vs. diversity of neuropathic pain mechanisms: Allodynia and hyperalgesia in rats selected for heritable predisposition to spontaneous pain.

    abstract::Do contrasting neuropathic pain diagnoses share common pathophysiological mechanisms? Selective breeding was used to derive rat lines with a common genetic background but a striking difference in the degree of spontaneous pain behavior expressed in the neuroma model of neuropathic pain (HA rats (high autotomy) and LA ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2009.07.020

    authors: Ziv-Sefer S,Raber P,Barbash S,Devor M

    更新日期:2009-11-01 00:00:00

  • Intraplantar injection of nerve growth factor into the rat hind paw: local edema and effects on thermal nociceptive threshold.

    abstract::Nerve growth factor (NGF) is known to produce hyperalgesia as well as to stimulate synthesis of neuropeptides in dorsal root ganglia (DRG). In the present study, we wanted to determine the effects of local NGF administration and assess to which extent mast cell-dependent factors are mediating NGF responses. Rats recei...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(95)00120-4

    authors: Amann R,Schuligoi R,Herzeg G,Donnerer J

    更新日期:1996-02-01 00:00:00

  • Preprotachykinin A is expressed by a distinct population of excitatory neurons in the mouse superficial spinal dorsal horn including cells that respond to noxious and pruritic stimuli.

    abstract::The superficial dorsal horn, which is the main target for nociceptive and pruritoceptive primary afferents, contains a high density of excitatory interneurons. Our understanding of their roles in somatosensory processing has been restricted by the difficulty of distinguishing functional populations among these cells. ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000778

    authors: Gutierrez-Mecinas M,Bell AM,Marin A,Taylor R,Boyle KA,Furuta T,Watanabe M,Polgár E,Todd AJ

    更新日期:2017-03-01 00:00:00

  • From the gate to the neuromatrix.

    abstract::The gate control theory's most important contribution to understanding pain was its emphasis on central neural mechanisms. The theory forced the medical and biological sciences to accept the brain as an active system that filters, selects and modulates inputs. The dorsal horns, too, were not merely passive transmissio...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/S0304-3959(99)00145-1

    authors: Melzack R

    更新日期:1999-08-01 00:00:00

  • Modulation of nociceptive dural input to the trigeminocervical complex through GluK1 kainate receptors.

    abstract::Migraine is a common and disabling neurologic disorder, with important psychiatric comorbidities. Its pathophysiology involves activation of neurons in the trigeminocervical complex (TCC). Kainate receptors carrying the glutamate receptor subunit 5 (GluK1) are present in key brain areas involved in migraine pathophysi...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/01.j.pain.0000460325.25762.c0

    authors: Andreou AP,Holland PR,Lasalandra MP,Goadsby PJ

    更新日期:2015-03-01 00:00:00

  • Predictors for postpartum pelvic girdle pain in working women: the Mom@Work cohort study.

    abstract::The objective of this study was to examine which factors during pregnancy and postpartum predict pelvic girdle pain (PGP) at 12 weeks postpartum among working women. A total of 548 Dutch pregnant employees were recruited in 15 companies, mainly health care, child care, and supermarkets. The definition of PGP was any p...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pain.2012.08.003

    authors: Stomp-van den Berg SGM,Hendriksen IJM,Bruinvels DJ,Twisk JWR,van Mechelen W,van Poppel MNM

    更新日期:2012-12-01 00:00:00

  • Selective innervation of NK1 receptor-lacking lamina I spinoparabrachial neurons by presumed nonpeptidergic Aδ nociceptors in the rat.

    abstract::Fine myelinated (Aδ) nociceptors are responsible for fast, well-localised pain, but relatively little is known about their postsynaptic targets in the spinal cord, and therefore about their roles in the neuronal circuits that process nociceptive information. Here we show that transganglionically transported cholera to...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2014.08.023

    authors: Baseer N,Al-Baloushi AS,Watanabe M,Shehab SA,Todd AJ

    更新日期:2014-11-01 00:00:00

  • Autoimmunity against the β2 adrenergic receptor and muscarinic-2 receptor in complex regional pain syndrome.

    abstract::Complex regional pain syndrome (CRPS) is a painful condition affecting one or more extremities of the body, marked by a wide variety of symptoms and signs that are often difficult to manage because the pathophysiology is incompletely understood. Thus, diverse treatments might be ineffective. A recent report revealed t...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2011.06.012

    authors: Kohr D,Singh P,Tschernatsch M,Kaps M,Pouokam E,Diener M,Kummer W,Birklein F,Vincent A,Goebel A,Wallukat G,Blaes F

    更新日期:2011-12-01 00:00:00

  • Caffeine antinociception in the rat hot-plate and formalin tests and locomotor stimulation: involvement of noradrenergic mechanisms.

    abstract::The present study examined antinociception produced by systemic administration of caffeine in the rat hot-plate (HP) and formalin tests and addressed several aspects of the mechanism of action of caffeine. Locomotor activity was monitored throughout. Caffeine produced a dose-related antinociception the HP (50-100 mg/k...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(94)00169-F

    authors: Sawynok J,Reid AR,Doak GJ

    更新日期:1995-05-01 00:00:00

  • Laser heat stimulation of tiny skin areas adds valuable information to quantitative sensory testing in postherpetic neuralgia.

    abstract::Patients suffering from postherpetic neuralgia often complain about hypo- or hypersensation in the affected dermatome. The loss of thermal sensitivity has been demonstrated by quantitative sensory testing as being associated with small-fiber (Aδ- and C-fiber) deafferentation. We aimed to compare laser stimulation (rad...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.04.029

    authors: Franz M,Spohn D,Ritter A,Rolke R,Miltner WHR,Weiss T

    更新日期:2012-08-01 00:00:00

  • Chronic gynaecological pain: an exploration of medical attitudes.

    abstract::Women with chronic pelvic pain experience serious distress and lifestyle disruption. Confronted with a difficult condition to diagnose and treat effectively, doctors express a negative perception of this group of 'heartsink' patients. This study aimed to characterise medical attitudes towards the treatment of women wi...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(98)00104-3

    authors: Selfe SA,Van Vugt M,Stones WR

    更新日期:1998-08-01 00:00:00