{"id":{"repo_id":"utmb","oai_identifier":"oai:utmb-ir.tdl.org:2152.3/11230"},"canonical_url":"https://search.dev.ndltd.org/etd/utmb/oai:utmb-ir.tdl.org:2152.3/11230","repository":{"repo_id":"utmb","name":"University of Texas Medical Branch","base_url":"https://utmb-ir.tdl.org/server/oai/request"},"display":{"title":"Pain, Disablement Process and Frailty among Older Adults in the United States: Findings from the National Health and Aging Trends Study","abstract":"Background: Musculoskeletal pain is highly prevalent among older adults and the most common cause of disability. Objectives: To examine 1) whether sociodemographic characteristics, comorbidities, depression, obesity and sleep complaints are independently associated with pain; 2) the effect of pain on upper-lower extremity functional limitation and disability; and 3) the effect of pain on frailty over 6-years pf follow-up among older adults. Design: Longitudinal study. Subjects: 5,716 participants aged 65 years and older from the National Health and Aging Trends Study (2011-2017) with complete information on pain and all the covariates of interest. Measures: Pain and pain location (shoulder, wrist, hand, hips, knees, ankle, neck, and back) are the independent variables. Socio-demographics (age, gender, marital status, race/ethnicity and years of formal education), sleep complaints, depression, body mass index, and comorbidities are covariates. The outcome measures were: pain, upper-lower extremity functional limitation, limitations in activities of daily living (ADL’s), and frailty. Analysis: Descriptive statistics were used to compare sample characteristics by pain and outcome variables. General estimation equations models were performed to examine predictors of pain and pain as predictor of upper-lower extremity functional limitations, ADL disability, and frailty over time. Results: Prevalence of pain in American older adults was 52.3% at baseline. The most prevalent pain location was knee (41.3%), followed by back (37.4%) and shoulder (32.3%). The odds of reporting pain were 0.99 (95% CI 0.97-1.01) over time. Pain was an independent predictor of upper extremity (UE) functional limitations (OR 1.90, 95% CI-1.66-2.16), lower extremity (LE) functional limitations (OR 1.52, 95% CI 1.42-1.63), ADL disability (OR 1.82, 95% CI 1.58-2.09), and frailty (OR 1.86, 95% CI 1.60-2.16) over time. Conclusions: Prevalence of pain among American older adults was high (52%). Pain is a strong independent predictor of functional limitations, ADL disability, and frailty. These findings suggest that early intervention and better management of pain is needed to prevent/delay disability and frailty, enhance patient management, allocation of health care resources, maintain independence and lower the burden of pain in this population.","abstract_html":"Background: Musculoskeletal pain is highly prevalent among older adults and the most common cause of disability. Objectives: To examine 1) whether sociodemographic characteristics, comorbidities, depression, obesity and sleep complaints are independently associated with pain; 2) the effect of pain on upper-lower extremity functional limitation and disability; and 3) the effect of pain on frailty over 6-years pf follow-up among older adults. Design: Longitudinal study. Subjects: 5,716 participants aged 65 years and older from the National Health and Aging Trends Study (2011-2017) with complete information on pain and all the covariates of interest. Measures: Pain and pain location (shoulder, wrist, hand, hips, knees, ankle, neck, and back) are the independent variables. Socio-demographics (age, gender, marital status, race/ethnicity and years of formal education), sleep complaints, depression, body mass index, and comorbidities are covariates. The outcome measures were: pain, upper-lower extremity functional limitation, limitations in activities of daily living (ADL’s), and frailty. Analysis: Descriptive statistics were used to compare sample characteristics by pain and outcome variables. General estimation equations models were performed to examine predictors of pain and pain as predictor of upper-lower extremity functional limitations, ADL disability, and frailty over time. Results: Prevalence of pain in American older adults was 52.3% at baseline. The most prevalent pain location was knee (41.3%), followed by back (37.4%) and shoulder (32.3%). The odds of reporting pain were 0.99 (95% CI 0.97-1.01) over time. Pain was an independent predictor of upper extremity (UE) functional limitations (OR 1.90, 95% CI-1.66-2.16), lower extremity (LE) functional limitations (OR 1.52, 95% CI 1.42-1.63), ADL disability (OR 1.82, 95% CI 1.58-2.09), and frailty (OR 1.86, 95% CI 1.60-2.16) over time. Conclusions: Prevalence of pain among American older adults was high (52%). Pain is a strong independent predictor of functional limitations, ADL disability, and frailty. These findings suggest that early intervention and better management of pain is needed to prevent/delay disability and frailty, enhance patient management, allocation of health care resources, maintain independence and lower the burden of pain in this population.","abstract_has_math":false,"creators":["Sodhi, Jaspreet KAUR"],"institution":"The University of Texas Medical Branch at Galveston","degree_name":"Rehabilitation Science","degree_level":"Doctoral","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":null,"date_issued":"","date_published":null,"updated_at":"2026-07-24T05:51:09Z","subjects":["Pain","Functional limitation","Disability","Frailty","American older adults"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2152.3/11230","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Sodhi, Jaspreet KAUR"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2020-03-13T21:34:11Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2020-03-13T21:34:11Z"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Rehabilitation Science"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["The University of Texas Medical Branch at Galveston"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Pain","Functional limitation","Disability","Frailty","American older adults"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/2152.3/11230"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background: Musculoskeletal pain is highly prevalent among older adults and the most common cause of disability. Objectives: To examine 1) whether sociodemographic characteristics, comorbidities, depression, obesity and sleep complaints are independently associated with pain; 2) the effect of pain on upper-lower extremity functional limitation and disability; and 3) the effect of pain on frailty over 6-years pf follow-up among older adults. Design: Longitudinal study. Subjects: 5,716 participants aged 65 years and older from the National Health and Aging Trends Study (2011-2017) with complete information on pain and all the covariates of interest. Measures: Pain and pain location (shoulder, wrist, hand, hips, knees, ankle, neck, and back) are the independent variables. Socio-demographics (age, gender, marital status, race/ethnicity and years of formal education), sleep complaints, depression, body mass index, and comorbidities are covariates. The outcome measures were: pain, upper-lower extremity functional limitation, limitations in activities of daily living (ADL’s), and frailty. Analysis: Descriptive statistics were used to compare sample characteristics by pain and outcome variables. General estimation equations models were performed to examine predictors of pain and pain as predictor of upper-lower extremity functional limitations, ADL disability, and frailty over time. Results: Prevalence of pain in American older adults was 52.3% at baseline. The most prevalent pain location was knee (41.3%), followed by back (37.4%) and shoulder (32.3%). The odds of reporting pain were 0.99 (95% CI 0.97-1.01) over time. Pain was an independent predictor of upper extremity (UE) functional limitations (OR 1.90, 95% CI-1.66-2.16), lower extremity (LE) functional limitations (OR 1.52, 95% CI 1.42-1.63), ADL disability (OR 1.82, 95% CI 1.58-2.09), and frailty (OR 1.86, 95% CI 1.60-2.16) over time. Conclusions: Prevalence of pain among American older adults was high (52%). Pain is a strong independent predictor of functional limitations, ADL disability, and frailty. These findings suggest that early intervention and better management of pain is needed to prevent/delay disability and frailty, enhance patient management, allocation of health care resources, maintain independence and lower the burden of pain in this population."]},{"key":"dc:format.mimetype","label":"Dc Format Mimetype","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Pain, Disablement Process and Frailty among Older Adults in the United States: Findings from the National Health and Aging Trends Study"]}]}],"canonical_facts":{"dc:creator":["Sodhi, Jaspreet KAUR"],"dc:date.accessioned":["2020-03-13T21:34:11Z"],"dc:date.available":["2020-03-13T21:34:11Z"],"dc:description.abstract":["Background: Musculoskeletal pain is highly prevalent among older adults and the most common cause of disability. Objectives: To examine 1) whether sociodemographic characteristics, comorbidities, depression, obesity and sleep complaints are independently associated with pain; 2) the effect of pain on upper-lower extremity functional limitation and disability; and 3) the effect of pain on frailty over 6-years pf follow-up among older adults. Design: Longitudinal study. Subjects: 5,716 participants aged 65 years and older from the National Health and Aging Trends Study (2011-2017) with complete information on pain and all the covariates of interest. Measures: Pain and pain location (shoulder, wrist, hand, hips, knees, ankle, neck, and back) are the independent variables. Socio-demographics (age, gender, marital status, race/ethnicity and years of formal education), sleep complaints, depression, body mass index, and comorbidities are covariates. The outcome measures were: pain, upper-lower extremity functional limitation, limitations in activities of daily living (ADL’s), and frailty. Analysis: Descriptive statistics were used to compare sample characteristics by pain and outcome variables. General estimation equations models were performed to examine predictors of pain and pain as predictor of upper-lower extremity functional limitations, ADL disability, and frailty over time. Results: Prevalence of pain in American older adults was 52.3% at baseline. The most prevalent pain location was knee (41.3%), followed by back (37.4%) and shoulder (32.3%). The odds of reporting pain were 0.99 (95% CI 0.97-1.01) over time. Pain was an independent predictor of upper extremity (UE) functional limitations (OR 1.90, 95% CI-1.66-2.16), lower extremity (LE) functional limitations (OR 1.52, 95% CI 1.42-1.63), ADL disability (OR 1.82, 95% CI 1.58-2.09), and frailty (OR 1.86, 95% CI 1.60-2.16) over time. Conclusions: Prevalence of pain among American older adults was high (52%). Pain is a strong independent predictor of functional limitations, ADL disability, and frailty. These findings suggest that early intervention and better management of pain is needed to prevent/delay disability and frailty, enhance patient management, allocation of health care resources, maintain independence and lower the burden of pain in this population."],"dc:format.mimetype":["application/pdf"],"dc:identifier.uri":["https://hdl.handle.net/2152.3/11230"],"dc:subject":["Pain","Functional limitation","Disability","Frailty","American older adults"],"dc:title":["Pain, Disablement Process and Frailty among Older Adults in the United States: Findings from the National Health and Aging Trends Study"],"dc:type":["Thesis"],"thesis:degree_level":["Doctoral"],"thesis:degree_name":["Rehabilitation Science"],"thesis:institution_name":["The University of Texas Medical Branch at Galveston"]},"updated_at":"2026-07-24T05:51:09Z"}