Abstract
This study’s objective was to examine the association of self-reported bilateral knee pain (KP) and back pain (BP) with health-related quality of life (HRQoL) among older adults. In this cross-sectional study, data for 1252 older adults (≥65 years) were included from the Osteoarthritis Initiative project. Self-reported bilateral KP and BP were used to classify participants into four groups: (1) neither bilateral KP nor BP; (2) no bilateral KP with BP; (3) bilateral KP without BP; and (4) both bilateral KP and BP. Health-related quality of life was measured using the health survey short form (SF)-12. We used multiple linear regression analyses to examine the associations of bilateral KP and/or BP with the HRQoL. After controlling for covariates, bilateral KP and BP were associated with poorer HRQoL [physical composite scale (PCS): estimated average (β) = −13.1, SE = 1.15, p < 0.0001; mental composite scale: β = −2.71, SE = 1.09, p = 0.013, respectively] compared with the group with neither bilateral KP nor BP. In conclusion, older adults with coexisting bilateral KP and BP had significantly poorer physical and mental HRQoL when compared to peers without these conditions.
References
Symmons DP (2001) Knee pain in older adults: the latest musculoskeletal “epidemic”. Ann Rheum Dis 60:89–90
Hartvigsen J, Christensen K, Frederiksen H (2003) Back pain remains a common symptom in old age. A population-based study of 4486 Danish twins aged 70–102. Eur Spine J 12:528–534
Molton IR, Terrill AL (2014) Overview of persistent pain in older adults. Am Psychol 69:197–207
Muraki S, Oka H, Akune T, Mabuchi A, En-yo Y, Yoshida M, Saika A, Suzuki T, Yoshida H, Ishibashi H, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2009) Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthr Cartil 17:1137–1143
Mannion AF, Elfering A, Staerkle R, Junge A, Grob D, Semmer NK, Jacobshagen N, Dvorak J, Boos N (2005) Outcome assessment in low back pain: how low can you go? Eur Spine J 14:1014–1026
Hirano K, Imagama S, Hasegawa Y, Ito Z, Muramoto A, Ishiguro N (2014) Impact of low back pain, knee pain, and timed up-and-go test on quality of life in community-living people. J Orthop Sci 19:164–171
Muraki S, Akune T, Oka H, En-Yo Y, Yoshida M, Saika A, Suzuki T, Yoshida H, Ishibashi H, Tokimura F, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2011) Health-related quality of life in subjects with low back pain and knee pain in a population-based cohort study of Japanese men: the research on Osteoarthritis against disability study. Spine (Phila Pa 1976) 36:1312–1319
Muraki S, Akune T, Oka H, En-Yo Y, Yoshida M, Saika A, Suzuki T, Yoshida H, Ishibashi H, Tokimura F, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2010) Impact of knee and low back pain on health-related quality of life in Japanese women: the research on Osteoarthritis against disability (ROAD). Mod Rheumatol 20:444–451
Kim W, Jin YS, Lee CS, Bin SI, Lee SY, Choi KH (2015) Influence of knee pain and low back pain on the quality of life in adults over age fifty. PM&R
Creamer P, Lethbridge-Cejku M, Costa P, Tobin JD, Herbst JH, Hochberg MC (1999) The relationship of anxiety and depression with self-reported knee pain in the community: data from the Baltimore longitudinal study of aging. Arthritis Care Res 12:3–7
Blake VA, Allegrante JP, Robbins L, Mancuso CA, Peterson MG, Esdaile JM, Paget SA, Charlson ME (2002) Racial differences in social network experience and perceptions of benefit of arthritis treatments among New York City Medicare beneficiaries with self-reported hip and knee pain. Arthritis Rheum 47:366–371
Bindawas SM, Vennu V, Al Snih S (2015) Differences in health-related quality of life among subjects with frequent bilateral or unilateral knee pain: data from the Osteoarthritis Initiative study. J Orthop Sports Phys Ther 45:128–136
Andresen EM, Meyers AR (2000) Health-related quality of life outcomes measures. Arch Phys Med Rehabil 81:S30–S45
Younsi M, Chakroun M (2014) Measuring health-related quality of life: psychometric evaluation of the Tunisian version of the SF-12 health survey. Qual Life Res 23(7):2047–2054
Der-Martirosian C, Kritz-Silverstein D, Barrett-Connor E (2010) Five-year stability in associations of health-related quality of life measures in community-dwelling older adults: the Rancho Bernardo Study. Qual Life Res 19:1333–1341
Nicholl BI, Macfarlane GJ, Davies KA, Morriss R, Dickens C, McBeth J (2009) Premorbid psychosocial factors are associated with poor health-related quality of life in subjects with new onset of chronic widespread pain—results from the EPIFUND study. Pain 141:119–126
Cho NH, Kim I, Lim SH, Kim HA (2012) Prevalence of widespread pain and its influence on quality of life: population study in Korea. J Korean Med Sci 27:16–21
McBeth J, Lacey RJ, Wilkie R (2014) Predictors of new-onset widespread pain in older adults: results from a population-based prospective cohort study in the UK. Arthritis Rheumatol 66:757–767
Hoogeboom TJ, den Broeder AA, Swierstra BA, de Bie RA, van den Ende CH (2012) Joint-pain comorbidity, health status, and medication use in hip and knee osteoarthritis: a cross-sectional study. Arthritis Care Res (Hoboken) 64:54–58
Hoogeboom TJ, den Broeder AA, de Bie RA, van den Ende CH (2013) Longitudinal impact of joint pain comorbidity on quality of life and activity levels in knee osteoarthritis: data from the Osteoarthritis Initiative. Rheumatology (Oxford) 52:543–546
Mili F, Helmick CG, Moriarty DG (2003) Health related quality of life among adults reporting arthritis: analysis of data from the behavioral risk factor surveillance system, US, 1996–99. J Rheumatol 30:160–166
Healthypeople.gov (2014) Health people 2020: Arthritis, Osteoporosis, and chronic back conditions. https://www.healthypeople.gov/2020/topics-objectives/topic/Arthritis-Osteoporosis-and-Chronic-Back-Conditions#Ref-09. Accessed 30 Mar 2015
Koh HK (2010) A 2020 vision for healthy people. N Engl J Med 362:1653–1656
Miles TP, Flegal K, Harris T (1993) Musculoskeletal disorders: time trends, comorbid conditions, self-assessed health status, and associated activity limitations. Vital Health Stat 3:275–288
Acknowledgments
The authors extend their appreciation to the Research Centre, College of Applied Medical Sciences and the Deanship of Scientific Research at King Saud University for funding this research.
Conflict of interest
The authors declare that they have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bindawas, S.M., Vennu, V. & Auais, M. Health-related quality of life in older adults with bilateral knee pain and back pain: data from the Osteoarthritis Initiative. Rheumatol Int 35, 2095–2101 (2015). https://doi.org/10.1007/s00296-015-3309-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-015-3309-y