Rheumatology International

, Volume 35, Issue 12, pp 2095–2101 | Cite as

Health-related quality of life in older adults with bilateral knee pain and back pain: data from the Osteoarthritis Initiative

  • Saad M. BindawasEmail author
  • Vishal Vennu
  • Mohammad Auais
Short Communication - Observational Research


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.


Back pain Knee pain Older adults Quality of life 



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.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Saad M. Bindawas
    • 1
    Email author
  • Vishal Vennu
    • 1
  • Mohammad Auais
    • 2
  1. 1.Department of Rehabilitation Sciences, College of Applied Medical SciencesKing Saud UniversityRiyadhSaudi Arabia
  2. 2.School of Rehabilitation TherapyQueen’s UniversityKingstonCanada

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