Palabras clave
Salud de la persona mayor
Salud pública
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Resumen
Objetivo: Investigar la asociación entre el dolor musculoesquelético crónico y la calidad de vida percibida en personas mayores atendidas en la atención primaria de salud, así como la influencia de aspectos biopsicosociales. Métodos: Estudio transversal realizado con 144 personas mayores atendidas en la Atención Primaria de Salud. La calidad de vida se clasificó como buena o mala mediante la pregunta del World Health Organization for Quality of Life (WHOQOL-bref). El dolor musculoesquelético crónico se indicó por el número de regiones dolorosas en los últimos tres meses. Indicadores personales, de salud física y mental, y aspectos contextuales fueron incluidos en bloques en el modelo de regresión logística. Los análisis se realizaron con el programa IBM SPSS 22, con un nivel de significancia del 5%. Resultados: El promedio de regiones corporales con dolor musculoesquelético crónico fue de 3,15 (DE: 2,54). El 31,3% de los participantes fueron clasificados con mala calidad de vida. El número de regiones con dolor crónico se asoció con una mala calidad de vida, aumentando en un 79% la probabilidad de este desenlace. El dolor crónico (OR: 0,796), el Índice de Masa Corporal (OR: 0,921), los síntomas depresivos (OR: 0,787) y la satisfacción con el sueño (OR: 2,675) se relacionaron con una peor calidad de vida, independientemente de los aspectos biopsicosociales. Conclusión: El dolor musculoesquelético crónico está asociado con una mala calidad de vida independientemente de los aspectos biopsicosociales.
Referencias
AFSHIN A, et al. Information technology and lifestyle: systematic evaluation of internet and mobile interventions. JAHA, 2016; 5(9).
ALVARENGA MRM, et al. Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica. Acta Paul Enferm., 2012; 25: 497–503.
AMORIM JSC, et al. Use of healthcare services and therapeutic measures associated with new episodes of acute low back pain-related disability among elderly people. São Paulo Med J., 2021; 139(2):137–43.
CALDAS VVA, et al. Translation, cultural adaptation and psychometric evaluation of the Leganés cognitive test in a low educated elderly Brazilian population. Arq Neuropsiquiatr., 2012; 70: 22–7.
CARVALHO RC, et al. Prevalence and characteristics of chronic pain in Brazil: a national internet-based survey study. Br J Pain, 2018; 1(4).
CASTANEDA L, et al. A CIF: revisão sistemática de estudos observacionais. Rev Bras Epidemiol., 2014; 17: 437–51.
CAVLAK U, et al. An Analysis of Factors Associated with Chronic Musculoskeletal Pain, Pain Management Preferences, Coping Strategies, and Health-Related Quality of Life Among Older People: A Cross-Cultural Study. J Pain Res., 2025; 18: 4915-4934.
CHENG F, et al. Longitudinal associations of chronic pain severity trajectories and number of pain site trajectories with risk of limitations in ability in daily activities: Evidence from two 10-year prospective cohort studies. J Nutr Health Aging, 2026; 30(3): 100781.
CIOLA G, et al. Borim FSA. Dor crônica em idosos e associações diretas e indiretas com variáveis sociodemográficas e condições de saúde: análise de caminhos. Rev Bras Geriatr Gerontol., 2020; 23(3): e200065.
DESANTANA JM, et al. Definição de dor revisada após quatro décadas. BrJP, 2020; 3(3): 197–8.
DELLAROZA MSG, et al. Dor crônica em idosos residentes em São Paulo, Brasil: prevalência, características e associação com capacidade funcional e mobilidade (Estudo SABE). Cad Saúde Pública, 2013; 29(2): 325–34.
FERRETTI F, et al. Quality of life in the elderly with and without chronic pain. Br J Pain, 2018; 1(2).
FLECK MP, et al. Aplicação da versão em português do WHOQOL-Bref. Rev Saúde Pública, 2000; 34(2): 178–83.
KAWASHIMA A, et al. Chronic pain and decline in activities of daily living among community-dwelling older adults: a systematic review of longitudinal studies. Eur Geriatr Med., 2025; 16(6): 2085-2096.
JOSHY G, et al. Pain and high-impact pain in community-dwelling older adults in Australia and relation to sociodemographic and health-related factors, including physical disability, psychological distress, and quality of life. BMC Med., 2026; 24(1): 70.
MARCINKOWSKI K, et al. Factors negatively affecting quality of life in geriatric patients: review. GMS Hyg Infect Control., 2025; 20: 35.
MENDES ADS, et al. The Association of Pain With Physical Performance Among Community-Dwelling Older Adults in the PRO-EVA Study. J Am Med Dir Assoc., 2026; 27(3): 106110.
MOREIRA MTC, et al. Influence of personal mastery on mobility disability among older adults: A systematic review. Archives of Gerontology and Geriatrics, 2022; 102: 104750.
NERI AL, VIEIRA LAM. Envolvimento social e suporte social percebido na velhice. Rev Bras Geriatr Gerontol., 2013; 16: 419–32.
NIJS J, et al. Lifestyle and chronic pain across the lifespan. PM R, 2020; 12(4): 410–9.
NUNES DP, et al. Screening for frailty in older adults using a self-reported instrument. Rev Saúde Pública, 2015; 49.
NUTTALLFQ. Body Mass Index. Nutr Today, 2015; 50(3): 117–28.
OGAWA EF, et al. Chronic pain characteristics and gait in older adults: the MOBILIZE Boston Study II. Arch Phys Med Rehabil., 2020; 101(3): 418–25.
PAZ MG, et al. Factors associated with quality of life of older adults with chronic pain. Rev Bras Enferm., 2021; 74(suppl 2): e20200554.
PINHEIRO FA, et al. Validação do Questionário Nórdico de Sintomas Osteomusculares. Rev Saúde Pública, 2002; 36: 307–12.
PINTO JM, et al. Determinants of Physical Functioning among Primary Health Care users aged over 60: Design and baseline characteristics of a longitudinal study in a Brazilian city. Journal of Population Ageing in Latin America, 2022; 1.
PINTO JM, et al. The influence of physical and mental health on life satisfaction is mediated by self-rated health: A study with Brazilian elderly. Arch Gerontol Geriatr., 2016; 65: 104-10
RAJA SN, et al. Definição revisada de dor pela Associação Internacional para o Estudo da Dor (IASP): conceitos, desafios e compromissos. 2020; 11–8.
SILVA MR, et al. Sintomas depressivos em idosos e sua relação com dor crônica, doenças crônicas, qualidade do sono e nível de atividade física. BrJP, 2018; 1: 293–8.
SINGHASIRI P, et al. Chronic pain in older adults with chronic diseases: prevalence, perceived interference, and management strategies. BMC Geriatr., 2025; 25(1): 1069.
TAKEUCHI T, et al. Association between lifestyle habits and central sensitization in community-dwelling older adults in Japan: a cross-sectional analysis from the Otassha study. BMC Geriatr., 2026; 26(1): 178.
TRUIJEN SPM, et al. The impact of older age on the relation between chronic musculoskeletal pain and health-related quality of life: The Maastricht Study. Joint Bone Spine, 2025; 92(6): 105955.
WONG CK. Prevalence, Incidence, and Factors Associated With Non-Specific Chronic Low Back Pain in Community-Dwelling Older Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis. J Pain, 2022.
ZHANG X, et al. The impact of social support on pain intensity in older adults with chronic pain: the serial mediating roles of positive and negative affect and pain catastrophizing. BMC Geriatr., 2026; 2.