Keywords
Health of elderly
Public health
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To investigate the association between chronic musculoskeletal pain and perceived quality of life in older adults receiving primary health care, as well as the influence of biopsychosocial factors. Methods: A cross-sectional study was conducted with 144 older adults receiving care in Primary Health Care. Quality of life was classified as good or poor using the question from the World Health Organization for Quality of Life (WHOQOL-bref). Chronic musculoskeletal pain was indicated by the number of painful regions in the last three months. Personal, physical and mental health indicators, and contextual aspects were entered into blocks into the logistic regression model. Analyses were performed using IBM SPSS 22, with a significant level of 5%. Results: The mean number of body regions with chronic musculoskeletal pain was 3.15 (SD: 2.54). Poor quality of life was identified in 31.3% of participants. The number of regions with chronic pain was associated with poor quality of life, increasing the odds of this outcome by 79%. Chronic pain (OR: 0.796), Body Mass Index (OR: 0.921), depressive symptoms (OR: 0.787), and satisfaction with sleep (OR: 2.675) were associated with poorer quality of life, regardless of biopsychosocial factors. Conclusion: Chronic musculoskeletal pain is associated with poor quality of life independently of biopsychosocial aspects.
References
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.