Abstract
This study (1) analyzes the differences between non-participating and participating older women in terms of clinical characteristics, pain coping strategies, health-related quality of life and physical activity (PA); (2) studies the associations between non-participants and participants, clinical characteristics, pain coping strategies, HRQoL and bodily pain and PA; and (3) determines whether catastrophizing, physical role, behavioural coping, social functioning and emotional role are significant mediators in the link between participating in a Pilates-aerobic program (or not) and bodily pain. The sample comprised 340 older women over 60 years old. Participants of the present cross-sectional study completed measures of clinical characteristics: HRQoL using the SF-36 Health Survey, pain-coping strategies using the Vanderbilt Pain Management Inventory (VPMI) and PA using the International Physical Activity Questionnaire (IPAQ). Significant differences between non-participants and participants, were found in clinical characteristics, pain-coping strategies (both, p < 0.05), HRQoL (p < 0.01), and PA (p < 0.001). Moreover, catastrophizing support mediated the link between non-participants and participants and bodily pain by 95.9% of the total effect; 42.9% was mediated by PA and 39.6% was mediated by behavioural coping. These results contribute to a better understanding of the link between PA and bodily pain.
Highlights
The aging population is a global phenomenon that affects all countries of the world, but especiallyWestern countries [1]
The results of the present study provide evidence for the mediating role played by the physical roles of the participant and non-participant groups related to the bodily pain they experience
The outcomes obtained in the present study show how engaging in a Pilates-aerobic program helps older women cope with pain
Summary
The aging population is a global phenomenon that affects all countries of the world, but especiallyWestern countries [1]. The aging population is a global phenomenon that affects all countries of the world, but especially. Two billion people in the world will be over 60 by 2050, and 400 million will be over 80 [2]. This increase in longevity contributes to the aging population. The repercussions of pain must be examined in older people because aging is associated with the risk of experiencing chronic pain [4] and psychological disorders [5]. The musculoskeletal system is severely affected by chronic pain in older people [6] and associated with disability, severity of pain or poorer HRQoL [7]. Effects of pain are more prevalent in the context of rising life expectancy [9], whereas activities focused on health promotion and pain management in older adult patients are necessary to maintain HRQoL and
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