Abstract
OBJECTIVE: To assess the level of functional capacity in subjects aged 60 years and older, who have lower back pain, and its association with demographic, socioeconomic, work-related, lifestyle-related and disease mentioned variables. METHODS: A cross-sectional study was conducted with 246 elderly registered at the Family Health Strategy of Vila São Paulo, Bauru,SP, Brazil, who reported lower back pain and were sampled by a two-stage cluster technique. The subjects were interviewed at home by using a multidimensional instrument (demographic; socioeconomic aspects; life style; work characterization; disease mentioned), and also the IPAQ, the Nordic and the Roland Morris questionnaires. A bivariate and multivariate descriptive logistic regression analysis was carried out. RESULTS: The prevalence of lower back pain in men was of 25.1% and in women it was of 35.1%. The mean score in the functional capacity assessment was 10.46 ± 5.62. A fraction of 67.5% of the elderly demonstrated an inappropriate functional capacity. The age group from 70 to 80 years old, the subjects reporting three or more diseases and the sedentary group presented an independent association with inappropriate functional capacity. CONCLUSION: The older, sedentary subjects and who reported more than three diseases presented low functional capacity. Level of Evidence III, Cross Sectioning.
Highlights
Low back pain is one of the most common musculoskeletal disorders in the world, affecting approximately 70% to 85% of the population at some time in life,[1] and can cause large decrease of the construct “functional capacity” that indicates the maximum possible functionality that a person can achieve in a given time, i.e., it interferes with the autonomy and quality of life
For the assessment of functional capacity of individuals with low back pain, various instruments are proposed in literature, such as the questionnaires “Roland Morris”, “Oswestry Low Back Pain”, “Disability Questionnaire”, “Waddell Disability Index” and “Sickness Impact Profile”
This is a cross-sectional study of a population of individuals aged 60 years and older of the areas covered by the Family Health Strategy (FHS) Vila São Paulo, in the city of Bauru, SP, Brazil
Summary
Low back pain is one of the most common musculoskeletal disorders in the world, affecting approximately 70% to 85% of the population at some time in life,[1] and can cause large decrease of the construct “functional capacity” that indicates the maximum possible functionality that a person can achieve in a given time, i.e., it interferes with the autonomy and quality of life. The professionals involved in primary care should consider the National Policy and the Elderly Statute, which ensures healthy aging, through actions such as population surveys and intervention programs recommended by the Ministry of Health.[4] Assessments such as functional capacity enable to provide information on the profile of the elderly constituting simple and useful tools in identifying the limitations and loss of autonomy of individuals. Through the functional capacity evaluation strategies to promote health of the elderly aiming at delaying or preventing disabilities can be defined. Considering the theoretical framework, this study aimed to verify the level of functional ability in individuals aged 60 years and older with low back pain and its association with sociodemographic variables, work-related, lifestyle and referred diseases
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