Self-perceived weather sensitivity and joint pain in older people with osteoarthritis in six European countries: results from the European Project on OSteoArthritis (EPOSA)

BMC Musculoskeletal Disorders

Dorly JH Deeg¹  Ángel Otero⁷  Mark H Edwards⁶  Florian Herbolsheimer²  Paola Siviero⁵  Maria Victoria Castell⁷  Michael Denkinger⁴  Elaine M Dennison⁶  Nancy L Pedersen³  Richard Peter²  Sabina Zambon⁵  Mercedes Sánchez-Martínez⁷  Laura A Schaap¹  Suzan van der Pas¹  Erik J Timmermans¹ 

[1] Department of Epidemiology and Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands;Institute of the History, Philosophy and Ethics of Medicine, University of Ulm, Frauensteige 6, 89075 Ulm, Germany;Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, P.O.Box 281, Nobels väg 12A, SE-171 77 Stockholm, Sweden;Bethesda Geriatric Clinic, University of Ulm, Zollernring 26, 89073 Ulm, Germany;National Research Council, Aging Branch, Institute of Neuroscience, Via Giustiniani 2, 35128 Padova, Italy;MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, United Kingdom;Department of Preventive Medicine and Public Health, Unit of Primary Care and Family Medicine, Faculty of Medicine, Universidad Autonoma de Madrid, Arzobispo Morcillo 4, 28029 Madrid, Spain

关键词: Weather sensitivity;    Osteoarthritis;    Older people;    Joint pain;    Europe;   

Others  :  1128723
DOI  :  10.1186/1471-2474-15-66

 received in 2014-01-28, accepted in 2014-02-24,  发布年份 2014

【 摘 要 】

Background

People with osteoarthritis (OA) frequently report that their joint pain is influenced by weather conditions. This study aimed to examine whether there are differences in perceived joint pain between older people with OA who reported to be weather-sensitive versus those who did not in six European countries with different climates and to identify characteristics of older persons with OA that are most predictive of perceived weather sensitivity.

Methods

Baseline data from the European Project on OSteoArthritis (EPOSA) were used. ACR classification criteria were used to determine OA. Participants with OA were asked about their perception of weather as influencing their pain. Using a two-week follow-up pain calendar, average self-reported joint pain was assessed (range: 0 (no pain)-10 (greatest pain intensity)). Linear regression analyses, logistic regression analyses and an independent t-test were used. Analyses were adjusted for several confounders.

Results

The majority of participants with OA (67.2%) perceived the weather as affecting their pain. Weather-sensitive participants reported more pain than non-weather-sensitive participants (M = 4.1, SD = 2.4 versus M = 3.1, SD = 2.4; p < 0.001). After adjusting for several confounding factors, the association between self-perceived weather sensitivity and joint pain remained present (B = 0.37, p = 0.03). Logistic regression analyses revealed that women and more anxious people were more likely to report weather sensitivity. Older people with OA from Southern Europe were more likely to indicate themselves as weather-sensitive persons than those from Northern Europe.

Conclusions

Weather (in)stability may have a greater impact on joint structures and pain perception in people from Southern Europe. The results emphasize the importance of considering weather sensitivity in daily life of older people with OA and may help to identify weather-sensitive older people with OA.

【 授权许可】

   
2014 Timmermans et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Arden N, Nevitt MC: Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol 2006, 20:3-25.
• [2]Woolf AD, Pfleger B: Burden on major musculoskeletal conditions. Bull World Health Organ 2003, 81:646-656.
• [3]Brooks PM: Impact of osteoarthritis on individuals and society: how much disability? Social consequences and health economic implication. Curr Opin Rheumatol 2002, 14:573-577.
• [4]Laborde JM, Dando WA, Powers MJ: Influence of weather on osteoarthritics. Soc Sci Med 1986, 23:549-554.
• [5]Von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D: Prevalence of weather sensitivity in Germany and Canada. Int J Biometerol 2005, 49:156-166.
• [6]Jamison RN, Anderson KO, Slater MA: Weather changes and pain: perceived influence of local climate on pain complaint in chronic pain patients. Pain 1995, 61:309-315.
• [7]Shutty MS, Cundiff G, DeGood DE: Pain complaint and the weather: weather sensitivity and symptom complaints in chronic pain patients. Pain 1992, 49:199-204.
• [8]Ng J, Scott D, Taneja A, Gow P, Gosai A: Weather changes and pain in rheumatology patients. APLAR J Rheumatol 2004, 7:204-206.
• [9]Quick DC: Joint pain and weather. A critical review of the literature. Minn Med 1997, 80:25-29.
• [10]Sulman FG: The impact of weather on human health. Rev Environ Health 1984, 4:83-119.
• [11]Dekker J, Boot B, Van der Woude LHV, Bijlsma JWJ: Pain and disability in osteoarthritis: a review of biobehavioral mechanisms. J Behav Med 1992, 15:189-214.
• [12]Rosemann T, Laux G, Szecsenyi J, Wensing M, Grol R: Pain and osteoarthritis in primary care: factors associated with pain perception in a sample of 1,021 patients. Pain Med 2008, 9:903-910.
• [13]Van der Pas S, Castell MV, Cooper C, Denkinger M, Dennison EM, Edwards MH, Herbolsheimer F, Limongi F, Lips P, Maggi S, Nåsell H, Nikolaus T, Otero A, Pedersen NL, Peter R, Sanchez-Martinez M, Schaap LA, Zambon S, Van Schoor NM, Deeg DJH: European project on osteoarthritis: design of a six-cohort study on the personal and societal burden of osteoarthritis in an older European population. BMC Musculoskelet Disord 2013, 14:138. BioMed Central Full Text
• [14]Altman RD: Classification of disease: osteoarthritis. Semin Arthritis Rheum 1991, 20:40-47.
• [15]Zigmond A, Snaith R: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67:361-370.
• [16]Pearlin LI, Schooler C: The structure of coping. J Health Soc Behav 1978, 19:2-21.
• [17]Veenhof C, Huisman PA, Barten JA, Takken T, Pisters MF: Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review. Osteoarthritis Cartilage 2012, 20:6-12.
• [18]Stel VS, Smit JH, Pluijm SM, Visser M, Deeg DJ, Lips P: Comparison of the LASA physical acitivity questionnaire with a 7-day diary and pedometer. J Clin Epidemiol 2004, 57:252-258.
• [19]Rosemann T, Grol R, Herman K, Wensing M, Szecsenyi J: Associtation between obesity, quality of life, physical activity and health service utilization in primary care patients with osteoarthritis. Int J Behav Nutr Phys Act 2008, 5:4. BioMed Central Full Text
• [20]Kottek M, Grieser J, Beck C, Rudolf B, Rubel F: World Map of the Köppen-Geiger climate classification updated. Meteorol Z 2006, 15:259-263.
• [21]Peel MC, Finlayson BL, McMahon TA: Updated world map of the Köppen-Geiger climate classification. Hydrol Earth Syst Sc 2007, 11:1633-1644.
• [22]Rolland JS: Chronic illness and the life cycle: a conceptual framework. Fam Proc 1987, 26:203-221.
• [23]Keefe FJ, Caldwell DS, Queen KT, Gil KM, Martinez S, Crisson JE, Ogden W, Nunley J: Pain coping strategies in osteoarthritis patients. J Consult Clin Psychol 1987, 55:208-212.
• [24]Lasch KE: Culture, pain and culturally sensitive pain care. Pain Manag Nurs 2000, 1:16-22.
• [25]Rahin-Williams B, Riley JL, Williams AKK, Fillingim RB: A quantitative review of ethnic group differences in experimental pain response: do biology, psychology and culture matter? Pain Med 2012, 13:522-540.