TY - JOUR ID - 6712 TI - Predictors of Upper-Extremity Physical Function in Older Adults JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Hermanussen, Hugo H. AU - Menendez, Mariano E. AU - Chen, Neal C. AU - Ring, David AU - Vranceanu, Ana-Maria AD - Orthopaedic Hand and Upper Extremity Service Massachusetts General Hospital, Boston, USA AD - Massachusetts General Hospital, Boston, USA AD - Massachusetts General Hospital, Behavioral Med Services, Boston, USA Y1 - 2016 PY - 2016 VL - 4 IS - 4 SP - 359 EP - 365 KW - Diet KW - Exercise KW - pain intensity KW - Pain interference KW - Upper-extremity physical function DO - 10.22038/abjs.2016.6712 N2 -   Background: Little is known about the influence of habitual participation in physical exercise and diet on upper-extremity physical function in older adults. To assess the relationship of general physical exercise and diet to upper-extremity physical function and pain intensity in older adults.   Methods: A cohort of 111 patients 50 or older completed a sociodemographic survey, the Rapid Assessment of Physical Activity (RAPA), an 11-point ordinal pain intensity scale, a Mediterranean diet questionnaire, and three Patient- Reported Outcomes Measurement Information System (PROMIS) based questionnaires: Pain Interference to measure inability to engage in activities due to pain, Upper-Extremity Physical Function, and Depression. Multivariable linear regression modeling was used to characterize the association of physical activity, diet, depression, and pain interference to pain intensity and upper-extremity function. Results: Higher general physical activity was associated with higher PROMIS Upper-Extremity Physical Function and lower pain intensity in bivariate analyses. Adherence to the Mediterranean diet did not correlate with PROMIS Upper-Extremity Physical Function or pain intensity in bivariate analysis. In multivariable analyses factors associated with higher PROMIS Upper-Extremity Physical Function were male sex, non-traumatic diagnosis and PROMIS Pain Interference, with the latter accounting for most of the observed variability (37%). Factors associated with greater pain intensity in multivariable analyses included fewer years of education and higher PROMIS Pain Interference. Conclusions: General physical activity and diet do not seem to be as strongly or directly associated with upper-extremity physical function as pain interference. UR - https://abjs.mums.ac.ir/article_6712.html L1 - https://abjs.mums.ac.ir/article_6712_928fdfcc84a21f916693673733340269.pdf ER -