Evidence map›Paper›PMID 30611248›Full record

ArticleBMC musculoskeletal disorders2019

Within-person pain variability and physical activity in older adults with osteoarthritis from six European countries.

Erik J Timmermans, Elisa J de Koning, Natasja M van Schoor, Suzan van der Pas, Michael D Denkinger, Elaine M Dennison, Stefania Maggi, Nancy L Pedersen, Ángel Otero, Richard Peter and 8 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05025787 (EN20-01), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05025787 phase2completednot on this mapstarted 2021, after this paper: background citation

EN20-01: A 24 Week Study to Evaluate the Safety and Efficacy of CNTX-6970 in Subjects With Moderate to Severe Knee Osteoarthritis Pain.

TypeinterventionalSponsorMaurizio Fava, MDRan2021 to 2024Enrolled55ConditionsKnee OsteoarthritisArmsCNTX-6970, Placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Musculoskeletal Pain Characteristics and Objectively Measured Physical Activity in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 6 countries.

Erik J TimmermansDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Center, VU University Medical Center, Amsterdam Public Health Research Institute, De Boelelaan 1089A, 1081HV, Amsterdam, Netherlands. ej.timmermans@vumc.nl.ORCID http://orcid.org/0000-0002-3414-7196
Elisa J de KoningDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Center, VU University Medical Center, Amsterdam Public Health Research Institute, De Boelelaan 1089A, 1081HV, Amsterdam, Netherlands.
Natasja M van SchoorDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Center, VU University Medical Center, Amsterdam Public Health Research Institute, De Boelelaan 1089A, 1081HV, Amsterdam, Netherlands.
Suzan van der PasDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Center, VU University Medical Center, Amsterdam Public Health Research Institute, De Boelelaan 1089A, 1081HV, Amsterdam, Netherlands.
Michael D DenkingerGeriatric Research Unit / Institute of Epidemiology and Medical Biometry, AGAPLESION Bethesda Hospital, Ulm University, Ulm, Germany.
Elaine M DennisonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Stefania MaggiNational Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy.
Nancy L PedersenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Ángel OteroDepartment of Preventive Medicine and Public Health, Unit of Primary Care and Family Medicine, Faculty of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.
Richard PeterInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Paola SivieroNational Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy.
Maria Victoria CastellDepartment of Preventive Medicine and Public Health, Unit of Primary Care and Family Medicine, Faculty of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.
Florian HerbolsheimerInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany.
Mark EdwardsMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Federica LimongiNational Research Council, Aging Branch, Institute of Neuroscience, Padova, Italy.
Dorly J H DeegDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Center, VU University Medical Center, Amsterdam Public Health Research Institute, De Boelelaan 1089A, 1081HV, Amsterdam, Netherlands.
Laura A SchaapDepartment of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLNeuroscience Institute · ITSouthampton General Hospital · GBUniversidad Autónoma de Madrid · ESUniversität Ulm · DEAgaplesion Bethesda Klinik · DEKarolinska Institutet · SEVrije Universiteit Amsterdam · NL

Funding

Medical Research Council G0400491Medical Research Council G0601019Medical Research Council MC_U147574212Medical Research Council MC_U147574234Medical Research Council MC_U147574237Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

backgroundThis study examines the association of both pain severity and within-person pain variability with physical activity (PA) in older adults with osteoarthritis (OA).

methodsData from the European Project on OSteoArthritis were used. At baseline, clinical classification criteria of the American College of Rheumatology were used to diagnose OA in older adults (65-85 years). At baseline and 12-18 months follow-up, frequency and duration of participation in the activities walking, cycling, gardening, light and heavy household tasks, and sports activities were assessed with the Longitudinal Aging Study Amsterdam Physical Activity Questionnaire. Physical activity was calculated in kcal/day, based on frequency, duration, body weight and the metabolic equivalent of each activity performed. At baseline and 12-18 months follow-up, pain severity was assessed using the pain subscales of the Western Ontario and McMaster Universities OA Index and the Australian/Canadian Hand OA Index. Within-person pain variability was assessed using two-week pain calendars that were completed at baseline, 6 months follow-up and 12-18 months follow-up.

resultsOf all 669 participants, 70.0% were women. Sex-stratified multiple linear regression analyses showed that greater pain severity at baseline was cross-sectionally associated with less PA in women (Ratio = 0.95, 95% CI = 0.90-0.99), but not in men (Ratio = 0.99, 95% CI = 0.85-1.15). The longitudinal analyses showed a statistically significant inverse association between pain severity at baseline and PA at follow-up in women (Ratio = 0.94, 95% CI = 0.89-0.99), but not in men (Ratio = 1.00, 95% CI = 0.87-1.11). Greater pain variability over 12-18 months was associated with more PA at follow-up in men (Ratio = 1.18, 95% CI = 1.01-1.38), but not in women (Ratio = 0.94, 95% CI = 0.86-1.03).

conclusionsGreater pain severity and less pain variability are associated with less PA in older adults with OA. These associations are different for men and women. The observed sex differences in the various associations should be studied in more detail and need replication in future research.

Indexed as

ExercisePain MeasurementActivities of Daily LivingAgedAged, 80 and overAge FactorsArthralgiaCost of IllnessCross-Sectional StudiesEuropeFemaleHealth StatusHumansLongitudinal StudiesMaleOsteoarthritisEuropean multi-cohort studyOlder adultsOsteoarthritisPain severityPain variabilityPhysical activity

Identifiers

PMID30611248
PMCPMC6320627
OpenAlexW2912983171

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.