Evidence map›Paper›PMID 32375641›Full record

ArticleThe journal of headache and pain2020

Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database.

Alberto Raggi, Matilde Leonardi, Blanca Mellor-Marsá, Maria V Moneta, Albert Sanchez-Niubo, Stefanos Tyrovolas, Iago Giné-Vázquez, Josep M Haro, Somnath Chatterji, Martin Bobak and 8 more

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  4. Where Does It Hurt? A 4-S Model of Pain Onset and Recovery Across Body Sites Among Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  5. Large-Scale Plasma Proteomics to Profile Pathways and Prognosis of Chronic Pain.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  6. Review
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  8. Observational
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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 12 institutions in 9 countries.

Alberto RaggiNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Matilde LeonardiNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy. matilde.leonardi@istituto-besta.it.ORCID http://orcid.org/0000-0003-0552-8923
Blanca Mellor-MarsáParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Maria V MonetaParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Albert Sanchez-NiuboParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Stefanos TyrovolasParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Iago Giné-VázquezParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Josep M HaroParc Sanitari Sant Joan de Déu, Fundacion Sant Joan de Deu, Barcelona, Spain.
Somnath ChatterjiInformation, Evidence and Research, World Health Organization, Geneva, Switzerland.
Martin BobakResearch Department of Epidemiology and Public Health, University College London, London, UK.
Jose L Ayuso-MateosInstituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.
Holger ArndtSPRING TECHNO GMBH & Co. KG, Bremen, Germany.
Muhammad Z HossinDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Jerome BickenbachDepartment of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Seppo KoskinenFinnish Institute for Health and Welfare (THL), Helsinki, Finland.
Beata Tobiasz-AdamczykDepartment of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Demosthenes PanagiotakosDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Barbara CorsoNational Research Council, Neuroscience Institute, Padova, Italy.
Instituto de Salud Carlos III · ESFondazione IRCCS Istituto Neurologico Carlo Besta · ITParc Sanitari Sant Joan de Déu · ESFinnish Institute for Health and Welfare · FIHarokopio University of Athens · GRJagiellonian University · PLKarolinska Institutet · SENeuroscience Institute · ITSpring Techno (Germany) · DEUniversity College London · GBUniversity of Lucerne · CHWorld Health Organization · CH

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
European Commission 635316NIA NIH HHS HHSN271201300071CNIA NIH HHS R01 AG018016NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

backgroundPain is a common symptom, often associated with neurological and musculoskeletal conditions, and experienced especially by females and by older people, and with increasing trends in general populations. Different risk factors for pain have been identified, but generally from studies with limited samples and a limited number of candidate predictors. The aim of this study is to evaluate the predictors of pain from a large set of variables and respondents.

methodsWe used part of the harmonized dataset of ATHLOS project, selecting studies and waves with a longitudinal course, and in which pain was absent at baseline and with no missing at follow-up. Predictors were selected based on missing distribution and univariable association with pain, and were selected from the following domains: Socio-demographic and economic characteristics, Lifestyle and health behaviours, Health status and functional limitations, Diseases, Physical measures, Cognition, personality and other psychological measures, and Social environment. Hierarchical logistic regression models were then applied to identify significant predictors.

resultsA total of 13,545 subjects were included of whom 5348 (39.5%) developed pain between baseline and the average 5.2 years' follow-up. Baseline risk factors for pain were female gender (OR 1.34), engaging in vigorous exercise (OR 2.51), being obese (OR 1.36) and suffering from the loss of a close person (OR 1.88) whereas follow-up risk factors were low energy levels/fatigue (1.93), difficulties with walking (1.69), self-rated health referred as poor (OR 2.20) or average to moderate (OR 1.57) and presence of sleep problems (1.80).

conclusionsOur results showed that 39.5% of respondents developed pain over a five-year follow-up period, that there are proximal and distal risk factors for pain, and that part of them are directly modifiable. Actions aimed at improving sleep, reducing weight among obese people and treating fatigue would positively impact on pain onset, and avoiding vigorous exercise should be advised to people aged 60 or over, in particular if female or obese.

Indexed as

Population SurveillanceAdultAgedAged, 80 and overAgingBody WeightChinaCognitionDatabases, FactualEuropeExerciseFemaleFollow-Up StudiesHealth StatusHumansLife StyleBereavementExerciseFatigueHeadache disordersMusculoskeletal disordersObesityPainRisk factorsSleepWalking

Identifiers

PMID32375641
PMCPMC7201730
OpenAlexW3020876569

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.