ArticleInnovation in aging2025
Back pain precedes sleep problems in older men.
Article in Innovation in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between low back pain and sleep quality in adults 60 years and older: a systematic review.Chiropractic & manual therapies · 2026Pooled it
- Depressive symptoms score and risk of incident spinal pain in middle-aged and elderly populations: a prospective cohort study based on china health and retirement longitudinal study data.European journal of physical and rehabilitation medicine · 2026Article
- Article
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Authors and funding
15 authors.
Funding
Abstract
Background and Objectives: While cross-sectional associations between any pain and sleep problems have been established, longitudinal studies examining the temporal relationship between back pain and multidimensional sleep health remain limited. We evaluated whether the association between back pain and sleep problems was bidirectional in older men aged 65 years and above. Research Design and Methods: Data came from the Osteoporotic Fractures in Men Study with a sample of 1,055 older men who completed 2 clinical sleep visits. A composite sleep problems score was created using self-report and actigraphy data reflecting irregularity, dissatisfaction, lack of daytime alertness, suboptimal timing, inefficiency, and suboptimal duration. Participants were queried by mail about back pain every 4 months, and we calculated the prevalence of any, frequent, severe, and activity-limiting back pain around their 2 sleep visits. Cross-lagged panel models estimated bidirectional associations between sleep problems and subsequent back pain, and Results: Multivariable-adjusted results showed that having any back pain, frequent back pain, severe back pain, and activity-limiting back pain predicted 12%-25% greater sleep problems 6 years later (Exp(β) = 1.12; 95% confidence interval [CI] = 1.03-1.21 to Exp(β) = 1.25; 95% CI = 1.05-1.48), but sleep problems did not predict subsequent back pain. Discussion and Implications: This study highlights the long-term temporal directionality of the association between back pain and sleep problems in older men. Back pain preceded more sleep problems, but an inverse association was not observed. Our findings suggest that interventions targeting back pain may help decrease sleep problems in older men and warrant further investigation into potential mechanisms.
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Registered trials
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