Zachowania związane z aktywnością fizyczną są czynnikiem predykcyjnym endogennej modulacji bólu u osób starszych

Ból ◽  
2017 ◽  
Vol 18 (2) ◽  
pp. 11-21
Author(s):  
Kelly M. Naugle ◽  
Thomas Ohlman ◽  
Keith E. Naugle ◽  
Zachary A. Riley ◽  
NiCole R. Keith
Keyword(s):  
Physical Activity ◽  
Temporal Summation ◽  
Vigorous Physical Activity ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Light Physical Activity

Osoby starsze w porównaniu z młodszymi dorosłymi charakteryzują się zwiększonym torowaniem bólu endogennego i zmniejszoną zdolnością do endogennego hamowania bólu, co potencjalnie naraża je na zwiększone ryzyko bólu przewlekłego. Dotychczasowe wyniki badań sugerują, że wyższe poziomy aktywności fizycznej, deklarowane przez badane osoby, związane są ze skuteczniejszym hamowaniem bólu oraz mniejszym torowaniem bólu w ilościowych badaniach czucia u zdrowych dorosłych. Jednakże żadna z prac nie badała bezpośrednio związku pomiędzy zachowaniami związanymi z aktywnością fizyczną i modulacją bólu u osób starszych. Obecne badanie sprawdzało czy obiektywne mierniki zachowań związanych z aktywnością fizyczną w badaniu przekrojowym są czynnikiem predykcyjnym hamowania bólu w teście warunkowanej modulacji bólu (conditioned pain modulation, CPM) oraz torowania bólu w teście sumacji czasowej (temporal summation, TS) u zdrowych osób starszych. Pięćdziesiąt jeden osób starszych nosiło akcelerometr na wysokości bioder przez 7 dni oraz przeszło testy CPM oraz TS. Pomiary czasu spędzonego w pozycji siedzącej, na lekkiej aktywności fizycznej (light physical activity, LPA) oraz umiarkowanej do intensywnej aktywności fizycznej (moderate to vigorous physical activity, MVPA) uzyskano z akcelerometru. Hierarchiczne regresje liniowe przeprowadzono, aby określić związek TS oraz CPM z poziomami aktywności fizycznej, kontrolując jednocześnie zmienne demograficzne, psychologiczne oraz uzyskane z kwestionariuszy. Wyniki wskazują, że siedzący tryb życia oraz LPA są istotnym statystycznie czynnikiem predykcyjnym hamowania bólu w teście CPM – mniej czasu spędzonego w pozycji siedzącej oraz większa ilość czasu LPA powiązane są ze zwiększoną zdolnością hamowania bólu. Dodatkowo, MVPA jest czynnikiem predykcyjnym torowania bólu w teście TS – większa ilość czasu MVPA związana jest z mniejszą TS bólu. Te wyniki sugerują, że różne typy aktywności fizycznej mogą na różne sposoby wpływać na procesy hamowania i torowania bólu u osób starszych.

scholarly journals Physical Activity May Be Associated with Conditioned Pain Modulation in Women but Not Men among Healthy Individuals

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Yukiko Shiro ◽  
Tatsunori Ikemoto ◽  
Yuta Terasawa ◽  
Young-Chang P. Arai ◽  
Kazuhiro Hayashi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Vigorous Physical Activity ◽  
Pressure Pain Threshold ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Mechanical Pressure ◽  
Cold Stimulation ◽  
Entire Study ◽  
Young Subjects ◽  
Study Participants

Background. Conditioned pain modulation (CPM), a phenomenon also known as diffuse noxious inhibitory control, is thought to be affected by various factors, including sex and level of physical activity. However, the involvement of these factors in CPM remains unclear. Methods. Eighty-six healthy young subjects (M/F, 43/43) participated in this study. Participants were assessed on the basis of their mechanical pressure pain threshold (PPT), CPM response, body mass index (BMI), basal metabolic rate (BMR), and duration of moderate-to-vigorous physical activity (MVPA) over a week, using a motion counter. Response to CPM was evaluated as PPT during painful cold stimulation relative to baseline PPT. Results. Men showed significantly higher baseline PPT than women; however, this difference was no longer significant after controlling for confounders. Stepwise multiple linear regression analyses revealed BMR to be a significant contributor towards baseline PPT in the entire study population. In contrast, although there were no significant contributors to CPM response among men and in the overall study group, MVPA was positively associated with CPM response among women (β = 0.397). Conclusions. These results suggest that, among healthy young individuals, CPM response may be associated with moderate-to-vigorous physical activity in women but not in men.

Development of a novel brief quantitative sensory testing protocol that integrates static and dynamic pain assessments: Test-retest performance in healthy adults

Pain Medicine ◽  
2021 ◽  
Author(s):  
Martin J De Vita ◽  
Katherine Buckheit ◽  
Christina E Gilmour ◽  
Dezarie Moskal ◽  
Stephen A Maisto
Keyword(s):  
Quantitative Sensory Testing ◽  
Temporal Summation ◽  
Pain Threshold ◽  
Pain Modulation ◽  
Healthy Adults ◽  
Dynamic Responses ◽  
Conditioned Pain Modulation ◽  
Sensory Testing ◽  
Contact Heat ◽  
Intraclass Correlations

Abstract Objective Quantitative sensory testing is an expanding pain research domain with numerous clinical and research applications. There is a recognized need for brief reliable quantitative sensory testing protocols that enhance assessment feasibility. This study aimed to integrate static (pain threshold, tolerance, suprathreshold) and dynamic (conditioned pain modulation, offset analgesia, temporal summation) pain reactivity measures into a brief 20-minute protocol that uses a single portable device. The test-retest performance of this optimized protocol was evaluated. Design Using a test-retest design, the brief quantitative sensory testing assessment was administered to participants on two occasions separated by exactly 7 days. Setting A clinical psychology research laboratory at Syracuse University. Subjects Participants were 33 healthy adults recruited from Syracuse University’s online research participation pool. Methods A portable computerized quantitative sensory testing device delivered contact-heat pain to assess static and dynamic pain measures in participants. Dynamic responses were continuously recorded using a computerized visual analog scale. Results Pain threshold, tolerance, and suprathreshold exhibited excellent reliability (intraclass correlations ranged from 0.80 to 0.83). Conditioned pain modulation, offset analgesia, temporal summation yielded reliability in the good to excellent range (intraclass correlations ranged from 0.66 to 0.71). Conclusions Findings suggested that this brief integrated QST protocol may reliably monitor human pain reactivity over brief periods. This protocol may enhance quantitative sensory testing feasibility in clinical and research settings.

scholarly journals Cross-sectional and prospective relationships of passive and mentally active sedentary behaviours and physical activity with depression

2019 ◽  
Vol 217 (2) ◽  
pp. 413-419 ◽  
Author(s):  
Mats Hallgren ◽  
Thi-Thuy-Dung Nguyen ◽  
Neville Owen ◽  
Brendon Stubbs ◽  
Davy Vancampfort ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Odds Ratio ◽  
Vigorous Physical Activity ◽  
Depression Symptoms ◽  
Vigorous Activity ◽  
Light Physical Activity ◽  
Cross Sectional ◽  
Sedentary Behaviours ◽  
Potential Impact

BackgroundSedentary behaviour can be associated with poor mental health, but it remains unclear whether all types of sedentary behaviour have equivalent detrimental effects.AimsTo model the potential impact on depression of replacing passive with mentally active sedentary behaviours and with light and moderate-to-vigorous physical activity. An additional aim was to explore these relationships by self-report data and clinician diagnoses of depression.MethodIn 1997, 43 863 Swedish adults were initially surveyed and their responses linked to patient registers until 2010. The isotemporal substitution method was used to model the potential impact on depression of replacing 30 min of passive sedentary behaviour with equivalent durations of mentally active sedentary behaviour, light physical activity or moderate-to-vigorous physical activity. Outcomes were self-reported depression symptoms (cross-sectional analyses) and clinician-diagnosed incident major depressive disorder (MDD) (prospective analyses).ResultsOf 24 060 participants with complete data (mean age 49.2 years, s.d. 15.8, 66% female), 1526 (6.3%) reported depression symptoms at baseline. There were 416 (1.7%) incident cases of MDD during the 13-year follow-up. Modelled cross-sectionally, replacing 30 min/day of passive sedentary behaviour with 30 min/day of mentally active sedentary behaviour, light physical activity and moderate-to-vigorous activity reduced the odds of depression symptoms by 5% (odds ratio 0.95, 95% CI 0.94–0.97), 13% (odds ratio 0.87, 95% CI 0.76–1.00) and 19% (odds ratio 0.81, 95% CI 0.93–0.90), respectively. Modelled prospectively, substituting 30 min/day of passive with 30 min/day of mentally active sedentary behaviour reduced MDD risk by 5% (hazard ratio 0.95, 95% CI 0.91–0.99); no other prospective associations were statistically significant.ConclusionsSubstituting passive with mentally active sedentary behaviours, light activity or moderate-to-vigorous activity may reduce depression risk in adults.

Acute alcohol effects on conditioned pain modulation, but not temporal summation of pain

Pain ◽  
2019 ◽  
Vol 160 (9) ◽  
pp. 2063-2071 ◽  
Author(s):  
Claudia Horn-Hofmann ◽  
Eva Susanne Capito ◽  
Jörg Wolstein ◽  
Stefan Lautenbacher
Keyword(s):  
Temporal Summation ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Alcohol Effects

Oxycodone alters temporal summation but not conditioned pain modulation: Preclinical findings and possible relations to mechanisms of opioid analgesia

Pain ◽  
2013 ◽  
Vol 154 (8) ◽  
pp. 1413-1418 ◽  
Author(s):  
Erica Suzan ◽  
Ayelet Midbari ◽  
Roi Treister ◽  
May Haddad ◽  
Dorit Pud ◽  
...  
Keyword(s):  
Temporal Summation ◽  
Pain Modulation ◽  
Opioid Analgesia ◽  
Conditioned Pain Modulation

Defective Endogenous Pain Modulation in Fibromyalgia: A Meta-Analysis of Temporal Summation and Conditioned Pain Modulation Paradigms

2018 ◽  
Vol 19 (8) ◽  
pp. 819-836 ◽  
Author(s):  
Anthony Terrence O'Brien ◽  
Alicia Deitos ◽  
Yolanda Triñanes Pego ◽  
Felipe Fregni ◽  
Maria Teresa Carrillo-de-la-Peña
Keyword(s):  
Temporal Summation ◽  
Meta Analysis ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Endogenous Pain Modulation

Variables Associated With Active and Inactive Behavior During the After-School Period

2013 ◽  
Vol 25 (2) ◽  
pp. 288-299 ◽  
Author(s):  
Eric Wickel
Keyword(s):  
Physical Activity ◽  
Time Use ◽  
Screen Time ◽  
Vigorous Physical Activity ◽  
Peer Groups ◽  
Fourth Grade ◽  
After School ◽  
Light Physical Activity ◽  
Children's Behavior ◽  
School Period

This study analyzed time-use interviews to report levels of active and inactive behavior during the after-school period (3–6 pm). Interviews were conducted on random days from three separate seasons during third and fourth grade. Youth with at least two interviews during third (356 completed 2 interviews; 506 completed 3 interviews [9 yrs; 50% boys]) and fourth (186 completed 2 interviews; 768 completed 3 interviews [10 yrs; 50% boys]) grade were included to report levels of moderate-to-vigorous physical activity (MVPA), light physical activity, inactive screen time, inactive nonscreen time, and travel by location and who the activity was undertaken with. Reporting time outside the home and with peers (single or group) was related to higher levels of MVPA. While inside the home, screen and nonscreen proportions were comparable (38% and 40%, respectively), despite unique patterns (screen: boys > girls; nonscreen: girls > boys). Reporting time with both parents was associated with more nonscreen time; whereas reporting time with peer groups was associated with lower screen time. Understanding active and inactive patterns of children’s behavior outside of school hours can be very important in contributing toward the development of innovative interventions for increasing physical activity.

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