Mediterranean Diet and Changes in Frequency, Severity, and Localization of Pain in Older Adults : The Seniors-ENRICA Cohorts
© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: Although some components of the Mediterranean diet have shown benefits in pain risk through its anti-inflammatory/antioxidant properties, no population-based studies have investigated the effect of adherence to this diet on changes in pain over time.
METHODS: We used data from 864 and 862 older adults recruited in the Seniors-ENRICA-1 and Seniors-ENRICA-2 cohorts and followed-up for 2.8 and 2.4 years, respectively. Adherence to the Mediterranean diet was assessed with the MEDAS score at baseline. Frequency, severity, and locations of pain obtained at baseline and follow-up were used to compute a pain scale. Analyses were performed using multinomial logistic regression models, and adjusted for the main confounders.
RESULTS: Participants had a mean (SD) age of 71.5 (5.1) years, 36.8% were men, and 78.3% had chronic conditions. In the pooled cohorts, compared with participants in the lowest quartile of the MEDAS score (lowest adherence to the Mediterranean diet), those in the highest quartile showed a higher frequency of pain improvement versus worsening (relative risk ratio [95% confidence interval]: 1.43 [1.03, 1.99]). This association was also evidenced in 2 components of the pain scale: improvement in pain severity (1.43 [1.01, 2.04]) and reduction in pain locations (1.54 [1.08, 2.20]), but a tendency to pain frequency improvement (1.34 [0.92, 1.93]) was also observed. The main contributors to these associations were high consumption of fruit and vegetables, and low consumption of sugar-sweetened beverages.
CONCLUSIONS: A higher adherence to the Mediterranean diet was related to a subsequent improvement in pain characteristics in older adults, suggesting that improving diet quality may help reduce the high health impact of pain.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:77 |
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| Enthalten in: |
The journals of gerontology. Series A, Biological sciences and medical sciences - 77(2022), 1 vom: 07. Jan., Seite 122-130 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ortolá, Rosario [VerfasserIn] |
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| Links: |
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| Themen: |
Chronic pain |
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| Anmerkungen: |
Date Completed 18.04.2022 Date Revised 18.04.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/gerona/glab109 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Although some components of the Mediterranean diet have shown benefits in pain risk through its anti-inflammatory/antioxidant properties, no population-based studies have investigated the effect of adherence to this diet on changes in pain over time | ||
| 520 | |a METHODS: We used data from 864 and 862 older adults recruited in the Seniors-ENRICA-1 and Seniors-ENRICA-2 cohorts and followed-up for 2.8 and 2.4 years, respectively. Adherence to the Mediterranean diet was assessed with the MEDAS score at baseline. Frequency, severity, and locations of pain obtained at baseline and follow-up were used to compute a pain scale. Analyses were performed using multinomial logistic regression models, and adjusted for the main confounders | ||
| 520 | |a RESULTS: Participants had a mean (SD) age of 71.5 (5.1) years, 36.8% were men, and 78.3% had chronic conditions. In the pooled cohorts, compared with participants in the lowest quartile of the MEDAS score (lowest adherence to the Mediterranean diet), those in the highest quartile showed a higher frequency of pain improvement versus worsening (relative risk ratio [95% confidence interval]: 1.43 [1.03, 1.99]). This association was also evidenced in 2 components of the pain scale: improvement in pain severity (1.43 [1.01, 2.04]) and reduction in pain locations (1.54 [1.08, 2.20]), but a tendency to pain frequency improvement (1.34 [0.92, 1.93]) was also observed. The main contributors to these associations were high consumption of fruit and vegetables, and low consumption of sugar-sweetened beverages | ||
| 520 | |a CONCLUSIONS: A higher adherence to the Mediterranean diet was related to a subsequent improvement in pain characteristics in older adults, suggesting that improving diet quality may help reduce the high health impact of pain | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Chronic pain | |
| 650 | 4 | |a Cohort study | |
| 650 | 4 | |a Dietary patterns | |
| 700 | 1 | |a García-Esquinas, Esther |e verfasserin |4 aut | |
| 700 | 1 | |a Sotos-Prieto, Mercedes |e verfasserin |4 aut | |
| 700 | 1 | |a Struijk, Ellen A |e verfasserin |4 aut | |
| 700 | 1 | |a Caballero, Francisco Félix |e verfasserin |4 aut | |
| 700 | 1 | |a Lopez-Garcia, Esther |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez-Artalejo, Fernando |e verfasserin |4 aut | |
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