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Widespread Musculoskeletal Pain and the Progression of Disability in Older Disabled Women

Suzanne G. Leveille, PhD; Shari Ling, MD, MPH; Marc C. Hochberg, MD, MPH; Helaine E. Resnick, PhD; Karen J. Bandeen-Roche, PhD; Aida Won, MD; and Jack M. Guralnik, MD, PhD
[+] Article and Author Information

From Hebrew Rehabilitation Center for Aged, Boston, Massachusetts; The Johns Hopkins University Schools of Medicine and Public Health, University of Maryland, and Maryland Veterans Affairs Health Care System, Baltimore, Maryland; and National Institute on Aging, Bethesda, Maryland.


Grant Support: By the Brookdale National Fellowship Program (Dr. Bandeen-Roche). This work was conducted in part while Dr. Leveille was a Research Fellow with the Epidemiology, Demography, and Biometry Program of the National Institute on Aging, Bethesda, Maryland. The Women's Health and Aging Study was supported by contract NO1-AG12112 of the National Institute on Aging.

Requests for Single Reprints: Suzanne Leveille, PhD, Research and Training Institute, Hebrew Rehabilitation Center for Aged, 1200 Centre Street, Boston, MA 02131-1097; e-mail, leveille@mail.hrca.harvard.edu.

Current Author Addresses: Drs. Leveille and Won: Research and Training Institute, Hebrew Rehabilitation Center for Aged, 1200 Centre Street, Boston, MA 02131-1097.

Dr. Ling: Gerontology Research Center, National Institute on Aging, 5600 Nathan Shock Drive, Box 29, Baltimore, MD 21224.

Dr. Hochberg: University of Maryland, 10 South Pine Street, Medical Sschool Teaching Faculty 8-24, Baltimore, MD 21201.

Dr. Resnick: MedStar Research Institute, 108 Irving Street, Northwest Annex 5, Washington, DC 20010.

Dr. Bandeen-Roche: Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205.

Dr. Guralnik: Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, 7201 Wisconsin Avenue, Suite 3C309, Bethesda, MD 20814.

Author Contributions: Conception and design: S.G. Leveille, M. Hochberg, K. Bandeen-Roche, A. Won, J.M. Guralnik.

Analysis and interpretation of the data: S.G. Leveille, M. Hochberg, H.E. Resnick, K. Bandeen-Roche, J.M. Guralnik.

Drafting of the article: S.G. Leveille, J.M. Guralnik.

Critical revision of the article for important intellectual content: S.G. Leveille, M. Hochberg, H.E. Resnick, K. Bandeen-Roche, J.M. Guralnik.

Final approval of the article: S.G. Leveille, S. Ling, M. Hochberg, H.E. Resnick, K. Bandeen-Roche, A. Won, J.M. Guralnik.

Provision of study materials or patients: J.M. Guralnik.

Statistical expertise: S.G. Leveille, K. Bandeen-Roche, J.M. Guralnik.

Administrative, technical, or logistic support: J.M. Guralnik.

Collection and assembly of data: M. Hochberg, J.M. Guralnik.


Ann Intern Med. 2001;135(12):1038-1046. doi:10.7326/0003-4819-135-12-200112180-00007
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Musculoskeletal pain is a common cause of disability in older adults (14). Recent attempts to understand the impact of pain on daily function in older persons have demonstrated the complexity of the problem in the elderly (23). Often, musculoskeletal pain affects more than one or two joint areas, and the cause is unknown. In fact, although musculoskeletal pain is often attributed to arthritis, joint pain is associated with an increased risk for functional difficulties, even in the absence of radiographic evidence of arthritis (5). In epidemiologic studies, many aspects of pain have been associated with disability, including frequency, intensity, and location (23).

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Prevalence of musculoskeletal pain, according to age, in older women with disability.
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Summary for Patients

Musculoskeletal Pain and the Progression of Disability among Older Women with Disability

The summary below is from the full report titled “Widespread Musculoskeletal Pain and the Progression of Disability in Older Disabled Women.” It is in the 18 December 2001 issue of Annals of Internal Medicine (volume 135, pages 1038-1046). The authors are SG Leveille, S Ling, MC Hochberg, HE Resnick, KJ Bandeen-Roche, A Won, and JM Guralnik.

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