Physical Inactivity in Aging and Dementia: A Review Of Its Relationship to Pain

J Clin Nurs. 2012 Mar 28. doi: 10.1111/j.1365-2702.2011.03856.x. [Epub ahead of print]

Physical Inactivity in Aging and Dementia: A Review Of Its Relationship to Pain.

Source

Authors: Bart Plooij, MSc, Neuropsychologist and PhD Fellow, Department of Clinical Neuropsychology, VU University; Erik JA Scherder, PhD, Professor, Department of Clinical Neuropsychology, VU University; Laura HP Eggermont, PhD, Assistant Professor, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands.

Abstract

The goal of this brief review is to address studies examining the relationship between physical inactivity and pain in aging and dementia. Background.  A decrease in the level of physical activity is characteristic of older persons, both with and without dementia. Passive behaviour is often considered to be part of the apathy frequently observed in patients with dementia, although it could also be a sign of pain.

Design

Literature review.

Method

Searches were performed in PubMed and Embase. A total of 15 studies concerning the relationship between physical inactivity and pain in older persons with and without dementia were identified (older persons without dementia: 12; with dementia: 3). Results.  In older persons withoutdementia, a positive relationship between physical inactivity and pain has been demonstrated. In older persons with dementia, pain may cause physical inactivity and physical inactivity may cause pain.

Conclusions

In older persons, a positive relationship between physical inactivity and pain was demonstrated. More specifically, pain may cause physical inactivity. In older persons with dementia pain may cause physical inactivity and vice versa. Relevance to clinical practice.  Nurses’ awareness of physical inactivity as an indication of pain in older persons with and without dementiamay reduce the risk of underdiagnosis and subsequent undertreatment of pain.

Citation