Evidence map›Paper›PMID 40915988›Full record

SynthesisEuropean geriatric medicine2025

Chronic pain and decline in activities of daily living among community-dwelling older adults: a systematic review of longitudinal studies.

Arisa Kawashima, Ayane Komatsu, Xueying Jin, Hiroyuki Shimada, Hidenori Arai, Tami Saito

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arisa KawashimaDepartment of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan. kawashima.arisa.s9@f.mail.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0001-7864-9289
Ayane KomatsuDepartment of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Xueying JinDepartment of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Hiroyuki ShimadaDepartment of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Hidenori AraiNational Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Tami SaitoDepartment of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.

Funding

the Health and Labor Sciences Research Grant 23GA1002
6 · The paper itself

Abstract

purposeTo investigate the longitudinal association between chronic pain and decline in activity of daily living (ADL) among community-dwelling older adults aged ≥ 60 years.

methodsIn this systematic review of prospective longitudinal studies with narrative synthesis, a comprehensive literature search was conducted using PubMed and Embase using free-text words and MeSH terms on February 3, 2025. Longitudinal studies that quantitatively assessed ADL at two or more time points and pain at least once were included. Interventional studies, qualitative research, and non-English publications were excluded. Titles, abstracts, and full texts were screened by multiple independent reviewers based on the eligibility criteria. The included studies' methodological quality was evaluated using the Study Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.

resultsSeven studies (9,786 participants) met the inclusion criteria. These prospective cohort studies suggest that chronic musculoskeletal pain, particularly knee or back pain, is associated with declines in basic ADL, instrumental ADL, lower extremity physical function, and mobility disability. Most studies evaluated pain based on frequency, severity, or impact on function, whereas one study used the number of pain sites. The reported effect sizes varied, with adjusted odds ratios for ADL decline ranging from 1.31 to 2.38 and hazard ratios from 1.49 to 3.47. Meta-analysis was not feasible because of the heterogeneity in the measures used to assess pain and ADL.

conclusionsThis review indicates that chronic pain is associated with ADL decline in community-dwelling older adults. Regular pain assessment and appropriate management may help maintain ADL in this population.

Indexed as

Activities of Daily LivingChronic PainIndependent LivingAgedAged, 80 and overGeriatric AssessmentHumansLongitudinal StudiesMaleMiddle AgedActivities of daily livingChronic painCommunity-dwellingLongitudinal studiesOlder adults

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.