P-392: Association of self-rated health in midlife with prevalence of pain in old age

摘要

Background: Midlife self-rated health (SRH) is reported to predict frailty in old age. Pain is a possible mediating mechanism, but little is known about the associations between SRH in midlife and pain in old age. We studied these associations among a socioeconomically homogenous cohort during a 26-year follow-up. Methods: SRH was received from a subgroup (N = 1636) of the Helsinki Businessmen Study in 1974 (47 ± 4 years). In 2000, the men (73 ± 4 years) were assessed with the 8 domains (score 0 = worst to 100 = best) of the health-related quality of life (HRQoL) with RAND-36 (SF-36) instrument, which also included questions of pain. A general linear model was used to test the relationship between SRH and total pain score, and logistic regression models were used to assess whether SRH is a predictor of pain and pain interference with daily life. Results: In 1974, 6.5% of the participants assessed their health as "very good" and 45.7% as "fairly good". In 2000, total pain score was 77 ± 23, 33.3% of the participants reported no pain, and 50.4% reported that pain didn't affect daily life. There was a linear relationship between SRH at midlife and pain score in old age (p < 0.001, age adjusted). Further, SRH assessed as "very good" was a predictor of having no pain (OR 6.44, 95% CI 2.98-13.90) and of no pain interference with daily life (OR 4.96, 95% CI 2.59-9.49). Conclusion: High SRH in midlife predicted less pain in old age. The results show the importance of life course predictors for successful aging.