Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2012

Open Access 01-12-2012 | Research article

Prevalence of chronic musculoskeletal disorders in elderly Brazilians: a systematic review of the literature

Authors: Vivian S Miranda, Vivielle BF deCarvalho, Luciana AC Machado, João Marcos D Dias

Published in: BMC Musculoskeletal Disorders | Issue 1/2012

Login to get access

Abstract

Background

Population ageing is a worldwide phenomenon that has recently challenged public healthcare systems. The knowledge of the burden of chronic musculoskeletal disorders in elders is still limited, particularly in the developing world. This systematic review aimed to investigate the prevalence of chronic musculoskeletal disorders in elderly Brazilians.

Methods

A comprehensive literature search was performed in five electronic databases (from inception to January 2012) and completed by additional searches in reference lists. Two review authors independently selected the eligible studies and extracted data on participants’ characteristics and rates of chronic musculoskeletal disorders. One review author extracted methodological quality data. We performed a critical synthesis of the results, which were grouped into the diagnoses “chronic musculoskeletal pain” or “specific musculoskeletal diagnoses”.

Results

Twenty five studies reporting on a total of 116,091 elderly Brazilians were included. Eight studies (32%) were of high methodological quality. There was a large variation in the measure of prevalence used by individual studies and in their definition of chronic pain. Prevalence estimates reached 86% for chronic musculoskeletal pain in any location. Studies investigating multiple pain sites found the lower limb and the spine to be the most prevalent complaints (50% each). Arthritis and rheumatism (including osteoarthritis) were the most prevalent specific musculoskeletal diagnoses (9% to 40%), followed by herniated disc (6% to 27%).

Conclusions

Despite the growth of the elderly population worldwide, high-quality research on the burden of chronic musculoskeletal disorders in the elderly is still scarce. Future healthcare research focusing on this age group should be a priority in developing countries since their public healthcare systems are not yet fully prepared to accommodate the needs of an aging population.
Appendix
Available only for authorised users
Literature
1.
go back to reference United Nations Department of Economic and Social Affairs Population Division: World population ageing 2009. 2009, United Nations, New York, 66- United Nations Department of Economic and Social Affairs Population Division: World population ageing 2009. 2009, United Nations, New York, 66-
2.
go back to reference Chaimowicz F: Health of the Brazilian elderly population on the eve of the 21st century: current problems, forecasts and alternatives. Rev Saude Publica. 1997, 31 (2): 184-200.CrossRefPubMed Chaimowicz F: Health of the Brazilian elderly population on the eve of the 21st century: current problems, forecasts and alternatives. Rev Saude Publica. 1997, 31 (2): 184-200.CrossRefPubMed
4.
go back to reference Instituto Brasileiro de Geografia e Estatística – IBGE: Síntese de indicadores sociais: uma análise das condições de vida da população brasileira. Informação demográfica e socioeconômica, n. 27. 2010, IBGE, Rio de Janeiro, 317- Instituto Brasileiro de Geografia e Estatística – IBGE: Síntese de indicadores sociais: uma análise das condições de vida da população brasileira. Informação demográfica e socioeconômica, n. 27. 2010, IBGE, Rio de Janeiro, 317-
5.
go back to reference Dellaroza M, Pimenta C, Matsuo T: Prevalence and characterization of chronic pain among the elderly living in the community. Cad Saude Publica. 2007, 23 (5): 1151-1160. 10.1590/S0102-311X2007000500017.CrossRefPubMed Dellaroza M, Pimenta C, Matsuo T: Prevalence and characterization of chronic pain among the elderly living in the community. Cad Saude Publica. 2007, 23 (5): 1151-1160. 10.1590/S0102-311X2007000500017.CrossRefPubMed
6.
go back to reference International Association for the Study of Pain – IASP Global Year Against Musculoskeletal Pain, October 2009 – October 2010: Musculoskeletal Pain. 2009, IASP, Seattle, 2-Available athttp://www.iasp-pain.org. Accessed Mar 17, 2010 International Association for the Study of Pain – IASP Global Year Against Musculoskeletal Pain, October 2009 – October 2010: Musculoskeletal Pain. 2009, IASP, Seattle, 2-Available athttp://​www.​iasp-pain.​org. Accessed Mar 17, 2010
7.
go back to reference Leboeuf-Yde C, Lauritsen J, Lauritzen T: Why has the search for causes of low back pain largely been nonconclusive?. Spine. 1997, 22 (8): 877-881. 10.1097/00007632-199704150-00010.CrossRefPubMed Leboeuf-Yde C, Lauritsen J, Lauritzen T: Why has the search for causes of low back pain largely been nonconclusive?. Spine. 1997, 22 (8): 877-881. 10.1097/00007632-199704150-00010.CrossRefPubMed
8.
go back to reference Glasziou P, Irwig L, Bain C, Colditz G: Frequency and Rate. Systematic reviews in health care: a practical guide. 2001, Cambridge University Press, Cambridge, 67-73.CrossRef Glasziou P, Irwig L, Bain C, Colditz G: Frequency and Rate. Systematic reviews in health care: a practical guide. 2001, Cambridge University Press, Cambridge, 67-73.CrossRef
10.
go back to reference Coimbra F, Samara A, Coimbra I: Association between bone mass index (BMI) and hand osteoarthritis (OA). Rev Bras Reumatol. 2004, 44 (3): 206-211. Coimbra F, Samara A, Coimbra I: Association between bone mass index (BMI) and hand osteoarthritis (OA). Rev Bras Reumatol. 2004, 44 (3): 206-211.
11.
go back to reference Dellaroza M, Furuya R, Cabrera M, Matsuo T, Trelha C, Yamada K, Pacola L: Caracterização da dor crônica e métodos analgésicos utilizados por idosos na comunidade. Rev Assoc Med Bras. 2008, 54 (1): 36-41. 10.1590/S0104-42302008000100018.CrossRefPubMed Dellaroza M, Furuya R, Cabrera M, Matsuo T, Trelha C, Yamada K, Pacola L: Caracterização da dor crônica e métodos analgésicos utilizados por idosos na comunidade. Rev Assoc Med Bras. 2008, 54 (1): 36-41. 10.1590/S0104-42302008000100018.CrossRefPubMed
12.
go back to reference dosReis L, Mascarenhas C, daCosta A, Sampaio L, Lessa R, Oliveira T: Health conditions of elderly attended in a clinic of physiotherapy of the State University of the Southwest of Bahia. Cienc Cuid Saude. 2008, 7 (2): 187-192. dosReis L, Mascarenhas C, daCosta A, Sampaio L, Lessa R, Oliveira T: Health conditions of elderly attended in a clinic of physiotherapy of the State University of the Southwest of Bahia. Cienc Cuid Saude. 2008, 7 (2): 187-192.
13.
go back to reference dosReis L, Torres G, Reis L: Pain characterization in institutionalized elderly patients. Arq Neuropsiquiatr. 2008, 66 (2-B): 331-335. dosReis L, Torres G, Reis L: Pain characterization in institutionalized elderly patients. Arq Neuropsiquiatr. 2008, 66 (2-B): 331-335.
14.
go back to reference Giacomin K, Peixoto S, Uchoa E, Lima-Costa M: A population-based study on factors associated with functional disability among older adults in the Great Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Cad Saúde Pública. 2008, 24 (6): 1260-1270.CrossRefPubMed Giacomin K, Peixoto S, Uchoa E, Lima-Costa M: A population-based study on factors associated with functional disability among older adults in the Great Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Cad Saúde Pública. 2008, 24 (6): 1260-1270.CrossRefPubMed
15.
go back to reference Lima M, Barros M, Cesar C, Goldbaum M, Carandina L, Ciconefi R: Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study. Rev Panam Salud Publica. 2009, 25 (4): 314-321.CrossRefPubMed Lima M, Barros M, Cesar C, Goldbaum M, Carandina L, Ciconefi R: Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study. Rev Panam Salud Publica. 2009, 25 (4): 314-321.CrossRefPubMed
16.
go back to reference Lima-Costa M, Matos D, Camargos V, Macinko J: 10-year trends in the health of Brazilian elderly: evidence from the National Household Sample Survey (PNAD 1998, 2003, 2008). Ciência & Saúde Coletiva. 2011, 16 (9): 3689-3696.CrossRef Lima-Costa M, Matos D, Camargos V, Macinko J: 10-year trends in the health of Brazilian elderly: evidence from the National Household Sample Survey (PNAD 1998, 2003, 2008). Ciência & Saúde Coletiva. 2011, 16 (9): 3689-3696.CrossRef
17.
go back to reference Liposcki D, Rosa Neto F: Prevalence of osteoarthritis, falls and relationship with the balance in the elderly. Rev Ter Man. 2008, 6 (26): 235-238. Liposcki D, Rosa Neto F: Prevalence of osteoarthritis, falls and relationship with the balance in the elderly. Rev Ter Man. 2008, 6 (26): 235-238.
18.
go back to reference Machado G, Barreto S, Passos V, deLima-Costa M: Projeto Bambuí: prevalência de sintomas articulares crônicos em idosos. Rev Assoc Med Bras. 2004, 50 (4): 367-372. 10.1590/S0104-42302004000400024.CrossRefPubMed Machado G, Barreto S, Passos V, deLima-Costa M: Projeto Bambuí: prevalência de sintomas articulares crônicos em idosos. Rev Assoc Med Bras. 2004, 50 (4): 367-372. 10.1590/S0104-42302004000400024.CrossRefPubMed
19.
go back to reference Menéndez J, Guevara A, Arcia N, Díaz E, Marín C, Alfonso J: Enfermedades crónicas y limitación funcional en adultos mayores: estudio comparativo en siete ciudades de América Latina y el Caribe. Rev Panam Salud Publica. 2005, 17 (5/6): 353-361.PubMed Menéndez J, Guevara A, Arcia N, Díaz E, Marín C, Alfonso J: Enfermedades crónicas y limitación funcional en adultos mayores: estudio comparativo en siete ciudades de América Latina y el Caribe. Rev Panam Salud Publica. 2005, 17 (5/6): 353-361.PubMed
20.
go back to reference Rey L, Arantes M, Alves P, Coletta R, Silva M, Skare T: Prevalence and pattern of joint involvement in patients with hand osteoarthritis older than 50 years of age in the city of Curitiba. Rev Bras Reumatol. 2000, 40 (5): 217-220. Rey L, Arantes M, Alves P, Coletta R, Silva M, Skare T: Prevalence and pattern of joint involvement in patients with hand osteoarthritis older than 50 years of age in the city of Curitiba. Rev Bras Reumatol. 2000, 40 (5): 217-220.
21.
go back to reference Sa K, Baptista A, Matos M, Lessa I: Chronic pain and gender in Salvador population, Brazil. Pain. 2008, 139 (3): 498-506. 10.1016/j.pain.2008.06.008.CrossRefPubMed Sa K, Baptista A, Matos M, Lessa I: Chronic pain and gender in Salvador population, Brazil. Pain. 2008, 139 (3): 498-506. 10.1016/j.pain.2008.06.008.CrossRefPubMed
22.
go back to reference Santos A, Burtia J, Lopesb J, Scazufcac M, Marquesa A, Pereirab R: Prevalence of fibromyalgia and chronic widespread pain in community-dwelling elderly subjects living in São Paulo, Brazil. Maturitas. 2010, 67 (3): 251-255. 10.1016/j.maturitas.2010.07.006.CrossRefPubMed Santos A, Burtia J, Lopesb J, Scazufcac M, Marquesa A, Pereirab R: Prevalence of fibromyalgia and chronic widespread pain in community-dwelling elderly subjects living in São Paulo, Brazil. Maturitas. 2010, 67 (3): 251-255. 10.1016/j.maturitas.2010.07.006.CrossRefPubMed
23.
go back to reference Senna E, Barros A, Silva E, Costa I, Pereira L, Ciconelli R, Ferraz M: Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol. 2004, 31 (3): 594-597.PubMed Senna E, Barros A, Silva E, Costa I, Pereira L, Ciconelli R, Ferraz M: Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol. 2004, 31 (3): 594-597.PubMed
24.
go back to reference Silva M, Fassa A, Valle N: Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica. 2004, 20 (2): 377-385. 10.1590/S0102-311X2004000200005.CrossRefPubMed Silva M, Fassa A, Valle N: Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica. 2004, 20 (2): 377-385. 10.1590/S0102-311X2004000200005.CrossRefPubMed
25.
go back to reference Sampaio L, Reis L, Oliveira T: Some epidemiological aspects of elderly participants of a relationship group in the city of Jequié - BA. Rev Saúde Com. 2007, 3 (2): 19-26. Sampaio L, Reis L, Oliveira T: Some epidemiological aspects of elderly participants of a relationship group in the city of Jequié - BA. Rev Saúde Com. 2007, 3 (2): 19-26.
26.
go back to reference Alves A, Medeiros C, Bacchi C, Matos M: Prevalência de dor musculoesquelética em idosos que praticam atividade física. Rev Ciencia e Saude. 2009, volume especial: 31- Alves A, Medeiros C, Bacchi C, Matos M: Prevalência de dor musculoesquelética em idosos que praticam atividade física. Rev Ciencia e Saude. 2009, volume especial: 31-
27.
28.
go back to reference Lacerda P, deGodoy L, Cobianchi M, Bachion M: Study of the occurrence of "chronic pain" in elderly of a community assisted by the Health Family Program in Goiânia. Rev Eletronica Enferm. 2005, 7 (1): 29- Lacerda P, deGodoy L, Cobianchi M, Bachion M: Study of the occurrence of "chronic pain" in elderly of a community assisted by the Health Family Program in Goiânia. Rev Eletronica Enferm. 2005, 7 (1): 29-
29.
go back to reference Panazzolo D, Trelha C, Dellaroza M, Cabrera M, deSouza R: Chronic pain in older people inhabitants of the Cabo Frio District of Londrina/PR. Rev Dor. 2007, 8 (3): 1052-1054. Panazzolo D, Trelha C, Dellaroza M, Cabrera M, deSouza R: Chronic pain in older people inhabitants of the Cabo Frio District of Londrina/PR. Rev Dor. 2007, 8 (3): 1052-1054.
30.
go back to reference Panazzolo D, Souza R, Taho Y, Pisconti F, Trelha C, Dellaroza M, Cabrera M, Matsuo T: Impact of chronic pain in the functional capacity of elderly dwelling in a community (Conference abstract). 15o Simpósio Internacional de Iniciação Científica da USP. 2007, São Paulo University, São Paulo Panazzolo D, Souza R, Taho Y, Pisconti F, Trelha C, Dellaroza M, Cabrera M, Matsuo T: Impact of chronic pain in the functional capacity of elderly dwelling in a community (Conference abstract). 15o Simpósio Internacional de Iniciação Científica da USP. 2007, São Paulo University, São Paulo
32.
go back to reference deBarros E, Alexandre N: Cross-cultural adaptation of the Nordic Musculoskeletal Questionnaire. Int Nurs Rev. 2003, 50 (2): 101-108. 10.1046/j.1466-7657.2003.00188.x.CrossRef deBarros E, Alexandre N: Cross-cultural adaptation of the Nordic Musculoskeletal Questionnaire. Int Nurs Rev. 2003, 50 (2): 101-108. 10.1046/j.1466-7657.2003.00188.x.CrossRef
33.
go back to reference Varoli F, Pedrazzi V: Adapted version of the McGill Pain Questionnaire to Brazilian Portuguese. Braz Dent J. 2006, 17 (4): 328-335.CrossRefPubMed Varoli F, Pedrazzi V: Adapted version of the McGill Pain Questionnaire to Brazilian Portuguese. Braz Dent J. 2006, 17 (4): 328-335.CrossRefPubMed
36.
go back to reference Koes B, van Tulder M, Lin C, Macedo L, McAuley J, Maher C: An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010, 19 (12): 2075-2094. 10.1007/s00586-010-1502-y.CrossRefPubMedPubMedCentral Koes B, van Tulder M, Lin C, Macedo L, McAuley J, Maher C: An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010, 19 (12): 2075-2094. 10.1007/s00586-010-1502-y.CrossRefPubMedPubMedCentral
37.
go back to reference Bressler H, Keyes W, Rochon P, Badley E: The prevalence of low back pain in the elderly: a systematic review of the literature. Spine. 1999, 24 (17): 1813-1819. 10.1097/00007632-199909010-00011.CrossRefPubMed Bressler H, Keyes W, Rochon P, Badley E: The prevalence of low back pain in the elderly: a systematic review of the literature. Spine. 1999, 24 (17): 1813-1819. 10.1097/00007632-199909010-00011.CrossRefPubMed
38.
go back to reference Dionne C, Dunn K, Croft P: Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing. 2006, 35: 229-234. 10.1093/ageing/afj055.CrossRefPubMed Dionne C, Dunn K, Croft P: Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing. 2006, 35: 229-234. 10.1093/ageing/afj055.CrossRefPubMed
39.
40.
go back to reference Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 57: 649-655. 10.1136/ard.57.11.649.CrossRefPubMedPubMedCentral Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 57: 649-655. 10.1136/ard.57.11.649.CrossRefPubMedPubMedCentral
41.
go back to reference Arnow B, Hunkeler E, Blasey C, Lee J, Constantino M, Fireman B, Kraemer H, Dea R, Robinson R, Hayward C: Comorbid depression, chronic pain, and disability in primary care. Psychosom Med. 2006, 68: 262-268. 10.1097/01.psy.0000204851.15499.fc.CrossRefPubMed Arnow B, Hunkeler E, Blasey C, Lee J, Constantino M, Fireman B, Kraemer H, Dea R, Robinson R, Hayward C: Comorbid depression, chronic pain, and disability in primary care. Psychosom Med. 2006, 68: 262-268. 10.1097/01.psy.0000204851.15499.fc.CrossRefPubMed
42.
go back to reference Bair M, Wu J, Damush T, Sutherland J, Kroenke K: Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosom Med. 2008, 70 (8): 890-897. 10.1097/PSY.0b013e318185c510.CrossRefPubMedPubMedCentral Bair M, Wu J, Damush T, Sutherland J, Kroenke K: Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosom Med. 2008, 70 (8): 890-897. 10.1097/PSY.0b013e318185c510.CrossRefPubMedPubMedCentral
43.
go back to reference Tunks E, Crook J, Weir R: Epidemiology of chronic pain with psychological comorbidity: prevalence, risk, course, and prognosis. Can J Psychiatry. 2008, 53 (4): 224-234.PubMed Tunks E, Crook J, Weir R: Epidemiology of chronic pain with psychological comorbidity: prevalence, risk, course, and prognosis. Can J Psychiatry. 2008, 53 (4): 224-234.PubMed
44.
go back to reference vanSaase J, vanRomunde L, Cats A, Vandenbroucke J, Valkenburg H: Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis. 1989, 48: 271-280. 10.1136/ard.48.4.271.CrossRef vanSaase J, vanRomunde L, Cats A, Vandenbroucke J, Valkenburg H: Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis. 1989, 48: 271-280. 10.1136/ard.48.4.271.CrossRef
45.
go back to reference World Health Organization - WHO: The global burden of disease: 2004 update. 2008, World Health Organization, Geneva World Health Organization - WHO: The global burden of disease: 2004 update. 2008, World Health Organization, Geneva
46.
go back to reference Altman R: Early management of osteoarthritis. Am J Manag Care. 2010, 16: S41-S47.PubMed Altman R: Early management of osteoarthritis. Am J Manag Care. 2010, 16: S41-S47.PubMed
47.
go back to reference Espeland A, Natvig N, Løge I, Engebretsen L, Ellingsen J: Magnetic resonance imaging of the knee in Norway 2002–2004 (national survey): rapid increase, older patients, large geographic differences. BMC Health Serv Res. 2007, 7: 115-10.1186/1472-6963-7-115.CrossRefPubMedPubMedCentral Espeland A, Natvig N, Løge I, Engebretsen L, Ellingsen J: Magnetic resonance imaging of the knee in Norway 2002–2004 (national survey): rapid increase, older patients, large geographic differences. BMC Health Serv Res. 2007, 7: 115-10.1186/1472-6963-7-115.CrossRefPubMedPubMedCentral
48.
go back to reference Barros M, César C, Carandina L, Torre G: Social inequalities in the prevalence of chronic diseases in Brazil, PNAD-2003. Ciência & Saúde Coletiva. 2006, 11 (4): 911-926.CrossRef Barros M, César C, Carandina L, Torre G: Social inequalities in the prevalence of chronic diseases in Brazil, PNAD-2003. Ciência & Saúde Coletiva. 2006, 11 (4): 911-926.CrossRef
49.
go back to reference Matos M, Hennington E, Hoefel AL, Dias-da-Costa J: Lower back pain in health insurance policyholders: prevalence and associated factors. Cad Saude Publica. 2008, 24 (9): 2115-2122. 10.1590/S0102-311X2008000900017.CrossRefPubMed Matos M, Hennington E, Hoefel AL, Dias-da-Costa J: Lower back pain in health insurance policyholders: prevalence and associated factors. Cad Saude Publica. 2008, 24 (9): 2115-2122. 10.1590/S0102-311X2008000900017.CrossRefPubMed
Metadata
Title
Prevalence of chronic musculoskeletal disorders in elderly Brazilians: a systematic review of the literature
Authors
Vivian S Miranda
Vivielle BF deCarvalho
Luciana AC Machado
João Marcos D Dias
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2012
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-13-82

Other articles of this Issue 1/2012

BMC Musculoskeletal Disorders 1/2012 Go to the issue