{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:54:31Z","timestamp":1782273271857,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Physical activity (PA) is a key recommendation for musculoskeletal pain, but social determinants of health (SDH) may limit older adults' participation. The purpose of this study was to assess the association of SDH with PA in a large representative sample of older Europeans with musculoskeletal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted based on data from the 9th wave of the SHARE (2021\u20132022), a representative survey of people aged 50\u00a0years and older in 27 European countries and Israel. People with back, hip, knee, or other joint pain were included. The SDH (exposures) examined were education, household income, current job status, and loneliness. Self\u2010reported vigorous or moderate PA were the outcomes. Survey\u2010weighted ordinal logistic regression models were applied, adjusting for age, sex, country, comorbidities, sleep problems, smoking, sadness, and pain characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>21,679 individuals (mean age: 70\u00a0years, 64% female) were included. Low educational level was consistently associated with reduced participation in moderate (OR: 0.79; 95% CI: 0.65\u20130.97) and vigorous PA (OR: 0.68; 95% CI: 0.57\u20130.82). Loneliness was consistently associated with reduced participation in moderate (OR: 0.78; 95% CI: 0.65\u20130.93) and vigorous PA (OR: 0.76; 95% CI: 0.67\u20130.87). Active employment was associated with a lower likelihood of engaging in vigorous PA (OR: 0.69; 95% CI: 0.60\u20130.79) but not moderate PA. No significant association was observed with income.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our findings highlight\u00a0the need for educational interventions and targeted strategies addressing social support to promote physical activity in older adults with musculoskeletal pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70138","type":"journal-article","created":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T04:05:21Z","timestamp":1764475521000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Social Determinants of Health Related to Physical Activity in Older Adults With Musculoskeletal Pain in Europe: A SHARE\u2010Based Analysis of 21,679 Participants"],"prefix":"10.1002","volume":"31","author":[{"given":"Rodrigo","family":"N\u00fa\u00f1ez\u2010Cort\u00e9s","sequence":"first","affiliation":[{"name":"Department of Physical Therapy Faculty of Medicine University of Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Tur\u2010Boned","sequence":"additional","affiliation":[{"name":"Exercise Intervention for Health Research Group (EXINH\u2010RG), Department of Physiotherapy University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Cruz\u2010Montecinos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Faculty of Medicine University of Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Antunez\u2010Riveros","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Education Faculty of Medicine University of 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