{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:01:44Z","timestamp":1791291704142,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"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":["Australas J Ageing"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the association between pain distribution patterns, particularly lower extremity involvement and multisite pain, and fall risk among older adults in Korea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a secondary analysis of the Korean Longitudinal Study of Aging (KLoSA). We included participants aged 65\u2009years or older who had experienced no fall during the 2\u2009years prior to baseline. Pain status was assessed at the survey wave preceding a reported fall to capture pre\u2010existing pain. Pain was classified according to its anatomical distribution and cumulative severity. Primary outcome was the incidence of the first fall event during follow\u2010up. Cox proportional hazards models incorporating time\u2010varying pain exposures were used to estimate hazard ratios (HRs) for the first reported fall over up to 16\u2009years of follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3199 participants (mean age, 72.52\u2009years) were followed for up to 16\u2009years, during which 445 (14%) experienced a fall. Compared to participants without pain, those with lower extremity pain had significantly higher fall risk (isolated lower extremity: HR\u2009=\u20091.38, 95% CI 1.01\u20131.90; multisite with lower extremity involvement: HR\u2009=\u20091.39, 95% CI 1.04\u20131.84). Higher lower extremity composite pain scores were associated with greater risk (HR\u2009=\u20091.47, 95% CI 1.10\u20131.97). Pain at non\u2010lower extremity sites was not significantly associated with falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010reported current lower extremity pain was associated with a higher hazard of subsequently reported falls among community\u2010dwelling older adults. Further studies are needed to determine whether pain location improves fall\u2010risk prediction and whether interventions targeting lower extremity pain can reduce falls.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70244","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:48:56Z","timestamp":1791290936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Not All Pain Is Equal: Lower Extremity Pain and Longitudinal Fall Risk in Older Adults"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3587-2516","authenticated-orcid":false,"given":"Jiwon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Physical Education Yonsei University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1329-4637","authenticated-orcid":false,"given":"Dong Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Sport Industry Studies Yonsei University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0671-2127","authenticated-orcid":false,"given":"Kyeongtak","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Physical Education Yonsei University  Seoul Republic of Korea"},{"name":"International Olympic Committee Research Centre Korea Yonsei University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2006.05.013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2013.07.029"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1991.tb05908.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12357"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12799"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.15620\/cdc:107894","volume-title":"Back, Lower Limb, and Upper Limb Pain Among US Adults, 2019. NCHS Data Brief No. 415","author":"Lucas J. W.","year":"2021"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15659"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glp016"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2013"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.571196"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010022\u201000699\u20101"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13072"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690\u2010025\u201001732\u2010y"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glae080"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa098"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010021\u201002695\u20109"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa070"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2024.104758"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2018.07.001"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.5.422"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226268"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1738"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.06.012"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620x.85b1.13389"},{"issue":"6","key":"e_1_2_11_26_1","first-page":"79","article-title":"A Study on the Characteristics of Gait in Patients With Chronic Low Back Pain","volume":"21","author":"Kim K.","year":"2009","journal-title":"Journal of Korean Physical Therapy"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010018\u20100034\u20106"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.20.2433"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.612663"}],"container-title":["Australasian Journal on Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70244","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajag.70244","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:48:57Z","timestamp":1791290937000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajag.70244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,6]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1111\/ajag.70244"],"URL":"https:\/\/doi.org\/10.1111\/ajag.70244","archive":["Portico"],"relation":{},"ISSN":["1440-6381","1741-6612"],"issn-type":[{"value":"1440-6381","type":"print"},{"value":"1741-6612","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,6]]},"assertion":[{"value":"2026-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70244"}}