Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, South Korea.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):e46-51. doi: 10.1016/j.archger.2009.11.011. Epub 2009 Dec 14.
The aim of this study is to estimate the prevalence of musculoskeletal (MSK) pain in the upper extremities (UE), low back, and lower extremities (LE) in an elderly population, and to identify related factors. In this cross-sectional cohort study, 1118 Korean elderly subjects were randomly selected from residents aged ≥65 years living in an urban city of Korea. The study data included presence of MSK pain, educational levels, activity levels over a 24h, monthly income, body mass indices and presence of depression. Estimated age- and gender-standardized prevalences of UE, low back, and LE pain were 62.6%, 72.6%, and 45.7%, respectively. The prevalence of LE pain increased with age, whereas those of UE pain and back pain did not. By multivariate analysis, a female gender and a low income were found to be significantly associated with pain at all sites, and obesity was related with low back and LE pain. Furthermore, an uneducated state was found to be associated with LE pain, and major depressive disorder to be obviously related to UE and LE pain. MSK pain was identified to be a common problem in the elderly Korean population, and a female gender was consistently associated with MSK pain.
本研究旨在估计老年人群上肢（UE）、下背部和下肢（LE）肌肉骨骼（MSK）疼痛的患病率，并确定相关因素。在这项横断面队列研究中，从居住在韩国一个城市的≥65 岁居民中随机选择了 1118 名韩国老年人。研究数据包括 MSK 疼痛的存在、教育程度、24 小时活动水平、月收入、体重指数和抑郁的存在。估计年龄和性别标准化的 UE、下背部和 LE 疼痛的患病率分别为 62.6%、72.6%和 45.7%。LE 疼痛的患病率随年龄增长而增加，而 UE 疼痛和背痛的患病率则没有增加。通过多变量分析，发现女性性别和低收入与所有部位的疼痛显著相关，肥胖与下背部和 LE 疼痛相关。此外，未受教育的状态与 LE 疼痛相关，而重度抑郁症与 UE 和 LE 疼痛明显相关。MSK 疼痛是韩国老年人群中的一个常见问题，女性性别与 MSK 疼痛始终相关。
