Seoul Madi Spine and Joint Clinic, Goyang, Korea.
J Korean Med Sci. 2013 Dec;28(12):1807-13. doi: 10.3346/jkms.2013.28.12.1807. Epub 2013 Nov 26.
This study investigated the epidemiology (prevalence, risk factors, and impact on quality of life) of knee pain and its severity in elderly Koreans. The subjects (n=3,054) were participants aged ≥50 yr from the fifth Korea National Health and Nutrition Examination Survey, conducted in 2010. Knee pain was defined as pain in the knee lasting ≥30 days during the most recent 3 months; severity was categorized as mild, moderate, or severe. EQ-5D was used to measure quality of life. The prevalence of knee pain was 23.1% (11.7% in men, 31.9% in women). The prevalences of mild, moderate, and severe knee pain were 4.3%, 9.1%, and 9.7%, respectively (2.8%, 5.4%, and 3.5% in men and 5.4%, 12.0%, and 14.4% in women). Old age, female gender, a low level of education, a manual occupation, obesity, and radiographic osteoarthritis were risk factors for knee pain, and were associated with increased severity of knee pain. Excluding men with mild knee pain, people with knee pain had significantly lower quality of life than those without knee pain. Early interventional approaches are needed to reduce the medical, social, and economic burden of knee pain in elderly Koreans.
本研究旨在调查韩国老年人膝关节疼痛及其严重程度的流行病学(患病率、危险因素和对生活质量的影响)。研究对象为 2010 年进行的第五次韩国国家健康和营养检查调查中≥50 岁的参与者(n=3054)。膝关节疼痛定义为最近 3 个月中持续≥30 天的膝关节疼痛;严重程度分为轻度、中度或重度。EQ-5D 用于测量生活质量。膝关节疼痛的患病率为 23.1%(男性为 11.7%,女性为 31.9%)。轻度、中度和重度膝关节疼痛的患病率分别为 4.3%、9.1%和 9.7%(男性为 2.8%、5.4%和 3.5%,女性为 5.4%、12.0%和 14.4%)。年龄较大、女性、受教育程度较低、体力劳动、肥胖和放射学骨关节炎是膝关节疼痛的危险因素,并与膝关节疼痛的严重程度增加相关。排除轻度膝关节疼痛的男性后,膝关节疼痛患者的生活质量明显低于无膝关节疼痛的患者。需要采取早期干预措施,以减轻韩国老年人膝关节疼痛的医疗、社会和经济负担。